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Affidavit of Guardianship

The document is an Affidavit of Guardianship where the affiant declares their role as the guardian of a minor child who is entitled to insurance proceeds from a deceased spouse. The affiant affirms their competence to manage these benefits on behalf of the minor and confirms they have not neglected or harmed the child. It includes corroboration from two witnesses who validate the statements made by the affiant.

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Carla Mae Acuña
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19 views2 pages

Affidavit of Guardianship

The document is an Affidavit of Guardianship where the affiant declares their role as the guardian of a minor child who is entitled to insurance proceeds from a deceased spouse. The affiant affirms their competence to manage these benefits on behalf of the minor and confirms they have not neglected or harmed the child. It includes corroboration from two witnesses who validate the statements made by the affiant.

Uploaded by

Carla Mae Acuña
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 (PLACE) ) S.S.

AFFIDAVIT OF GUARDIANSHIP

I, (NAME OF AFFIANT), of legal age, widow/widower, Filipino and a resident


of (Place of Residence), after being duly sworn to, in accordance with law, do hereby depose
and say:

1. That I am the mother/father of (NAME OF DAUGHTER/SON), a minor, who has an interest


in the proceeds of insurance on the life of the late (Name of Deceased Husband/Wife), my
deceased husband/wife, as well as the (Name of Insurance Company/Fund-1), (Name of
Insurance Company/Fund-2) and (Name of Insurance Company/Fund-3) benefits of the said
deceased;

2. That I am the guardian of the above-named minor;

3. That the said minor is under my care and custody;

4. That I am competent to receive on behalf of the said minor the proceeds of insurance of the
deceased, as well as the latter’s benefits under the (Name of Insurance Company/Fund-
1), (Name of Insurance Company/Fund-2) and (Name of Insurance Company/Fund-3), and
any amount due him/her;

5. 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 or caused
him/her to commit offenses against the law.

Done this (Date) at (Place).

(NAME OF AFFIANT)
Affiant

Witness: _______________________

CORROBORATION

We, (Name of Corroborator-1) and (Name of Corroborator-2), both of legal age,


Filipino and residents of (Place of Residence of C-1) and (Place of Residence of C-2),
respectively, and (Relationship to the Affiant), hereby confirm the foregoing statements
of (Name of Affiant), to be true and correct.

(Name of Corroborator-1) (Name of Corroborator-2)

SUBCRIBED AND SWORN to before me this (Date) at (Place). Affiants exhibited to


me their respective Identification Cards/Residence Certificates as follows:

Name of Affiant CTC/ID No. Issued at Issued on / Expiry


(Affiant)
(Corroborator-1)
(Corroborator-2)

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of _____.

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