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Affidavit of Surviving Legal Heirs

Affidavit COA Forms Government Forms


Republic of the Philippines )
_____________________ ) SS.
x- - - - - - - - - - - - - - - - - - - - - x

AFFIDAVIT OF SURVIVING LEGAL HEIRS


We,  ____________________, ____________________, ____________________, of legal age, ____________________, ____________________, Filipino and resident of ________________, _______________, ________________, _________________, Philippines, after having been duly sworn to in accordance with the law, depose, and state that:

I, ____________________ is the surviving spouse of the deceased___________________ who died on ________________ at ________________________.

That we, _____________________, _____________________, _____________________, and ____________________, are the only children of ____________________ and __________________.

That we are executing this affidavit to attest to the truth and veracity of the foregoing facts and for all legal intents and purpose that it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands ___ day of ________________, 20 ___ at ______________.



_______________________
  Affiant
(State birthday and relationship to the deceased)
_______________________
  Affiant
(State birthday and relationship to the deceased)
_______________________
  Affiant
(State birthday and relationship to the deceased)
_______________________
  Affiant
(State birthday and relationship to the deceased)
SUBSCRIBED AND SWORN to before me this ______ day ________________ 20 ____, in the City of ___________,Philippines, affiant exhibited to me his/her Government issued ID No. _____________ issued at __________ on ____________ as Component Evidence of Identity (CEI).

Doc. No. _____
Page No. _____
Book No. _____
Series of 2016.



NOTARY PUBLIC


Source: coa.gov.ph

 

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