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REPUBLIC OF THE PHILIPPINES )

CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

That WE, LOURDES Q. GARCIA and TEODORA D. ALMAYDA, both of legal ages,
both Filipinos and residents of Balangkare Norte, Gen. M. Natividad, Nueva Ecija, after having
been sworn to in accordance with law, do hereby depose and state the following:

1. That we personally know FRANCISCO S. MATIAS of Balangkare Sur, Gen. Natividad,


Nueva Ecija, because he is our family friend and town mate;

2. That we are not related in any way, either by consanguinity of affinity, to said
FRANCISCO S. MATIAS;

3. That we know for a fact that FRANCISCO S. MATIAS was born on October 10, 1918 in
Sto. Domingo, Nueva Ecija, hence, on October 10, 2018, he celebrated his 100th year
birthday;

4. That we are executing this Affidavit to attest to the truthfulness of this fact and for
whatever legal intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 23rd day of
October, 2018 at Cabanatuan City.

LOURDES Q. GARCIA TEODORA D. ALMAYDA


Affiant Affiant
ID NO:7048 ID NO: 6458
Issued by:Office of the Senior Citizen Affairs Issued by: Office of the Senior Citizen Affairs

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL.

DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2018
REPUBLIC OF THE PHILIPPINES )
CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF DISCREPANCY OF TWO DISINTERESTED PERSONS

That WE, MAXIMA S. SANTOS and ERLINDA V. MALUBAG, both of legal ages, both
Filipinos and residents of Brgy. Sto. Thomas, Peria, Quezon, Nueva Ecija, respectively, after
having been sworn to in accordance with law, do hereby depose and state the following:

5. That we personally know MARIO A. MARAVILLA born on December 9, 1951, son of


spouses, MATIAS MARAVILLA and ANAST ACIA ANTILLA as per his Certificate of Birth
(Annex “A” ) from the office of the Local Civil Registrar, because he is our family friend;

6. That his name and the date of his birth reflected in the Commission on Elections
(COMELEC) ID and Senior Citizen ID issued by OSCA-Rizal, Nueva Ecija, as MARIO A.
MARAVILLA and DECEMBER 9, 1951, respectively, as per copy of his Voter’s ID and
Senior Citizen ID card as Annexes “B” and “C”, respectively;

7. That we were surprised to find out when he showed to us his NSO Certification where
his name and date of birth reflected as MARIO A. MARAVILLA and DECEMBER 8, 1952,
respectively as per copy of NSO Certification attached and marked herein Annex “D”;

8. That the person named in his Certificate of Birth, Voter’s ID, and Senior Citizen ID as
MARIO A. MARAVILLA born on December 9, 1951 and in the NSO Certification as MARIO
A. MARAVILLA born on December 8, 1952 is one and the same person;

9. That we are executing this Affidavit to attest to the truthfulness of this fact and to
support his request for the Benefit Claim for the GSIS and for whatever legal intents and
purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 11th day of
September, 2015 at Cabanatuan City.

JAYSON DOMINGO RUBANG CHRISTIAN P. FRANCISCO


Affiant Affiant
Driver’s Lic. No: C05-13-011844 Driver’s Lic No.:C05-12-009285
Issued by: LTO, Cabanatuan City Issued by: LTO, Cabanatuan City

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL.

DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2015

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF DISCREPANCY OF TWO DISINTERESTED PERSONS

That WE, JAYSON DOMINGO RUBANG and CHRISTIAN P. FRANCISCO, both of legal
ages, both Filipinos and residents of Zone 3, Palestina, San Jose City, Nueva Ecija and Brgy. Sta.
Arcadia, Cabanatuan City, respectively, after having been sworn to in accordance with law, do
hereby depose and state the following:

10. That we personally know MARIO A. MARAVILLA born on December 9, 1951, son of
spouses, MATIAS MARAVILLA and ANASTACIA ANTILLA as per his Certificate of Birth
(Annex “A” ) from the office of the Local Civil Registrar, because he is our family friend;

11. That his name and the date of his birth reflected in the Commission on Elections
(COMELEC) ID and Senior Citizen ID issued by OSCA-Rizal, Nueva Ecija, as MARIO A.
MARAVILLA and DECEMBER 9, 1951, respectively, as per copy of his Voter’s ID and
Senior Citizen ID card as Annexes “B” and “C”, respectively;

12. That we were surprised to find out when he showed to us his NSO Certification where
his name and date of birth reflected as MARIO A. MARAVILLA and DECEMBER 8, 1952,
respectively as per copy of NSO Certification attached and marked herein Annex “D”;

13. That the person named in his Certificate of Birth, Voter’s ID, and Senior Citizen ID as
MARIO A. MARAVILLA born on December 9, 1951 and in the NSO Certification as MARIO
A. MARAVILLA born on December 8, 1952 is one and the same person;
14. That we are executing this Affidavit to attest to the truthfulness of this fact and to
support his request for the Benefit Claim for the GSIS and for whatever legal intents and
purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 11th day of
September, 2015 at Cabanatuan City.

JAYSON DOMINGO RUBANG CHRISTIAN P. FRANCISCO


Affiant Affiant
Driver’s Lic. No: C05-13-011844 Driver’s Lic No.:C05-12-009285
Issued by: LTO, Cabanatuan City Issued by: LTO, Cabanatuan City

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL.

DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2015

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF DISCREPANCY OF TWO


DISINTERESTED PERSONS

That WE, ALFREDO B. CABANES and CORAZON T. CLETO, both of legal ages,
both Filipinos and residents of Brgy. 4, San Luis, Aurora and #636 Sampaguita St., Milbuena
Subd., Magsaysay Sur, Cabanatuan City, after having been sworn to in accordance with law, do
hereby depose and state the following:

15. That we personally know ERWIN DE ASIS CABANES because he was our family
friend and town mate as per his Certificate of Live Birth ( Annex “A” );
16. That we know for a fact that ERWIN DE ASIS CABANES died on May 26, 2015 as per
Certificate of Death (Annex “B”);

17. That we were surprised to find out that in his Social Security System (SSS) records his
name registered was ERWIN ASIS CABANES;

18. That the person named in his Certificate of Live Birth and Certificate of Death as
ERWIN DE ASIS CABANES and ERWIN ASIS CABANES in his SSS records is one
and the same person;

19. That we are executing this Affidavit to attest to the truthfulness of this fact and for
whatever legal intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 6th day of August,
2015 at Cabanatuan City.

ALFREDO B. CABANES CORAZON T. CLETO


Affiant Affiant
ID NO:_____________________ ID NO:____________________
Issued by:__________________ Issued by:___________________

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL.

DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2015

REPUBLIC OF THE PHILIPPINES )


CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


That WE, ALFREDO B. CABANES and CORAZON T. CLETO, both of legal ages,
both Filipinos and residents of Brgy. 4, San Luis, Aurora and #636 Sampaguita St., Milbuena
Subd., Magsaysay Sur, Cabanatuan City, after having been sworn to in accordance with law, do
hereby depose and state the following:

20. That we personally know ERWIN DE ASIS CABANES because he was our family
friend and town mate as per his Certificate of Live Birth ( Annex “A” );

21. That we know for a fact that ERWIN DE ASIS CABANES died on May 26, 2015 as per
Certificate of Death (Annex “B”);

22. That we were surprised to find out that in his Social Security System (SSS) records his
name registered was ERWIN ASIS CABANES;

23. That the person named in his Certificate of Live Birth and Certificate of Death as
ERWIN DE ASIS CABANES and ERWIN ASIS CABANES in his SSS records is one
and the same person;

24. That we are executing this Affidavit to attest to the truthfulness of this fact and for
whatever legal intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 6th day of August,
2015 at Cabanatuan City.

ALFREDO B. CABANES CORAZON T. CLETO


Affiant Affiant
ID NO:_____________________ ID NO:____________________
Issued by:__________________ Issued by:___________________

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.

WITNESS MY HAND AND NOTARIAL SEAL.

DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2015
REPUBLIC OF THE PHILIPPINES )
CITY OF CABANATUAN ) S.S.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

That WE, RICARDO VERAGUAS and LUTGARDA VERAGUAS, both of legal ages,
Filipinos and residents of Poblacion, Santa Rosa, Nueva Ecija after having been sworn to
in accordance with law, do hereby depose and state the following:

25. That we personally know the late PURIFICACION L. CRUZ because she was our
family friend and town mate;

26. That we know for a fact that PURIFICACION L. CRUZ died on April 09, 2007 in Sta.
Rosa, Nueva Ecija;

27. That as per certificate from the National Statistics Office, they found out that
PURIFICACION L. CRUZ has no record of death as per attached certificate
marked herein as Annex “A”;

28. That this Affidavit is to attest to the truthfulness of this fact and to record with the
Local Civil Registrar of Sta. Rosa, Nueva Ecija and with the National Statistics
Office the fact of death of the late PURIFICACION L. CRUZ and for other legal
intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this ____ day of
_________________________, 2013 at Cabanatuan City.

RICARDO VERAGUAS LUTGARDA VERAGUAS


Affiant Affiant

SUBSCRIBED AND SWORN to before me at the place and date above stated. I
hereby certify that I personally examined the affiants and am convinced that they
voluntarily executed the foregoing affidavit, read the same and understood its
contents.

WITNESS MY HAND AND NOTARIAL SEAL.


REPUBLIC OF THE PHILIPPINES )
CITY OF CABANATUAN ) S.S.

AFFIDAVIT
That I, JOSEPH M. DE JESUS, of legal age, Filipino and resident of Brgy. San Josef,
Cabanatuan City, Nueva Ecija after having been sworn to in accordance with law, do hereby
depose and state the following:

1. That I am the son of the late ANTONIO RAMIREZ DE JESUS who died on March 19,
2012 at Dr. PJGMRMC, Cabanatuan City, Nueva Ecija as per attached his Death
Certificate (Annex A);

2. That my father was a member of the Social Security System (SSS) when he was still
living;

3. That as his son, I am the designated beneficiary on his Social Security System (SSS);

4. That I have already claimed the burial benefit from the Social Security System (SSS) for
my father’s death;

5. That I am executing this Affidavit to attest to the truthfulness of this fact and for
whatever legal intents and purposes.

IN WITNESS WHEREOF, We have hereunto set our signatures this 27th day of June,
2017 at Cabanatuan City.

JOSEPH M. DE JESUS
Affiant
ID NO: 646
Issued by: Subicline Trucking Services

SUBSCRIBED AND SWORN to before me at the place and date above stated. I hereby
certify that I personally examined the affiants and am convinced that they voluntarily executed
the foregoing affidavit, read the same and understood its contents.
WITNESS MY HAND AND NOTARIAL SEAL.
DOC:__________
PAGE:_________
BOOK:_________
SERIES OF 2017

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