Espie Vital Cuspao gave her consent to allow Annie S. Gultia and Anthony A. Gultia to adopt her biological daughter, Roselyn Vital Cuspao. Espie stated that she is Roselyn's single biological mother, but was not married at her birth. She acknowledged that Annie and Anthony have helped raise Roselyn and desire to legally adopt her. Espie affirmed that she understands adoption would terminate her parental rights and make Roselyn the legal child of Annie and Anthony.
Espie Vital Cuspao gave her consent to allow Annie S. Gultia and Anthony A. Gultia to adopt her biological daughter, Roselyn Vital Cuspao. Espie stated that she is Roselyn's single biological mother, but was not married at her birth. She acknowledged that Annie and Anthony have helped raise Roselyn and desire to legally adopt her. Espie affirmed that she understands adoption would terminate her parental rights and make Roselyn the legal child of Annie and Anthony.
Espie Vital Cuspao gave her consent to allow Annie S. Gultia and Anthony A. Gultia to adopt her biological daughter, Roselyn Vital Cuspao. Espie stated that she is Roselyn's single biological mother, but was not married at her birth. She acknowledged that Annie and Anthony have helped raise Roselyn and desire to legally adopt her. Espie affirmed that she understands adoption would terminate her parental rights and make Roselyn the legal child of Annie and Anthony.
Espie Vital Cuspao gave her consent to allow Annie S. Gultia and Anthony A. Gultia to adopt her biological daughter, Roselyn Vital Cuspao. Espie stated that she is Roselyn's single biological mother, but was not married at her birth. She acknowledged that Annie and Anthony have helped raise Roselyn and desire to legally adopt her. Espie affirmed that she understands adoption would terminate her parental rights and make Roselyn the legal child of Annie and Anthony.
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REPUBLIC OF THE PHILIPPINES)
BAGUIO CITY ) S. C.
AF F I D AV I T O F
CONSENT
I, ESPIE VITAL CUSPAO, of legal age, single, Filipino citizen with
residence and postal address at Nursery Boulevard, Masbate City, after having been duly sworn to in accordance with law, do hereby depose and state that: 1. I am the biological mother of one ROSELYN VITAL CUSPAO who was born on January 5, 2014 in Masbate City; 2. I was not married when I gave birth to ROSELYN VITAL CUSPAO; 3. My friends, SPS. ANNIE S. GULTIA and ANTHONY A. GULTIA, had helped me greatly in raising my minor child and had expressed their desire to adopt my said child; 4. I am not insane, nor intemperate, nor have I abandoned said minor child. I have full knowledge of the intention of SPS. ANNIE S. GULTIA and ANTHONY A. GULTIA to adopt my minor child and having the best interest of my child in mind, I have consented to the adoption; 5. I am aware of the fact that once ROSELYN VITAL CUSPAO will be adopted, I shall lose ALL parental authority and that she will become the legal child of SPS. ANNIE S. GULTIA and ANTHONY A. GULTIA; 6. I am executing this AFFIDAVIT OF CONSENT freely and voluntarily to attest to the truthfulness of my foregoing statements and circumstances; to prove and show that I am giving my consent to the adoption of my minor child ROSELYN VITAL CUSPAO by SPS. ANNIE S. GULTIA and ANTHONY A. GULTIA and for all other legal intents and purposes it may serve. IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day of July 2015 at Baguio City, Philippines.
ESPIE VITAL CUSPAO
Affiant
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SUBSCRIBED AND SWORN TO BEFORE ME this 4 th day of
January 2017 at Masbate City. The Affiant exhibited to me her BIR TIN ID Card with TIN ID 293-464-775-000 issued in Masbate City on September 14, 2011 indicated below her name and signature. She acknowledged to me that the same is her free and voluntary act or deed. WITNESS MY HAND AND SEAL.
ATTY. HILDA ANGELIE BERNAL
Notary Public for Masbate City Corner. Rosero & Quezon Streets, Masbate City Masbate IBP No. 812888; 01/04/2017 PTR No. 1218888; 01/04/2017 Roll No. 88811; 05/05/2005 MCLE No. 888808 Doc. No.___2_; Page No. __5__; Book No.__1__ ; Series of 2017_