REPUBLIC OF THE PHILIPPINES)

CITY OF _______
) S.S.
x-------------------------------------------------------x

JOINT AFFIDAVIT OF COHABITATION

WE, _________ and __________, both of legal ages, Filipinos, both single and
living together and residents of ______________, Philippines, after having been duly
sworn to in accordance with law, hereby depose and state THAT:
1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since _____ or a period of
______years;
2. During our cohabitation and even until the present, we remain both of single
status and, hence, there exists no legal impediment for us to marry each
other;
3. We were blessed with one child named ____________;
4. We are executing this affidavit to attest to the foregoing facts and for the
purposes of complying with the requirements of the __________ and for all
other legal purposes this may best serve.
IN WITNESS WHEREOF, we have hereunto set our hands this ______ day
of _______ at ________, Philippines.

_______________________
Affiant
ID No. ______________

SUBCRIBED

AND

Affiant
ID No. _____________________

SWORN

TO before

me

this _________

day

of

____________ in ____________, Philippines, affiants exhibiting to me their valid

proofs of identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2016.