Common Law Wife Surviving Spouse

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REPUBLIC OF THE PHILIPPINES. . .

]
ROVINCE OF DAVAO DEL NORTE..] S.S.
CITY OF TAGUM . . . . . . . . . . . . . ]
X - - - - - - - - - - -- - - - - - - - - - - - - X

AFFIDAVIT
I, AURELIA B. OPEÑA, of legal age, Filipino, single and a resident of Purok 6,
Barangay San Miguel, Tagum City, Davao del Norte, Philippines after having been duly
sworn to in accordance with law, hereby depose and say:

1. That I am the same AURELIA B. OPEÑA affiant in this affidavit and


likewise the common law spouse of PERLITO H. OJARDA, who
died on April 19, 2013 at Dapecol, Braulio E. Dujali, Davao del Norte;

2. That I hereby declare that until his untimely death I have not
contracted marriage with anybody from the time of his death and up to
the present;

3. That I am executing this affidavit to inform the authorities and to attest


to the truth of the foregoing facts and for whatever legal purpose this
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 24 th day of April,


2013 at Tagum City, Philippines.

AURELIA B. OPEÑA
Affiant

CORROBORATION

WE, ROSELYN D. SEQUIÑA and JULITO Q. SUAN, both of legal age,


Filipinos and residents of Tagum City, Philippines after having been duly sworn to in
accordance with law, hereby depose and say:
That we personally know AURELIA B. OPEÑA and PERLITO H. OJARDA,
who freely cohabited with each other as husband and wife without any benefit of
marriage since 1987;
That we are executing this affidavit to attest to the truth of the foregoing facts and
for whatever legal purpose it may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 24th day of
April, 2013 at Tagum City, Philippines.

ROSELYN D. SEQUIÑA JULITO Q. SUAN


Affiant Affiant

SUBSCRIBED AND SWORN to before me this 24th day of April, 2013 at


Tagum City, Philippines. Affiants exhibited to me their Philhealth Identification Card
no. 16-200681166-3 and Employment Identification Card no. O26-00-00-0087 issued at
Tagum City, Philippines.

Doc. No. _____


Page No. _____
Book No. _____
Series 2013.

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