Form No.

1 – ORDINARY FORM OF ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL) S.S.
CITY/MUNICIPALITY OF CAINTA)

At the locality above-mentioned on this 21st day of March 2019,

personally appeared before me Neji Chan who exhibited his PRC no.
1234 issued at Manila City on 23rd of July 2017 known to me to be the
same person who executed the foregoing instrument and acknowledged
to me that the same in his/her free and voluntary act and deed.

NOTARY PUBLIC
Until December 31, 2019

Doc. No. 30;

Page No. 2;
Book No. 3;
Series of 2019.
Form No. 2 – ACKNOWLEDGEMENT BY CORPORATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF RIZAL) S.S.
CITY/MUNICIPALITY OF BINANGONAN)

ACKNOWLEDGEMENT
At the locality above-mentioned, on this 21st day of February
2019, personally appeared before me Neji Chan who exhibited PRC ID
no. 1234 issued at Manila City on 23rd day of July 2017 acting his
capacity as president (or manager) of ABC Corporation known to me to
be the same person who executed the foregoing instrument and
acknowledged to me that the same is the free and voluntary act and
deed of the Corporation/Association and that he/she is duly authorized
to sign the same
Witness my hand and seal on the date and place above written.

NOTARY PUBLIC
Until December 31, 2019

Doc. No. 5;
Page No. 3;
Book No. 5;
Series of 2019.
Form No. 3 – ANOTHER FORM OF ACKNOWLEDGEMENT BY A
CORPORATION
REPUBLIC OF THE PHILIPPINES
PROVINCE OF LAGUNA) S.S.
CITY/MUNICIPALITY OF SAN PABLO)

ACKNOWLEDGEMENT
On the 14th day of April, 2019, before me, a notary public,
personally appeared Naruto Sy, who acknowledged himself to be the
treasurer of ABC Corporation, a corporation and that he, as such
treasurer, being authorized so to do, executed the foregoing instrument
for the purposes therein contained, by signing the name of the
corporation by himself as treasurer.
IN WITNESS WHEREOF, I have hereunto set my hand and official
seal on the date above written.

NOTARY PUBLIC
Until December 31, 2019

Doc. No. 4;
Page No. 3;
Book No. 2;
Series of 2019.
Form No. 4 – ACKNOWLEDGMENT OF A WILL
REPUBLIC OF THE PHILIPPINES
PROVINCE OF BATANGAS) S.S.
CITY/MUNICIPALITY OF LIPA)

ACKNOWLEDGEMENT
BEFORE ME, a notary public for and in the Province of Lipa,
personally appeared:
Name Competent Evidence Date and Place
of Identity Issued

Testator:
January 3,
Jed Sy Passport 2016/Manila
Witnesses:
Klaire Pimentel PRC ID 02/14/2015/Manila
Nica Salazar UMID ID 01/23/13/QC
Eunice Miguel Passport 05/12/18/Manila

The Testator and his instrumental witnesses, known to me and to me

known to be the same persons who executed and attested respectively
the foregoing Last Will and Testament of said Jed Sy, consisting of Fice
(5) pages including this page where this acknowledgement is written
and they all acknowledged to me that the said testator signed all the
pages of the will in each and every page at the left hand margin thereof
in the presence of all his instrumental witnesses and that the latter
acknowledged to me that they signed the will and every page thereof
on the left hand margin in the presence of the testator and of one
another; that the pages of said will are successively numbered on the
right lower corner of each page, and that the will and attestation clause
herein is written in English, a language known to the testator and to all
his instrumental witnesses who all acknowledged to me that is voluntary
act and deed.
IN WITNESS WHEREOF, I have hereunto signed and affixed my
Notarial Seal this 21 day of February 2019 at City of Lipa.

NOTARY PUBLIC
Until December 31, 2020

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2019.
Form No. 5 – ACKNOWLEDGEMENT OF TWO (2) OR MORE
PERSONS AND TWO (2) OR MORE PAGES RELATING TO MORE
THAN ONE PARCEL OF LAND

REPUBLIC OF THE PHILIPPINES

PROVINCE OF CAGAYAN VALLEY) S.S.
CITY/MUNICIPALITY OF TUGUEGARAO)

ACKNOWLEDGEMENT
BEFORE ME, a notary public in and for the Municipality/ City of
Tuguegarao, Philippines, personally appeared the following:

Name Competent Identity Date and

Evidence of Place Issued
Mari Mario Passport 1/15/17/Manila
Jon Mario Passport 02/14/16/Manila

All personally known to me to be the same persons who executed the

foregoing instrument and acknowledged to me that the same is their
free and voluntary act and deed
This Deed consisting of 7 pages, including this page where this
acknowledgment is written, has been signed by the parties and by their
instrumental witnesses on the signature page and on left margins of
each and every page thereof, sealed with my notarial seal, and relates
to a sale of one (1) parcel of land covered by TCT No. 5432 and
registered with the Register of Deeds of Lipa.
WITNESS MY HAND AND SEAL this 21st day of March, 2019.

NOTARY PUBLIC
Until December 31, 2020

Doc. No. 6;
Page No. 7;
Book No. 3;
Series of 2019.
Form No. 6 – ANOTHER FORM OF ACKNOWLEDGEMENT IN A
TAGALOG OF MORE THAN ONE (1) PERSON REGARDING
EXTRAJUDICIAL SETTLEMENT

REPUBLIKA NG PILIPINAS
Probinsiya ng Batangas)
Lalawigan ng Lipa) S.S.

PAGKILALA
SA HARAP KO, Notario Publiko, lumapit at nagpakilala na taglay
ang kanilang sapat na katibayang patunay na pagkakakilanlan
(Competent evidence of identity) sina:

PANGALAN NUMERO NG PETSA AT LUGAR NG

KATIBAYAN ISYU

Mari Mario PRC ID 1/15/17/Manila

Jon Mario Passport 2/15/17/Manila

At pinatunayan nila sa akin na ang naunang kasulatan ay Malaya

at kusang loob nilang isinagawa.

Ang kasulatang ito ay may 8 pahina kasama ang pahinang ito na

nagtataglay ng aking patunay ay tungkol sa paghahating labas sa
hukuman (Extrajudicial Settlement) ng dalawang (2) lagay na lupang
naiwan ng yumaong si Ben Mario na nasa Lalawigan ng Lipa.

SAKSI ANG AKING LAGDA AT TATAK ngayong ika-12 ng Pebrero,

2019.

NOTARIO PUBLIKO

Kas Blg. 8;
Pahina Blg. 8;
Aklat Blg. 8;
Serye ng 2019.
Form No. 7 – FORM OF JURAT
REPUBLIC OF THE PHILIPPINES
PROVINCE OF TARLAC) S.S.
CITY/MUNICIPALITY OF CAMILING)

SUBSCRIBED AND SWORN to before me this 19th day of March, in

the City/Municipality of Camiling by Fumi Yam identified through his PRC
ID no. 1234 issued on Manila City at 31st of January 2016.

NOTARY PUBLIC
Commission Serial No.123
Until December 31, 2020
Roll of Attorney 5678
I.B.P. No. 234/01/15/17/Quezon City
P.T.R No. 567/02/01/16/Manila City

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2019.
Form No. 8 – ANOTHER FORM OF JURAT
REPUBLIC OF THE PHILIPPINES
PROVINCE OF Laguna) S.S.
CITY/MUNICIPALITY OF Nagcarlan)

SUBSCRIBED AND SWORN to before me this 19th day of April

2019, at Nagcarlan, Laguna. Affiant exhibited to me his Passport no.
5679 issued on 25th of July 2015

NOTARY PUBLIC
Commission Serial No.123
Until December 31, 2020
Roll of Attorney 5678
I.B.P. No. 234/01/15/17/Quezon City
P.T.R No. 567/02/01/16/Manila City

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2019.
Form No. 9 – ANOTHER FORM OF JURAT IN TAGALOG

LUMAGDA AT SUMUMPA SA AKING HARAP, ngayong ika-22 ng

Hunyo 2019 sa Bayan/Siyudad ng Manila si Leon Ramos, may taglay na
katibayang patunay na pagkakakilanlang PRC identity No. 78910 petsa
at lugar ng isyu (date and place issued) 02/15/18 (Manila).

NOTARIO PUBLIKO

Kas Blg. 2;
Pahina Blg. 3;
Aklat Blg. 6;
Serye ng 2019.
Form No. 10 –JURAT FOR BLIND AFFIANT – ILLITERATE WITH
WITNESSES

SUBSCRIBED AND SWORN to before me on 14th day of January,

2019 the same having been in my presence read to the affiant Jennifer
Ty, she being blind, and she appearing to me to understand the same,
and having made her mark in my presence and in the presence of the 3
persons who subscribed their names as witnesses to this affidavit.

NOTARY PUBLIC
Commission Serial No.123
Until December 31, 2020
Roll of Attorney 5678
I.B.P. No. 234/01/15/17/Quezon City
P.T.R No. 567/02/01/16/Manila City

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2019.
Form No. 11 –JURAT FOR ILLITERATE AFFIANT - WITH
WITNESSES

SUBSCRIBED AND SWORN to before me on 15th day of January,

2019 the same having been in my presence read to the affiant, she
being unable to read or write, and she appearing to fully understand the
same, and having made her mark in my presence and in the presence
of the 3 persons who subscribed their names as witnesses to this
affidavit.

NOTARY PUBLIC
Commission Serial No.123
Until December 31, 2020
Roll of Attorney 5678
I.B.P. No. 234/01/15/17/Quezon City
P.T.R No. 567/02/01/16/Manila City

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2019.
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF LOSS

I, Klaire Angela Ballesteros , of legal age, single and residing at

222 Studio 42 San Anton, Manila after having been duly sworn to
according to law hereby depose and state:

1. That I am the owner of a Nokia cell phone model 6150 with unit
number 0917-5555555 under account number 222222;

2. That on the 30th of October, 2018 with a number of books and

packages I was carrying while getting out of my car, my said cell
phone must have slipped from my pocket because after I reached
my office, I hurriedly tried to get my said cell phone from my
pocket but I was a little shocked as it was not there anymore.

3. That after diligent search inside my car and the stairs and elevator
used going up my office, my said cell phone was nowhere to be
found anymore;

4. That I am executing this affidavit in order to attest to the truth of

the foregoing circumstances and for the purpose of reporting loss
to the Globe business center.

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of

October, 2018 at the City of Manila.

Klaire Angela Ballesteros

Signature of Affiant

SUBSCRIBED AND SWORN to before me, this 20th Day of December

2018 by affiant who exhibited to me her Community Tax Certificate No.
5678 issued at Manila, Philippines on 23rd day of July 2015.

NOTARY PUBLIC
Commission Serial No.123
Until December 31, 2020
Roll of Attorney 5678
I.B.P. No. 234/01/15/17/Quezon City
P.T.R No. 567/02/01/16/Manila City

Doc. No. 5;
Page No. 5;
Book No. 5;
Series of 2018.

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF SUPPORT

We, spouses Ryan Ardee Salvador and Hannah Salvador, both of

legal age, Filipino citizens and residing at 222 Studio 42 San Anton,
Manila, after having been duly sworn to according to law hereby depose
and state:

1. That we are the legitimate parents of Paolo Salvador , who is 16

years old;

2. That our above-named son is scheduled to leave for the United

States on January 2, 2019 for about a month vacation with our
sister and his aunt who resides at #6 Eagle Rock Blvd., Los
Angeles, California;

3. That after diligent search inside my car and the stairs and elevator
used going up my office, my said cell phone was nowhere to be
found anymore;

4. That since our said son is travelling alone and is still a minor, we
hereby give our consent freely and voluntarily for him to travel to
the United States on said date;

IN WITNESS WHEREOF, I have hereunto set my hand this 15th day of

February 2019 at the City of Makati.

Ryan Ardee Salvador Hannah Salvador

Father’s Signature Mother’s Signature

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF VEHICULAR ACCIDENT

I, Jomari Delos Santos, of legal age, married and with residence

at 22 Studio 42 San Anton, Manila after having been duly sworn to
according to law, hereby depose and state:

1. That I am the registered owner of a motor vehicle which is

specifically described as follows:

TOYOTA COROLLA XL 4-DOOR SEDAN

MODEL:
MOTOR NO:
CHASSIS NO:
COLOR:
PLATE NO:

2. That said motor vehicle figured in an accident on October 23, 2018

At about 6:40pm while I was driving it along Stella Maris St. and
as I was trying to turn left at the corner of Dr. Sixto Antonio
Avenue in Pasig City, an Isuzu Elf with Plate No. JRU 145 driven
by a certain Levi Ramos tried to overtake me in the inner portion
of that corner thus grazing and scraping the left hand fender liner,
left hand side view mirror, dents in the front and rear doors on the
left hand side which thus sustained considerable damage to my
said vehicle.

3. As we were both in a hurry and I was still in my bedroom shorts

as I was just about to bring my daughter to school, we did not
bother anymore to summon a policeman to record the accident;

4. That I am executing this affidavit in order to attest to the truth of

the foregoing circumstances and for the purpose of reporting the
matter to my insurance office for insurance claims.

IN WITNESS WHEREOF, I have hereunto set my hand this 16th day of

January, 2019 at the City of Makita.

Jomari Delos Santos

Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF DESISTANCE

I, Geraldine Sun, of legal age, single and residing at 22 Studio 42

San Anton, Manila after having been duly sworn to according to law
hereby depose and state:

1. That I am the complainant in the criminal case filed against Pedro

Penduco, which is recorded as Case No. 5432 before Prosecuting
Fiscal Leny Chan of the City of Manila for grave threats;

2. That after mulling over the incident for some time and thinking
that it was just a case of misunderstanding between me and my
neighbour, I have decided to withdraw my accusations against
Pedro Penduco;

3. That I have executed this affidavit in order to attest to the truth

of the foregoing circumstances and that to my desistance to
pursue said case is of my own free will and volition and that there
was no coercion or consideration that took place for me to make
such decision.

IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of

January, 2019 at the City of Manila.

Geraldine Sun
Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF PUBLICATION

I, Hannika Julia Santos, of legal age, Filipino, married and a

resident of 22 Studio 42 San Anton, Manilaafter having been duly sworn
to according to law hereby depose and state:

1. That I am the Classified Ads Manager of the ABC Publishin Copany,

publisher of the Phil. Star which is being published daily in English,
of general circulation with editorial and business address at 333
Sampaloc Manila;

2. That at the order of the Court of Manila, Extrajudicial Settlement

of Estate of the late Mang Go dated January 2, 2019 was published
in this newspaper in its issues;

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of

February, 2019 at the City of Manila.

Hannika Julia Santos

Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF NON-OPERATION

1. That I am the President of ABC Corporation, a corporation duly

organized and existing under the laws of the Philippines with
principal office at 22 Studio 42 San Anton, Manila;

2. That said corporation was incorporated in February 21, 2015 and

acquired by the undersigned with the purchase of its corporate
property in the above address sometime in March, 2018 but has
not yet commenced its operation in view of the slump in the real
estate industry in the country;

3. That the stockholders and directors of the corporation are

contemplating on reviving its operation in the near future when
the opportune time comes;

4. That this affidavit is being executed in order to attest to the truth

of the foregoing circumstances and for the purpose of complying
with the reportorial requirements of the Securities and Exchange
Commission.

IN WITNESS WHEREOF, I have affixed my signature on this 25 th

day of January 2019 at the City of Manila, Philippines.

Anica Ng
Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF DENIAL

1. That I am the President of ABC Corporation and in my capacity as

such I enter into numerous transactions which sometimes would
require background investigation by entities I deal with;

2. That due to the fact that the name PEDRO CRUZ seems to be very
common, I was told that there have been several namesakes with
criminal or derogatory records found in the NBI record, a copy of
which is hereto attached for reference;

3. That I would like to categorically state herein that I have no

pending criminal or civil cases filed against me by any person or
entity and that cases dug up in NBI records are merely namesakes
and none of them are actually mine;

4. That further, I wish to refute herein that I am the person with

pending court cases as my middle name is “Arespacochaga” and I
am married to “Julia Roberts-Cruz” and have been a resident of
the above address for more than 30 years now and have never
been a resident of any of the addresses mentioned in the attached
NBI records

5. That I am executing this affidavit in order to attest to the veracity

of the foregoing circumstances for the purpose of denying herein
that I am the same person referred to in the said list of Pedro
Cruzes

IN WITNESS WHEREOF, I have hereunto set my hand this 27 th

day of September, 2018 at the City of Manila, Philippines.

Pedro Cruz
Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF FREE STATE

1. That I am the sister of Jen Bravo who was born on July 23, 1990
at Piat, Cagayan;

2. That I used to stay with my parents and my above named sister

until I got married on June 5, 2018 when I transferred to the
above address;

3. That as Jen's sister, I certainly know her to be single and that she
has never been married before either civilly or in a religious
ceremony;

4. That I am executing this affidavit in order to attest to the veracity

of the above circumstances and for the purpose of compliance with
the requirements of the Church of Christ in Hongkong for said
sister’s impending marriage in said church on March 3, 2020 to
Mr. Joe Chen, also a resident and citizen of the Philippines.

IN WITNESS WHEREOF, I have hereunto set my hand this 28 th

day of January, 2019 at the City of Manila, Philippines.

Con Bravo
Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF RECONCILIATION OF BIRTH DATA

I, ANA RECAFRANCA, of legal age, single and with residence

address at 22 Studio 42 San Anton, Manila after being duly sworn to
according to law hereby depose and state:

1. That I am the daughter of the couple Einnor Mel Recafranca and

Jomari Recafranca of Calbayog City and I was born on May 9,
1966;

2. That in the birth certificate which I obtained only recently, my

family name is spelled as “Recafranca” instead of “Ricafranca” to
which I have been used to as in my school records, SSS, BIR and
other public documents;

3. That a copy of said birth certificate which indicated my family

name as “Recafranca” is hereto attached for reference;

4. That the names Ana Recafranca and Ana Ricafranca belong to one
and the same person, the undersigned herein;

5. That I am executing this affidavit in order to attest to the truth of

foregoing circumstances and for the purpose of setting the records
straight and declaring that Ana Recafranca and Ana Ricafranca
refer to one and the same person.

IN WITNESS WHEREOF, I have hereunto set my hand this 30 th

day of May, 2003 at the City of Mandaluyong.

ANA RECAFRANCA
Signature of Affiant

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

AFFIDAVIT OF DISCREPANCY

I, JOSE DELA FUENTE, of legal age, married, Filipino and a

resident of 22 Studio 42 San Anton, Manila, Philippines having been duly
sworn to accordance with law, hereby depose and state:

1. That on May 18, 2015, I was issued a Philippines Passport with

passport number 12345 in which my true surname DELA FUENTE
was stated;

2. That before the expiration of the aforementioned passport on May

18, 2018, I had applied with Philippines Embassy in Manila for the
issuance of a new passport and on October 21, 2018, I was issued
a new Philippine passport with passport no. 78910;

3. However is the said new passport my surname had been

erroneously misspelled as DELA FUENTES.

4. That I execute this Affidavit of Discrepancy to attest to the truth

of the foregoing circumstances and to explain the discrepancy in
my Philippine Passport with regards to my surname

IN WITNESS WHEREOF, I have hereunto set my hands this 13 th day

of March 2019 at the City of Manila, Philippines.

JOSE DELA FUENTE

AFFIANT

(JURAT)
REPUBLIC OF THE PHILIPPINES
CITY OF MANILA) S.S.

QUITCLAIM

KNOW ALL MEN BY THESE PRESENTS:

I, CARLO GANTE, of legal age, married, and residing at 22 Studio

42 San Anton, Manila, Philippines, after having been duly sworn to
according to law, hereby depose and state:

1. That I am an employee of ABC Corporation having connected

therewith as Auditor, since February 13, 2000;

2. That I have a letter of resignation with the company effective May

6, 2018;

3. That I hereby relieve and discharge said ABC Corporation and its
officers from and all claims by way of unpaid wages, separation
pay, overtime pay, 13th month pay otherwise as may be due me
or incident to my employment with said company;

4. That I hereby state further that I have no claim, right or action of

whatsoever nature, whether past, present or contingent, against
said company and its officers;

5. That the contents of this document, although prepared in English,

was interpreted and explained to me in Pilipino by the undersigned
Personnel Officer and the same is therefore understood by me;

6. That I am executing this instrument freely and voluntarily without

any moral or physical threat, coercion or promise of reward in any
form

IN WITNESS WHEREOF, I hereby affixed my signature this 6th day of

March, 2019 at the City of Manila, Philippines.

CARLO GANTE
Signature of Employee

(JURAT)
 REPUBLIC OF THE PHILIPPINES
Department of Labor & Employment
NATIONAL CAPITAL REGION

CARLO GANTE,
Complainant

- Versus -

ABC Corporation,
Respondent/s

QUITCLAIM AND RELEASE

COME(S) NOW the undersigned complainant(s) in the above

entitled case before this Office, respectfully state(s):

That for and in consideration on the sum of One Million Pesos

(P1,000,000.00) in settlement of my claim; as financial assistance and
/or gratuitously given by my employer receipt of which is hereby
acknowledge to my complete and full satisfaction, I hereby release and
discharge the ABC Corporation and/or its officers from any and all claims
by way of wages, separation pay, overtime pay, differential pay, or
otherwise as maybe due me incident to my/our past employment with
said establishment. I hereby state further that Ihave no more claim,
right or action of whatsoever nature whether past, present or contingent
against the said respondent and/or its officers.

In view hereof, I hereby move for the dismissal of the above-

entitled case with prejudice

IN WITNESS WHEREOF, I/we have hereunto set my/our hand/s

this 4th day of March 2019 in the City of Manila, Philippines.

CARLO GANTE
Complainant

PAIN IN THE PRESENCE OF: ATTESTED BY:

JENNIFER MANZANO JIMMEL SOBREPENA

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF RIZAL
CITY/MUNICIPALITY OF TAYTAY) S.S.

JOINT AFFIDAVIT

We, Leon Sy and Rina Sy, both Filipino, of legal ages, and residents
of Blk 3 Lot 5 Greenwood, Cainta, Rizal, Philippines, having been duly
sworn in accordance with law, hereby depose and state:

1. That we know the person Bryan Ferrer as the same has been a
close acquaintance for a long period of time;

2. That we know for a fact that Renzo Miguel and Louisa Miguel were
lawfully joined together on July23, 2918 at Loreto, Sampaloc
Manila in a marriage ceremony solemnized by Father Mario Ruiz;

3. That we are likewise aware that the date of marriage appearing in

the Certificated of Live Birth issued for their child, Nicole Denise
Miguel, is not the true and correct one as they have not yet taken
each other as husband and wife at the time of her birth;

4. That it was discovered but recently when Louisa Miguel requested

for a copy of their Marriage Contract from the Civil Registrar that
the said document has not yet been registered probably through
oversight and so the said Marriage Contract was only registered
last January 02, 2019;

IN WITNESS WHEREOF, we have set our hands this 16 th day of

March, 2019 in Taytay, Philippines.

______LEON SY________ _____RINA SY________

AFFIANT AFFIANT

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF RIZAL
CITY/MUNICIPALITY OF TAYTAY) S.S.

AFFIDAVIT

I, Angelica Delgado, legal age, widow and a resident of Blk 3 Lot

3 Phase 2 Greenwoods, Cainta, Rizal, Philippines having been duly sworn
to in accordance with law, do hereby depose and state the following:

1. That I am the widower of David Son Delgado;

2. That my husband died on December 3, 2018, because of injuries

sustained in a vehicular accident as per the results of autopsy
conducted by Dr. Ronald Abarintos;

3. That per investigation of the Cainta Police Station, my husband

died as a result of vehicular accident at Angono Highway while he
was crossing, he was bumped/hit by a truck coming from the
opposite direction;

4. That my husband was a duly licensed driver at the time of the

incident and was carrying Driver’s License No. 12345 and was
riding on a Vios in white color and with Plate No. UJD 123 owned
by my husband with Certification of Registration No. 98765.

5. That I am executing this Affidavit to attest to the truth of the

foregoing circumstances and for whatever legal purpose that this
statement may serve.

IN WITNESS WHEREOF, I have hereunto set my hands this 26th

day of March 2019 at the Municipality of Cainta, Rizal, Philippines.

Angelica Delgado
AFFIANT

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF RIZAL
CITY/MUNICIPALITY OF TAYTAY) S.S.

AFFIDAVIT

I, Dr. Kaye Athena Miguel, Filipino, of legal age, single and a

resident of Blk 3 Lot 5 Greenwoods, Cainta, Rizal, Philippines, having
been duly sworn in accordance with law, hereby depose and state:

1. That I am a duly–licensed medical doctor, practicing at Medical

City Hospital with Professional License No. 12345 issued on June
3, 2016 at Manila;

2. That on or about 9:00 am of April 14, 2018 I personally attended

to a patient named Valerie Lagasca in giving birth by caesarean
section to a baby boy whom they named as Raymund Umayao;

3. That I execute this Affidavit to attest to the truth of the foregoing

circumstances and for any other legal purpose that this affidavit
may serve

IN WITNESS WHEREOF, I have hereunto set my hands this 25th day

of December, 2018 at the City of Pasig, Philippines.

Kaye Athena Miguel

AFFIANT

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF RIZAL
CITY/MUNICIPALITY OF TAYTAY) S.S.

PRE-NUPTIAL AGREEMENT

KNOW ALL MEN BY THESE PRESENTS:

This PRE-NUPTIAL AGREEMENT, entered into this 21st day of March

2019, by and between Faye Guevara, of legal age and a resident of 123
Sampaguita St., Cainta, Rizal, and Michael Loyola, also of legal age and
resident of 456 Rose St., Cainta, Rizal, WITNESSETH:

THAT the parties hereto are about to enter into a contract of

marriage, tentatively to take place on June 5, 2019;

THAT they hereby mutually agree that their property relations as

future spouses shall be under the regime of COMPLETE SEPARATION OF
PROPERTIES during the marriage;

THAT all the property, real and personal, now owned or hereafter
to be owned by the future wife Faye Guevarra, shall remain to be her
own exclusive and separate property, subject to her sole disposition,
administration and enjoyment, while those of the future husband ,
Michael Loyola, shall likewise remain to be his own absolute ownership,
disposition and administration

THAT all the earnings from any profession, business or industry

shall likewise belong to each future husband and wife;

THAT this agreement shall take effect upon the celebration of the
marriage.

IN WITNESS WHEREOF, the parties have signed their names unto

this document this 21st day of March 2019, the Municipality of Cainta,
Rizal, Philippines.

MICHAEL LOYOLA _ FAYE GUEVARRA___

FUTURE HUSBAND FUTURE WIFE

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF RIZAL
CITY/MUNICIPALITY OF TAYTAY) S.S.

AFFIDAVIT OF WARRANTY

1. That I am the actual buyer of that motor vehicle which is

specifically described as follows:

MAKE: xxx TYPE: 2

MODEL: Camry LE COLOR: Black
MOTOR NO. 12345 CHASSIS NO.: 987654

2. That the fact of purchase is evidenced by that Deed of Sale Motor

Vehicle dated February 2, 2019 whereby Mr. Darwin Tan is the
vendor and I am the vendee as entered in the notarial register of
Notary Public Atty. Henry Dy as Doc No. 5; Page No: 6; Book No.
14 and Series of 2019, a copy of said Deed of Sale is hereto
attached reference

3. That I hereby attest to the authenticity of said Deed of Sale and

the genuineness of the transaction and in furtherance thereof, I
hereby release the officers and staff of the Land Transportation
Office from any liability which may occur in the event that there is
any flaw or legal infirmities in said transaction.

4. That I am executing this affidavit in order to attest to the veracity

of the foregoing circumstances and as a warranty on the
authenticity and genuineness of the above mentioned transaction.

IN WITNESS WHEREOF, I have set my hand this 21st day of March

2019 at the Municipality of Cainta,Rizal, Philippines.

RICHARD TAN
AFFIANT

(JURAT)
REPUBLIC OF THE PHILIPPINES
PROVINCE OF PAMPANGA
CITY/MUNICIPALITY OF SAN CARLOS) S.S.

AFFIDAVIT OF NO IMPROVEMENT

1. That I am the registered owner of that parcel of land located at

Barangay Bancal, Municipality of San Carlos, Pampanga which
contains an area of FIVE HUNDRER (500) HECTARES and is
covered by Transfer Certificate of Title No. 12345 of the Registry
of Deeds of Pampanga and is now the subject of a Deed of Sale in
favor of Haydee Cruz:

2. That the above parcel of land is not planted to any tree or crops
and has no improvement contemplated by the Agrarian Reform
Law;

3. That I am executing this affidavit in order to attest to the truth of

the foregoing circumstances and for the purpose of compliance
with the requirements of the Agrarian Reform Law.

IN WITNESS WHEREOF, I have hereunto set my hand this 11th day

of March, 2019 at the City of San Carlos, Pampanga.

JOE CHEN_____
Signature of Affiant

(JURAT)