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Republic of the Philippines)

)
)…….s.s.

AFFIDAVIT OF CONFIRMATION

I,________ LEO S. CAPAROSO _____________________. a Filipino of legal age, a resident


of _______San Roque, Maribojoc, Bohol____________ ,a bona fide member of the Philippine National
Police with the rank of _Patrolman_ and presently assigned at _________________ after having been
duly sworn in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:

NAME RELATIONSHIP BIRTHDATE


ARDIN M. CAPAROSO FATHER SEPTEMBER 16, 1967
ERICA S. CAPAROSO SISTER JUNE 3, 2010

2. My relationship with persons whose names are listed above are borne out by the fact that I
am the lawful spouse and the legitimate/illegitimate father/mother of the afore-name
children as evidence by the attached marriage contract and birth certificates:

3. I hold myself criminally and administratively liable for perjury and dishonesty should any
statements made herein are inaccurate or later on found to be false and in law.

AFFIANT SAYETH NAUGHT:

__________________________
Affiant

SUBSCRIBE AND SWORN to before me this _23_ day of _July _at _Tagbilaran city
Philippines.

Doc No. ___________


Page No. ___________
Book No. ___________
Series No. ___________
Republic of the Philippines)
)
)…….s.s.

AFFIDAVIT OF CONFIRMATION

I,________MARK POLO T. INOJALES ______________________. a Filipino of legal age, a resident


of _______Habitat Village Bool District Tagbilaran City, Bohol____________ ,a bona fide member of
the Philippine National Police with the rank of _Patrolman_ and presently assigned at
_________________ after having been duly sworn in accordance with law, do hereby depose and says
that:

4. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:

NAME RELATIONSHIP BIRTHDATE


ELIEZER S. INOJALES FATHER AUGUST 12, 1957
ASHLEY T. INOJALES SISTER DECEMBER 4, 2003

5. My relationship with persons whose names are listed above are borne out by the fact that I
am the lawful spouse and the legitimate/illegitimate father/mother of the afore-name
children as evidence by the attached marriage contract and birth certificates:

6. I hold myself criminally and administratively liable for perjury and dishonesty should any
statements made herein are inaccurate or later on found to be false and in law.

AFFIANT SAYETH NAUGHT:

__________________________
Affiant

SUBSCRIBE AND SWORN to before me this _23_ day of _July _at _Tagbilaran city
Philippines.

Doc No. ___________


Page No. ___________
Book No. ___________
Series No. ___________
Republic of the Philippines)
)
)…….s.s.

AFFIDAVIT OF CONFIRMATION

I,________LEO S. CAPAROSO ______________________. a Filipino of legal age, a resident


of _______San Roque, Maribojoc, Bohol____________ ,a bona fide member of the Philippine National
Police with the rank of _Patrolman_ and presently assigned at _________________ after having been
duly sworn in accordance with law, do hereby depose and says that:

1. Pursuant to this affidavit, I am confirming that the following are my legal beneficiaries
and/or heirs, to wit:

NAME RELATIONSHIP BIRTHDATE


CANDELARIA G. ANGCAHAN MOTHER FEBRUARY 2, 1968
NICOLAS T. ANGCAHAN FATHER DECEMBER 6, 1967

2. My relationship with persons whose names are listed above are borne out by the fact that I
am the lawful spouse and the legitimate/illegitimate father/mother of the afore-name
children as evidence by the attached marriage contract and birth certificates:

3. I hold myself criminally and administratively liable for perjury and dishonesty should any
statements made herein are inaccurate or later on found to be false and in law.

AFFIANT SAYETH NAUGHT:

__________________________
Affiant

SUBSCRIBE AND SWORN to before me this _23_ day of _July _at _Tagbilaran city
Philippines.

Doc No. ___________


Page No. ___________
Book No. ___________
Series No. ___________

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