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    Affidavit of Two Disinterested Persons

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    Abdul Halim Revelo
    This joint affidavit from two friends of Loilla Vanessa O. Lumpan affirms that: 1) Brezelio Jordan Lumpan, Sr. died in May 2011 and his parents were Cayetano Lumpan and Juliana Lumpan according to his birth certificate. 2) There was a discrepancy in Lumpan's SSS records listing his parents as "Anthonio" and "Anita" rather than their true names. 3) "Anthonio" and "Anita" were used because Lumpan was uncertain of his biological parents' names when applying since they had passed, and they were a godfather and mother-in-law, respectively.

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    Affidavit of Two Disinterested Persons

    Uploaded by

    Abdul Halim Revelo
    155 views2 pages
    This joint affidavit from two friends of Loilla Vanessa O. Lumpan affirms that: 1) Brezelio Jordan Lumpan, Sr. died in May 2011 and his parents were Cayetano Lumpan and Juliana Lumpan according to his birth certificate. 2) There was a discrepancy in Lumpan's SSS records listing his parents as "Anthonio" and "Anita" rather than their true names. 3) "Anthonio" and "Anita" were used because Lumpan was uncertain of his biological parents' names when applying since they had passed, and they were a godfather and mother-in-law, respectively.

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    This joint affidavit from two friends of Loilla Vanessa O. Lumpan affirms that: 1) Brezelio Jordan Lumpan, Sr. died in May 2011 and his parents were Cayetano Lumpan and Juliana Lumpan according to his birth certificate. 2) There was a discrepancy in Lumpan's SSS records listing his parents as "Anthonio" and "Anita" rather than their true names. 3) "Anthonio" and "Anita" were used because Lumpan was uncertain of his biological parents' names when applying since they had passed, and they were a godfather and mother-in-law, respectively.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    155 views2 pages

    Affidavit of Two Disinterested Persons

    Uploaded by

    Abdul Halim Revelo
    This joint affidavit from two friends of Loilla Vanessa O. Lumpan affirms that: 1) Brezelio Jordan Lumpan, Sr. died in May 2011 and his parents were Cayetano Lumpan and Juliana Lumpan according to his birth certificate. 2) There was a discrepancy in Lumpan's SSS records listing his parents as "Anthonio" and "Anita" rather than their true names. 3) "Anthonio" and "Anita" were used because Lumpan was uncertain of his biological parents' names when applying since they had passed, and they were a godfather and mother-in-law, respectively.

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    REPUBLIC OF THE PHILIPPINES}

    CITY OF ILIGAN…………………… }S.S.

    JOINT-AFFIDAVIT OF TWO DISINTERESTED PERSONS

    We, AJILIA N. BITAISAR and JOSE GINO Z. SABERON, both of legal ages,
    Filipino, married, and with residence at #19 Tieza St., Brgy. Dadiangas North, General
    Santos City and Purok 7 New Society, respectively, after being sworn to in accordance with
    law do hereby depose and say;

    That we are the friends and acquaintances of the LOILLA VANESSA O.


    LUMPAN, for twenty (20) years;

    That being the friends and neighbors hereof, we knew that her father BREZELIO
    JORDANLUMPAN, SR. died last May 17, 2011 at General Santos City as evidenced by the
    Certificate of Death duly issued by the Local Civil Registrar, General Santos City;

    That the true and correct name of the late BREZELIO JORDAN LUMPAN, SR.
    parents are CAYETANO LUMPAN and JULIANA LUMPAN , as evidenced by his
    Certificate of Live Birth duly issued by the National Statistics Office;

    That there exists discrepancy in the name of the late BREZELIO JORDAN
    LUMPAN, SR. parents in his records before the Office of the Social Security System;

    That said discrepancy is to the name of his parents as “ANTHONIO and ANITA per
    E1 form under SSS Account No. 09-12750150 which is erroneously far different from
    his new existing SSS account No. 09-1079772-0 bearing the true name of his parents as
    CAYETANO LUMPAN and JULIANA LUMPAN;

    That the former SSS Account bearing No. 09-12750150 was already cancelled
    for the reason that it bears error in the name of the late BREZELIO JORDAN
    LUMPAN, SR. parents;

    That the name “ANTHONIO” and “ANITA” were used by the late BREZELIO JORDAN
    LUMPAN,SR. in his prior E1 form bearing SSS No. 09-12750150 representing his parents
    because he was uncertain to write the name of his biological parents in the said E1 form
    since during the said application his parents were already dead;

    That “ANTHONIO” is a godfather and a long-time friend of BREZELIO JORDAN


    LUMPAN, SR. while “ ANITA” is a mother-in-law of BREZELIO JORDAN LUMPAN,
    SR.;

    That the use “ANTHONIO” and “ANITA” is in good faith and without intention to
    violate any law or hide any crimes thereof;

    That the true and correct name of BREZELIO JORDAN LUMPAN, SR.
    parents are CAYETANOLUMPAN and JULIANA LUMPAN, as evidenced by his Certificate
    of Live Birth duly issued by the National Statistics Office;

    That we are executing this affidavit to attest the truthfulness and veracity of
    the foregoing statements.

    IN WITNESS WHEREOF, We have hereunto set our hands this 24th day of January,
    2014, in the City of General Santos, Philippines.

    JOSE GINO Z. SABERON AJILIA N. BITAISAR


    Affiant Affiant
    TIN: 428-206-661 Postal ID No. 9823152

    SUBSCRIBED AND SWORN to before me, this 24th day of January, 2014, at General
    Santos City, Philippines, affiants exhibiting to me their ID Nos. written below their names.

    ATTY. JOSE EDMAR J . YUMANG


    NOTARY PUBLIC, GSC
    DECEMBER 31, 2015
    ROLL NO. 57439
    IBP NO. 942389
    TIN NO. 161-923-968
    PTR NO. 00000GS-5301916
    MCLE COMP. NO. IV-0015346
    (4th Compliance period)

    Doc. No: 281;


    Page No. 57 ;
    Book No. XXXII ;
    Series of 2014.

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