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1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since _________ or a period of more than
five (5) years;
2. During our cohabitation and even until the present, we remain both of single status
and, hence, there exists no legal impediment for us to marry each other;
4. We are executing this affidavit to attest to the foregoing facts and for the purposes
of contracting marriage before a parish priest without the need of securing the marriage
license pursuant to the provisions of Article 34 of the Family Code of the Philippines.
__________________ ____________________
Affiant Affiant