AFFIDAVIT
REPUBLIC OF THE PHILIPPINES )
_______________________________ ) SS.
I, ANN FELIX DEADA, Filipino, of legal age, and a resident of No. 13 Apartment D
Dahlia Street, Pacita Complex I, San Pedro, Laguna, after having been duly sworn in accordance
with law, hereby depose and say:
1. That I was married to Fernando Sison Deada resident of Narra Street, Labrador
Subdivision, Binan, Laguna;
2. On October 30, 2012, because of the irreconcilable differences and after _____ years of
marriage we decided to separate ways, at present I’m living with my daughter
__________________ in San Pedro, Laguna;
3. Because of the trauma and suffering during our marriages there is no chance of
reconciling our differences and returning to the state of marriage which existed prior to
our estrangement from each other.
4. That I am executing this affidavit to attest to the foregoing facts and to whatever legal
purposes it may served;
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____day of March
2015 at ____________, Philippines.
_________________________________
ANN FELIX DEADA
SUBSCRIBED AND SWORN TO before me, a notary public in and for
_____________________ this ____ day of March 2015. The affiant, whom I identified through
the following competent evidence of identity____________________, valid from ____________
issued by _______________________, personally signed the foregoing instrument before me
and vowed under penalty of law to the whole truth of the contents of said instrument.
Notary Public
Doc. No. ……..;
Page No. …….;
Book No. …….;
Series of 2015.