REPUBLIC OF THE PHILIPPINES)

CITY/MUN. OF _____________ ) S.S.

x-----------------------------------x

AFFIDAVIT OF HEIRSHIP

WE, ________________________, ______________________, ____________________, and ____________________, all of legal age, Filipinos and residents of ________________________________, after being duly sworn to in accordance with law, depose and state THAT:

1. We are the surviving children of _____________________ who died on _______________ in ________________ and his deceased spouse __________________;

2. That our parents were survived by the following children/heirs:

3. As evidence of our legal relation to the deceased, photocopies of our birth certificates are herein attached; and

4. We are executing this affidavit in good faith to attest to truth that there is no other heir or heirs except for the above-named heirs of the said deceased spouses and for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ___________ 20____ in ____________, _____________, Philippines.

SUBSCRIBED AND SWORN to before me, this ____ day of __________ 20____, in the City of __________________, by ___________________ with Passport No.________________ issued on __________________ at _____________.

Notary Public

Doc. No. ______;

Page No. ______;

Book No. ______;

Series of ______;