REPUBLIC OF THE PHILIPPINES)
PROVINCE OF COTABATRO ) S.S.
CITY OF KIDAPAWAN
AFFIDAVIT
(OF SERVICE OF SUMMONS)
I, LUCY G. DAIRO, of legal age, married, Filipino and a resident of Purok
Shuttle, Brgy. San Jose, General Santos City, Philippines, after having been
duly sworn to in accordance with law, hereby depose and state:
That sometime on _____________, plaintiff ________________ in Civil Case
No. _______ executed a SPECIAL POWER OF ATTORNEY and authorized me to
serve the SUMMONS to _______________________________ at
________________________. Hereto attached is the Special Power of Attorney.
That on ________, I personally served the summons to
_______________________________ at ____________________________ and the same
was personally received by ____________________ as reflected in the summons of
the court dated _____________________.
That I am executing this affidavit in order to attest to the truth of all the
foregoing facts and for whatever legal purposes it may serve under the
premises.
IN WITNESS WHEREOF, I have hereunto affixed my hand this
_____________ at Kidapawan City, Cotabato, Philippines.
LUCY G. DAIRO
Affiant
Government Employee No. _________
Issued by:__________
SUBSCRIBED AND SWORN TO BEFORE ME, this
_______________________ at Kidapawan City, Cotabato, Philippines.
Doc. No.:______
Page No.:______
Book No.:_____
Series of 2021.