REPUBLIC OF THE PHILIPPINES)

PROVINCE OF BOHOL )
MUNICIPALITY OF LOON )S.S.

JOINT AFFIDAVIT OF COHABITATION

We, MARK RYAN PALBAN DAPITILLA born on April 02, 1980 in

Cansubayon, Loon, Bohol, and MANILYN MARTIZANO MENDOZA born on
August 26, 1989 in Hinatuan, Surigao Del Sur, both Filipino, single (living together)
and residents of Barangay Cansubayon, Loon, Bohol, after having been duly sworn to
in accordance with law depose and state that:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since 2009 or a period of more than
five (5) years;

2. During our cohabitation and even until the present, we remain both of single
status, hence there exists no legal impediment for us to marry each other;

3. We are blessed with four children, namely:

Name Date of Birth

MARIAN M. DAPITILLA January 14, 2010
MARIEL M. DAPITILLA July 22, 2011
RIZZA MEI M. DAPITILLA January 19, 2014
JENELYN M. DAPITILLA February 20, 2016

4. We are executing this affidavit to attest to the foregoing facts and for the purposes
of contracting marriage without the need of securing the marriage license
pursuant to the provisions of Article 34 of the Family Code of the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands this ______________

in Loon, Bohol, Philippines.

MARK RYAN P. DAPITILLA MANILYN M. MENDOZA

Affiant Affiant

SUBSCRIBED AND SWORN to before me this ________________ in Loon, Bohol,

Philippines, affiants exhibited to me their competent proofs of identity.