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Affidavit: I, - , of Legal Age, Filipino, and A Resident of - , After

1) The affiant was the account holder of a St. Peter Plan insurance policy. 2) The affiant's father-in-law used the policy upon his death in July 2017. 3) As a result of the father-in-law using the policy, the affiant no longer has any rights to the plan.

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Yuan
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51 views1 page

Affidavit: I, - , of Legal Age, Filipino, and A Resident of - , After

1) The affiant was the account holder of a St. Peter Plan insurance policy. 2) The affiant's father-in-law used the policy upon his death in July 2017. 3) As a result of the father-in-law using the policy, the affiant no longer has any rights to the plan.

Uploaded by

Yuan
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 )

PROVINCE OF BUKIDNON ) S.S.


MUNICIPALITY OF MARAMAG )
X-------------------------X

AFFIDAVIT

I, __________, of legal age, Filipino, and a resident of ________________, after


being sworn to according to law, depose and say, that:

1. That I am the account holder of St. Peter Plan;

2. That my plan was used by my father-in-law _______ upon his death last
July 13, 2017;

3. That I no longer have any rights over the plan by reason of such use of my
father-in-law;

4. That by reason of such fact, I am executing this affidavit in order to attest


to the veracity of the foregoing facts and for whatever legal purpose this
affidavit may serve;

IN WITNESS WHEREOF, I have hereunto set my hand this _______________


at _________, Philippines.

Affiant

SUBSCRIBED AND SWORN to before me, this _______________ by affiant who


exhibited to me her _________ issued at _________, Bukidnon, Philippines as
Competent Evidence of Identity (CEI) in accordance with the 2004 Rules on Notarial
Practice. I HEREBY CERTIFY THAT SHE UNDERSTOOD THE CONTENTS OF THIS
AFFIDAVIT AND THAT THE SAME IS TRUE AND CORRECT ACCORDING TO HER OWN
KNOWLEDGE AND BASED ON AUTHENTIC RECORDS.

Doc. No. _____;


Page No. _____;
Book No. _____;
Series of 2017.

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