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Affidavit of Guardianship

The document is an affidavit of guardianship where the affiant Arnel Butlig Domalaon declares that he is the legal guardian of three minor children and is competent to receive any funds due to them from an insurance claim.

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49 views2 pages

Affidavit of Guardianship

The document is an affidavit of guardianship where the affiant Arnel Butlig Domalaon declares that he is the legal guardian of three minor children and is competent to receive any funds due to them from an insurance claim.

Uploaded by

jhennylyn16
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines)

City of General Trias, Cavite) S.S.

AFFIDAVIT OF GUARDIANSHIP

I, Arnel Butlig Domalaon, of legal age, single/married/widow, Filipino citizen,


and presently residing at B24 L88 Cluster 4 Bella Vista Subd., Brgy
Santiago, General Trias City, Cavite, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the uncle and guardian of the following minor/s who has
/have an interest in the St. Peter Special Program for CAB Assistance
Benefit /ECAB/ Insurance Claim of the late Editha B. Domalaon
payable by St. Peter Life Plan Inc.

Full Name of Minor/s Date of Birth                   Age


Karl Ehdzxel Domalaon 10/8/2010 11

Princess Kylie Domalaon  09/19/2011 10

Kim Zhailyn D. Lacson      02/25/2019 3

2. That the above-mentioned minor/s is/are under my care and custody; 


3. That I am competent to receive in behalf of the said minor/s any amount/s due
him/them; and 
4. That I am not an imbecile, insane, a vagrant or a vicious person or
a habitual drunkard or a habitual criminal, and have not
abandoned, neglected or refused to support said minor/s or caused
him/them to commit offenses against the law. 
5. That I am executing this affidavit to attest to the truth of all the foregoing
statements and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______
2022 at ______________, Philippines.

                                                                                    ARNEL B.
DOMALAON
                                                                                                Affiant
                                

            SUBSCRIBED AND SWORN to before me this ____ day of ______, 2022


in _________, Philippines, affiant exhibiting to me his/her competent evidence
of identity by way of _______________ issued at ___________ on ________________.

NOTARY PUBLIC                            
Doc No.:  _____                                                             
Page No.: ______                                           
Book No.: ______                                              
Series of 2022                                                            

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