REPUBLIC OF THE PHILIPPINES )
PROVINCE OF LAGUNA ) S. S.
MUNICIPALITY OF_____________)
AFFIDAVIT OF KINSHIP
I, ISIDORA M. POTESTADES, of legal age, married, Filipino citizen,
with a postal address # La Virgen Street, Brgy., Longos, Kalayaan, Laguna after
having been duly sworn to in accordance with law, depose and voluntary state:
1. That I am next of kin od deceased BIENVINIDA R. MACAWILI, who
died last March 28, 2025 at Kalayaan, Laguna, being her sister;
2. The late BIENVINIDA R. MACAWILI (my sister) was still single at
the time of her death;
3. Our parents JUSTINO D. MACAWILI and CASTORA R.
MACAWILI were also both deceased;
4. As a sister, I am one of the nearest surviving kin and relative;
5. I am executing this Affidavit for the purpose of requesting Death
Certificate of my late sister (Bienvinida) and other documents related therto at
LCRO-Kalayaan, Laguna and PSA to be used in filling burial and insurance claims
at Social Security System;
6. Finally, I am executing this affidavit to attest to the truthfulness of the for
going declaration and for legal intents and purpose this may serve.
AFFIANT SAYETH NONE.
IN WITNESS WHEREOF, I have hereunto signed my name this 4 th, day
of April 2024 at __________________, Laguna.
ISIDORA M. POTESTADES
Affiant
SUBSCRIBED AND SWORN TO before me this ______ day of April
2025, at _____________, Laguna, with her ________________________
Doc.No. _______
Page No. ______
Book No. ______
Series of 2025