Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, ELY MARIANO GARCIA, of legal age, married, Filipino citizen and a resident of
Cabaritan Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
1. I graduated from elementary in the school academic year 1981-1982 at Cabaritan Elementary
School;
2. Recently, I went to the said school to ask for a copy of my Form 137-E (Permanent Form)
but was surprised to know that the said school has no record. All school records were
destroyed due to the flood brought by typhoon “Pepeng” last 2009;
3. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith and for
all legal intents and purposes.
IN WITNESS WHEREOF, I hereunto affix my signature this 16th day of April 2013 in
Naguilian, La Union, Philippines.
ELY MARIANO GARCIA
Affiant
Postal ID No: 2185441
Valid Until: 06-27-2015
Malolos, Bulacan
SUBSCRIBED AND SWORN TO BEFORE ME this 16th day of April 2013 in Naguilian, La Union by the
affiant who is known to me on the basis of the competent document shown to me as proof of her identity.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, PEDRITA JULIAN TAMULANG, of legal age, single, Filipino citizen and a resident
of Interior B, Balacbac, Santo Tomas Proper, Baguio City, Philippines, after having been sworn
to on oath in accordance to law, hereby depose and state that:
1. I was born on October 10, 1985 to Spouses Jimmy Tamulong and Pedrica Julian in
Bagulin, La Union;
2. I was baptized sometime in 1986 in Saint Joseph Parish, Bagulin, La Union;
3. This affidavit is executed to attest to the truth of all the foregoing and for all legal
intents and purposes.
IN WITNESS WHEREOF, I hereunto affix my signature this 1st day of April 2013 in
Naguilian, La Union, Philippines.
PEDRITA JULIAN TAMULANG
Affiant
TIN: 258-561-618-0000
Issued Date: 03-06-2008
SUBSCRIBED AND SWORN TO BEFORE ME this 1 st day of April 2013 in Naguilian, La Union by the
affiant who is known to me on the basis of the competent document shown to me as proof of her identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 323; Page No. 65; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, GLORIA CAMACHO OGOC, of legal age, married, Filipino citizen, and a resident
of Bimmotobot, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
1. I am the legitimate and biological daughter of Spouses ALVARO CAMACHO and
LEONORA LICTAO who were married on January 04, 1962 in Bagulin, La Union;
2. Recently, I tried to secure a copy of their Certificate of Marriage from Local Civil
Registrar of Bagulin, La Union but was surprised to learn that the said office and also
the National Statistics Office where I made further verification disclosed that the fact
of their marriage was never registered;
3. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and in accordance to law and for all legal interests and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 21st day of March
2013, in Naguilian, La Union, Philippines.
GLORIA CAMACHO OGOC
Affiant
Postal ID No: 3275144
Valid Until: 03-21-16
PPC Naguilian, La Union
SUBSCRIBED AND SWORN TO before me this 21st day of March 2013 in Naguilian, La Union,
Philippines, by the affiant who is known to me on the basis of competent document shown as proof of her
identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 277; Page No. 56; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, ADELAIDA M. BRAZIL, of legal age, married, Filipino citizen, and a resident of
Suguidan Norte, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
4. I am the legitimate and biological mother of GINALYN ROBEL M. BRAZIL who
stays with my mother at Ambaracao Norte, Naguilian, La Union as her companion as
she is of old age;
5. Nonetheless, my above-named child is fully dependent on me including all her basic
needs such as schooling, food, clothing, medical needs and others;
6. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and in accordance to law and for all legal interests and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 19th day of March
2013, in Naguilian, La Union, Philippines.
ADELAIDA M. BRAZIL
Affiant
Municipal ID No: 35-172-0398
Date Issued: Oct 1, 2012
Naguilian, La Union
SSS No: 03-5959242-1
SUBSCRIBED AND SWORN TO before me this 19th day of March 2013 in Naguilian, La Union,
Philippines, by the affiant who is known to me on the basis of competent document shown as proof of her
identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 256; Page No. 52; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, MARCOS C. FUNDANERA, JR., of legal age, Filipino citizen, and a resident of
Angin, Naguilian, La Union, Philippines, after having been sworn to on oath in accordance to
law, hereby depose and state that:
7. My son, MARVIN C. FUNDANERA was born on April 16, 1985 in Ilocos Training
and Regional Medical Center, City of San Fernando, La Union;
8. He was baptized in Saint Augustine of Hippo Parish, Naguilian, La Union on October
16, 1985;
9. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and in accordance to law and for all legal interests and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 12th day of March
2013, in Naguilian, La Union, Philippines.
MARCOS C. FUNDANERA, JR.
Affiant
Municipal ID No: 06-142-0120
Expires: 2013-07-31
Naguilian, La Union
SUBSCRIBED AND SWORN TO before me this 12th day of March 2013 in Naguilian, La Union,
Philippines, by the affiant who is known to me on the basis of competent document shown as proof of his
identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 188; Page No. 38; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, JASON FLORENDO CACHERO, of legal age, single, Filipino citizen, and a
resident of Lioac Norte, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
10. I was born on July 31, 1989 to Spouses Jerry C. Cachero and Lorenza S. Florendo in
Naguilian, La Union;
11. I am single and never contracted marriage;
12. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and in accordance to law and for all legal interests and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 7th day of March
2013, in Naguilian, La Union, Philippines.
JASON FLORENDO CACHERO
Affiant
Driver’s License No: A04-11-001586
Expires: 2013-07-31
SUBSCRIBED AND SWORN TO before me this 7th day of March 2013 in Naguilian, La Union,
Philippines, by the affiant who is known to me on the basis of competent document shown as proof of his
identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 160; Page No. 32; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, ESTELA E. SAGUN, of legal age, married, Filipino, and a resident of Baraoas Norte,
Naguilian, La Union, Philippines, after having been sworn to on oath in accordance to law,
hereby depose and state that:
13. I am the sole proprietor of the FOUR SISTER’S CONCRETE PRODUCTS, a hollow
blocks manufacturing enterprise with business address at Baraoas Norte, Naguilian,
La Union;
14. The said enterprise is barangay-based and micro-business in nature and scope;
15. The assets owned and/or used/to be used by the said enterprise amounts to
Php394,258.51;
16. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and in accordance to law and for all legal interests and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 5th day of March
2013, in Naguilian, La Union, Philippines.
ESTELA E. SAGUN
Affiant
SUBSCRIBED AND SWORN TO before me this 5th day of March 2013, in Naguilian, La Union,
Philippines, by the affiant who is personally known to me.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 140; Page No. 28; Book No. 50; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, ALEJANDRINO PERILLO, of legal age, married, Filipino, and a resident of Al-
alinao Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in accordance
to law, hereby depose and state that:
17. On December 2, 2012, I was hired by Ric S. Soriano to cut down two (2) Melina trees
planted on his farm;
18. I cut the trees in good faith for the reason that the trees will be used to replace his
dwelling that was made up of bamboo and old galvanized iron;
19. I therefore execute this affidavit to attest to the truth of all the foregoing especially to
request DENR to dismiss the instant charge against me and my co-respondents.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 16th day of January
2013, in Naguilian, La Union, Philippines.
ALEJANDRINO PERILLO
Affiant
SUBSCRIBED AND SWORN TO before me this 16th day of January 2013, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of his identity.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
KNOW ALL MEN BY THESE PRESENTS:
I, JAIME A. RILLERA, of legal age, married, Filipino Citizen and a resident of Ortiz,
Naguilian, La Union, Philippines, after having been sworn to on oath in accordance to law,
hereby depose and state that:
1. I am applying for the renewal of authorization for Private Emission Testing Center
(PETC) of my business with business name, Clearway Auto Emission Testing Center
situated in 308 Consolacion, Agoo, La Union;
2. I have complied with all the requirements for the certificate of authorization from DOTC-
LTO;
3. I execute this affidavit in good faith and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto affixed our signatures this 1st day of February
2013 in Naguilian, La Union, Philippines.
JAIME A. RILLERA
Affiant
CRN No: 0001-1423299-7
SUBSCRIBED AND SWORN TO BEFORE ME this 1st day of February 2013 at Naguilian, La
Union, Philippines by the affiant who is known to me on the basis of competent document shown as proof
of his identity.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, NELLY G. BASILIO, of legal age, widow, Filipino citizen and a resident of Brgy.
Suguidan Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
1. I am the legitimate mother of ARCHIMEDES G. BASILIO and ROWENA G.
BASILIO who were born respectively in Naguilian, La Union on 27 April 1988; and, 30
March 1979, with Ponciano L. Basilio as the legitimate father;
2. The above named children are true and biological siblings, ARCHIMEDES G.
BASILIO and ROWENA G. BASILIO;
3. This affidavit is executed to attest to the truth of all the foregoing and for all legal intents
and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 23rd day of January
2013 in Naguilian, La Union, Philippines.
NELLY G. BASILIO
Affiant
Postal ID No: 7327119
Valid Until: 12-23-13
Naguilian, La Union
SUBSCRIBED AND SWORN TO BEFORE ME this 23rd day of January 2013 in
Naguilian, La Union, by the affiant who is known to me on the basis of competent documents
shown as proof of her identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 7887251; 01.02.13; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 339; Page No. 68; Book No. 49; Series of 2013.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, ALEJANDRINO PERILLO, of legal age, married, Filipino, and a resident of Al-
alinao Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in accordance
to law, hereby depose and state that:
20. On December 2, 2012, I was hired by Ric S. Soriano to cut down two (2) Melina trees
planted on his farm;
21. I cut the trees in good faith for the reason that the trees will be used to replace his
dwelling that was made up of bamboo and old galvanized iron;
22. I therefore execute this affidavit to attest to the truth of all the foregoing especially to
request DENR to dismiss the instant charge against me and my co-respondents.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 16th day of January
2013, in Naguilian, La Union, Philippines.
ALEJANDRINO PERILLO
Affiant
SUBSCRIBED AND SWORN TO before me this 16th day of January 2013, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of his identity.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT OF DISCREPANCY
I, ARSENIA C. GADIA, of legal age, single, Filipino citizen, and a resident of Brgy.
Cabaritan Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
23. I have a common law partner for several years now named RUBEN G.
VILLANUEVA and due to the length of time that we have been living together, I
have adopted his surname as my surname although we were not yet married;
24. Thus, sometime in the year 2000, I registered as voter of Naguilian, La Union using
the surname VILLANUEVA and was correspondingly issued an identification card
although my civil status was entered as single;
25. However, in my recent application for postal identification card, my surname was
entered as GADIA as I was not able to present a marriage contract and was therefore
advised to use my maiden name;
26. The discrepancy of my surnames in the said identification cards was purely due to
mistake and the names ARSENIA GADIA VILLANUEVA and ARSENIA
CAMACHO GADIA refer to one and the same person no other than myself;
27. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 26th day of
December 2012, in Naguilian, La Union, Philippines.
ARSENIA C. GADIA
Affiant
VIN: 3311-0053A-H1479AGV20000
Postal ID No: 2666661
Valid Until: 12-07-15
Naguilian, La Union
SUBSCRIBED AND SWORN TO before me this 26th day of December 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent documents shown as
proof of her identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 97; Page No. 20; Book No. 49; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, EROLYN BANAYAT CABALCE, of legal age, married, Filipino citizen, and a
resident of Brgy. Gusing Norte, Naguilian, La Union, Philippines, after having been sworn to on
oath in accordance to law, hereby depose and state that:
28. I am a registered voter of Naguilian, La Union, Philippines since 2004 as single;
29. On December 22, 2011, I contacted marriage with Dennis G. Cabalce in Naguilian,
La Union;
30. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and for all legal intents and purposes specially to change my civil status in my
COMELEC records.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 17th day of
December 2012, in Naguilian, La Union, Philippines.
EROLYN BANAYAT CABALCE
Affiant
Postal ID No: 2666413
Naguilian, La Union
SUBSCRIBED AND SWORN TO before me this 17th day of December 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent documents shown as
proof of her identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 64; Page No. 13; Book No. 49; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, DENMARK MENNAO RILLERA, of legal age, single, Filipino citizen and a
resident of 50 Naguilian Rd., Ortiz, Naguilian, La Union, after having been sworn to on oath in
accordance to law, hereby depose and state that:
1. I am the registered owner of a Toyota Innova G M/T 2012, with plate number AFC188;
2. On November 22, 2012 at around 10:00 in the morning I went to Rang-ay Bank, Naguilian,
La Union for a personal business. When I was maneuvering the said vehicle in front of the
said bank, the railings of said bank were accidentally hit resulting to cracks, dents and
scratches on the front bumper of my vehicle;
3. I am executing this affidavit to attest to the truth of the foregoing facts particularly for
insurance claims to defray the expenses incurred for the repair of the said motor vehicle;
4. Further, I am executing this affidavit in good faith and in accordance to law.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 26th day of
November 2012, in Naguilian, La Union, Philippines.
DENMARK MENNAO RILLERA
Affiant
Driver’s License ID No: A04-06-003071
Issued on: February 22, 2012
SUBSCRIBED AND SWORN TO BEFORE ME this 26th day of November 2012 in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown as proof
of his identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 476; Page No. 96; Book No. 48; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, GEORGE SORIANO, of legal age, married, Filipino, and a resident of Lioac Sur,
Naguilian, La Union, Philippines, after having been sworn to on oath in accordance to law,
hereby depose and state that:
31. I was formerly the registered owner of GEOCEL APARTMENTS located in
Quinavite, Bauang, La Union and was religiously paying my tax obligation with the
Bureau of Internal Revenue, City of San Fernando, La Union;
32. The said apartment ceased to be under my management since December 2004;
33. I therefore execute this affidavit to attest to the truth of all the foregoing especially to
request BIR to place in their record the cessation of my management of the said
apartment since December 2004.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 23rd day of
November 2012, in Naguilian, La Union, Philippines.
GEORGE SORIANO
Affiant
TIN: 916-843-685
SUBSCRIBED AND SWORN TO before me this 23rd day of November 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of his identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 466; Page No. 94; Book No. 48; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, LEONIDA GONZALES BUCCAT, of legal age, married, Filipino citizen, and a
resident of Sitio Apit, Lioac Sur, Naguilian, La Union, Philippines, after having been sworn to on
oath in accordance to law, hereby depose and state that:
34. I am the biological sister of LORETO HIPOL GONZALES born respectively on
March 7, 1953; RENATO HIPOL GONZALES born on September 9, 1957; and,
TRINIDAD GONZALES SMITH born on July 17, 1959, all at Bacnotan, La
Union;
35. We are all the children of Spouses Miguel De Guzman Gonzales and Isabel Rillera
Hipol;
36. I therefore execute this affidavit to attest to the truth of all the foregoing especially to
attest that the above-names are my biological brothers and sister.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 5th day of
November 2012, in Naguilian, La Union, Philippines.
LEONIDA GONZALES BUCCAT
Affiant
VIN: 3311-0087A-G2671LGB20000
SUBSCRIBED AND SWORN TO before me this 5th day of November 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of her identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 395; Page No. 079; Book No. 048; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, DOMINADOR O. TANGO, of legal age, married, Filipino citizen, and a resident of
Brgy. Baraoas Sur, Naguilian, La Union, Philippines, after having been sworn to on oath in
accordance to law, hereby depose and state that:
1. I am the second cousin of GLORIA OFIASA CHAN who was born on August 21,
1963;
2. My mother, Cerelina Flores Tango and her mother, Cresencia Flores Ofiasa are first
cousins;
3. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 7th day of
November 2012, in Naguilian, La Union, Philippines.
DOMINADOR O. TANGO
Affiant
Driver’s License No: A12-06-006596
Expires: 2014-08-10
SUBSCRIBED AND SWORN TO before me this 7th day of November 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of his identity.
FEBELINE R. ESTEPA
Notary Public until December 31, 2013
NATIVIDAD, NAGUILIAN, LA UNION
PTR NO. 6854148; 01.02.12; LA UNION
LIFETIME IBP NO. 04047; LA UNION
LIFETIME ROLL NO. 43156; 05.07.98
TIN NO. 179-402-949
Doc. No. 410; Page No. 82; Book No. 48; Series of 2012.
Republic of the Philippines)
Province of La Union ) s.s.
Municipality of Naguilian )
AFFIDAVIT
I, LEONIDA GONZALES BUCCAT, of legal age, married, Filipino citizen, and a
resident of Sitio Apit, Lioac Sur, Naguilian, La Union, Philippines, after having been sworn to on
oath in accordance to law, hereby depose and state that:
4. I am the biological sister of LORETO HIPOL GONZALES born on March 7, 1953,
RENATO HIPOL GONZALES born on September 9, 1957 and TRINIDAD
GONZALES SMITH born on July 17, 1959;
5. We are the siblings of Spouses Miguel de Guzman Gonzales and Isabel Rillera Hipol;
6. I therefore execute this affidavit to attest to the truth of all the foregoing in good faith
and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto affixed my signature, this 5th day of
November 2012, in Naguilian, La Union, Philippines.
LEONIDA GONZALES BUCCAT
Affiant
VIN: 3311-0087A-G2671LGB20000
SUBSCRIBED AND SWORN TO before me this 5th day of November 2012, in Naguilian, La
Union, Philippines, by the affiant who is known to me on the basis of competent document shown to me as
proof of her identity.
