REPUBLIC OFITHE PHILIPPINES)
_________________________ ) S.S.
AFFIDAVIT OF UNDERTAKING
I, Veronica Centeno Beltran, widow, Filipino, of legal age and with
residence at # 22 Gannaban St. Centro Norte, Alcala, Cagayan, after having
been duly sworn to in accordance with law hereby depose and state:
1. That I am the wife of the late Luis A. Beltran who died on April 7
2023;
2. That my husband was a bonafide member of the Armed Forces and
Police Savings & Loan Association, Inc. Philippine Army Finance Center
Producers Integrated Cooperative (PAFCPIC);
3. That consequently, I am requesting PAFCPIC authorities to allow me
to receive the proceeds of the termination of the deceased's account for my
benefit and also for the benefit of other heirs;
4. That I will hold myself criminally and civilly responsible for any
liability that may arise in connection with my receipt of the above-cited
proceeds or benefit and further free PAFCPIC from liability relative thereto.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of
________ at _________________________.
VERONICA C. BELTRAN
Affiant
ACKNOWLEDGMENT
REPUBLIC OF THE PHILIPPINES)
___________________________ ) S.S.
SUBSCRIBED AND SWORN to before me this ____ day of __________
personally appeared ____________________ with Valid ID No._________________
known to me to be the same person who executed the foregoing instrument
and acknowledge the same to be his/her free voluntary act and deed.
Doc. No.:
Page No.:
Book No.:
Series of: