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PROVINCE OF LEYTE )
MUNICIPALITY OF PALOMPON ) S. S.
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We are disinterested in the purpose for which this affidavit is executed and
we are not related either by affinity or consanguinity within the fourth civil degree
of the above-named person and that we have no pecuniary interest in the execution
of this affidavit.
We are executing this affidavit to attest the foregoing facts for whatever legal
intents and purposes this may serve.
IN WITNESS WHEREOF, we have hereunto set our signatures this 18th day of
July 2018 in Palompon, Leyte, Philippines.