Sample form: JOINT AFFIDAVIT OF CONFIRMATION

I used the following affidavit of  confirmation (data deleted to safeguard privacy) to further establish identity of my late mother whose date of birth in her birth certificate is different from the date she used in school, work and all other documents.

REPUBLIC OF THE PHILIPPINES )

                                                            :  S.S.

____________________)

JOINT AFFIDAVIT OF CONFIRMATION

            We, ______________________, Filipino, of legal age, _____ with residence and postal address at ___________________ and___________________, Filipino of legal age, ______ with residence and postal address at  _______________, after being duly sworn to in accordance with law, hereby depose and state:

1.         That we personally know that __________________is also known as _________________________, we confirm that these two names refer to only one and the same person who was born on _________________________ at _______________, Philippines;

2.         That ______________________whose date of birth is ___________________in the ______________ is known as one and the same person as __________________________whose date of birth is __________________ death certificate.

3.         That ___________________had adapted the name _______________________ since _______________________________;

4.         That having lived with _______________________or __________________ in the same barangay for many years, we are aware that she had celebrated and used _________________ as her date of birth;

5.         That we are executing this affidavit to attest to the truth of all the foregoing facts, for all legal intents and purposes it may serve, without compensation of remuneration.

           

            IN WITNESS WHEREOF, we have hereunto affixed our signatures this ___ day of February, 2011, in ______________________________.

MARIA  DELA CRUZ                                    JUAN BAUTISTA

              Affiant                                                            Affiant

            SUBSCRIBED AND SWORN to before me this ____ day of _________ in ________, Philippines, affiant ____________  exhibited to me her Individual Community Tax Certificate with No. ____________ issued at  ___________ on ____________,  and affiant with Individual Community Tax Certificate with No. ____________ issued at _______________ on ______________.

                                                            ______________________

                                                                    Notary      Public

Doc. No ________

Page No. _______

Book No. _______

Series of   2011