Affidavit

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF NORTHERN SAMAR) S.S.


CITY/MUNICIPALITY OF CATUBIG)

AFFIDAVIT OF EXHUMATION

!, CRESENCIO DE ASAS, Filipino, of legal age, and currently residing at Barangay


Cagogobngan, Catubig, Northern Samar, after having been sworn according to law, hereby
depose and state that:

1. I am the only living sibling of the late +DELFIN DE ASAS who died on JULY 26,
2011 and was buried at ETERNAL GARDENS MEMORIAL PARK CORPORATION;

2. I am willing and giving my full consent to CYNTHIA RUZ to process the exhumation
and reburial of my brother;

3. I am also willing and giving my full consent to ETERNAL GARDENS MEMORIAL


PARK CORP. to EXHUME AND CREMATE (IF EXHUMED WITH FLESH) the
remains of the late +DELFIN DE ASAS lot specifically described as LOVE (LAWN)
SECTION: H BLOCK: 059 LOT: 3 and rebury at the same lot;

4. The deceased DELFIN DE ASAS died single and childless;

5. I, hereby hold ETERNAL GARDENS MEMORIAL PARK CORP., its stockholders,


directors, officers, and employees free and harmless from any and all such liabilities,
damages or claims should there be any on the said exhumation and reburial of the
remains of the late +DELFIN DE ASAS.

IN WITNESS THEREOF, I have hereunto affixed my signature this ____ day of _________,
2022 at ____________________________.

CRESENCIO E. DE ASAS
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ___________, 2022 at


_____________________________, with affiant exhibiting to me her Valid ID No.
____________

Doc. No._______
Page No.______
Book No._______
Series of _______
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF NORTHERN SAMAR) S.S.
CITY/MUNICIPALITY OF CATUBIG)

SPECIAL POWER OF ATTORNEY

!, CRESENCIO DE ASAS, Filipino, of legal age, and currently residing at Barangay


Cagogobngan, Catubig, Northern Samar, after having been sworn according to law, hereby
depose and state that:

1. I, CRESENCIO DE ASAS, is hereby allowing to exhumed and rebury the remains of


the late +DELFIN DE ASAS and burry the remains of the late +WENEFREDA DE
ASAS;

2. I am willing and giving my full consent to CYNTHIA RUZ to process the exhumation
and reburial of my brother;

3. I, hereby hold ETERNAL GARDENS MEMORIAL PARK CORP., its stockholders,


directors, officers, and employees free and harmless from any and all such liabilities,
damages or claims should there be any on the said exhumation and reburial.

IN WITNESS THEREOF, I have hereunto affixed my signature this ____ day of _________,
2022 at ____________________________.

CRESENCIO E. DE ASAS
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ___________, 2022 at


_____________________________, with affiant exhibiting to me her Valid ID No.
____________

Doc. No._______
Page No.______
Book No._______
Series of _______
REPUBLIC OF THE PHILIPPINES)
PROVINCE OF NORTHERN SAMAR) S.S.
CITY/MUNICIPALITY OF CATUBIG)

AFFIDAVIT OF LOSS

!, CRESENCIO ENCARNADO DE ASAS, Filipino, of legal age, and currently residing at


Barangay Cagogobngan, Catubig, Northern Samar, after having been sworn according to
law, hereby depose and state that:

1. I am the only living sibling of the late DELFIN ENCARNADO DE ASAS (now
deceased), who is the owner/holder of Certificate of Ownership No. 17420 (22045),
issued by the Eternal Gardens Memorial Park Corporation;

2. My said brother passed away without contracting any marriage, nor he had children
with any women; as such, he had no immediate family except us who is his niece
and that he lived with my younger sister Carina De Asas Nungay (now deceased)
when he was still alive;

3. As such, this is to certify that the Certificate of Ownership No. 17420 (22045) issued
by Eternal Gardens Memorial Park Corporation which he had acquired during his
lifetime was lost and/or misplaced;

4. I have exerted my best diligent effort in locating the same but to no avail;

5. I have executed this affidavit to attest to the truth and veracity of the following facts to
inform the proper authorities concerned and for whatever legal intents and purposes
it may serve.

IN WITNESS THEREOF, I have hereunto affixed my signature this ____ day of _________,
2022 at ____________________________.

CRESENCIO E. DE ASAS
Affiant

SUBSCRIBED AND SWORN to before me this _____ day of ___________, 2022 at


_____________________________, with affiant exhibiting to me her Valid ID No.
____________

Doc. No._______
Page No.______
Book No._______
Series of _______

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