REPUBLIC OF THE PHILIPPINES )
_______________________ ) S.S.
____________________________ )
AFFIDAVIT OF COHABITATION
I, _______________________, of legal ages, widow, Filipino and resident
of Barangay ________________________, after having been duly sworn in
accordance with law, hereby depose and affirm:
1. That I and my late husband, ________________ were married on
February 21, 2002 at ______________. Copy of our Certificate of
Marriage is hereto attached and marked as Annex A;
2. That before our marriage, we are living as husband and wife since
1998, and we begot one (1) child during our said cohabitation,
namely: _______________ who was born on August 8, 1998 at
___________________. Copy of her Certificate of Live Birth is
hereto attached and marked as Annex B;
3. That after our marriage, we begot a child, namely:
_________________ Copy of his Certificate of Live Birth is hereto
attached and marked as Annex C;
4. That on December 27, 2011 at _____________ my
husband______________________ died. Copy of his Certificate of
Death is hereto attached and marked as Annex D;
5. That I am executing this affidavit to attest to the truthfulness of the
foregoing.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 7th day
of May, 2012 at _________________.
__________________________
Affiant
SUBSCRIBED AND SWORN to before me this 11h day of September 2009
at ____________________
__________________________