Republic of the Philippines)

CITY OF DAVAO
) S.S.
x----------------------------------x

JOINT AFFIDAVIT OF COHABITATION

We, ________________________ and ______________________, both of legal
age, Filipino, single, and residents of ____________________________Philippines,
after having been sworn to an oath in accordance with law, do hereby
depose and say:
1. That we are the same persons with the above-mentioned
personal circumstances;
2. That we have been living together as husband and wife
exclusively, continuously, and without any interruption, since
__________ or for a period of more than five (5) years;
3. That during our cohabitation and even until the present, we
remain both of single status;
4. That there exists no legal impediment for us to marry each
other;
5. That we were blessed with one son named ________________ who
was born _______________ in Davao City, Philippines; and
6. That we are executing this affidavit to attest to the truth of the
foregoing and for the purpose 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, and
for whatever legal purpose or purposes this statement under
oath may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this
________, 2014 in Davao City, Philippines.
______________________________
Affiant

______________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME, a Notary Public in and

for the City of Davao, _____________, 2014 in Davao City, Philippines, affiants
exhibiting to me their above-indicated competent evidences of identity, and
who signed said document in my presence and sworn as to said document
that they understood the contents thereof and that the same was their free
and voluntary act and deed.
JOSHUA D. PAGUICAN
NOTARY PUBLIC
Notarial Commission Serial No. 242-2014
Commission Expires on December 31, 2015
Roll of Attorneys No. 62778
IBP No. 969978 : 4-24-2014
PTR No. 4351745 : 5-15-2014
Door 6, 2nd Floor, Malayan House Bldg.,
Lanang, Davao City, Philippines
Doc. No. 384
Page No. 77
Book No. 1
Series of 2014