Republic of the Philippines)_________________________) S.S.)x - - - - - - - - - - - - - - - - - - - - - - - x

JOINT-AFFIDAVIT OF COHABITATION

WE, __________________ , Filipinos, of legal ages, and residents of ____________________, after being duly sworn to in accordance with law, hereby depose and state:

That we had known the persons of _______________ and __________________ for a long time;

That we know that they had lived together as husband and wife under the same roof, exclusively, continuously, and without any legal impediment for not less than five (5) years;

That during their cohabitation, they remained both of single status and, hence, there exist no legal impediment for them to marry each other;

That they were blessed with two (2) children, namely: __________________ and ______________;

As such, we are executing this Affidavit to attest to the truth of the foregoing and for other lawful purposes it may serve.

IN WITNESS WHEREOF, we have hereunto set our hands this ____________ at ____________________, Philippines.

_________________________ ________________________AffiantAffiant

SUBSCRIBED AND SWORN to before me, this __________ at _______________.

WITNESS Y HAND AND SEAL.