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Province of Aklan
Municipality of Kalibo
)
) S.S.
)
AFFIDAVIT OF LIABILITY
I, TEODORO B. JACINTO, Filipino, of legal age and a resident of No.
0579, Osmea Ave., Brgy. Estancia, Kalibo, Aklan, after having been duly
sworn to in accordance with law, do hereby depose and state that:
1.
2.
3.
The two other beneficiaries were my siblings who both predeceased our mother REMEDIOS B. JACINTO. The heirs of said
beneficiaries are all currently residing abroad and have
established means for living;
4.
5.
4.
5.
TEODORO B. JACINTO
Affiant
ID No. _______________________
SUBSCRIBED AND SWORN to before me this ________________, at
Kalibo, Aklan, Philippines.