Republic of the Philippines )

City of Cagayan de Oro . . . ) Sc.

VERIFICATION AND CERTIFICATION
I, GINA LAO-TSOI, of legal age, Filipino, married and a
resident of Block 7, Lot 18, Sta. Barbara Subdivision,
Kauswagan, Cagayan de Oro City, after having duly sworn to
an oath in accordance with law, do hereby depose and state
that:
1. I am the Petitioner in this Petition for Declaration of
Nullity of Marriage.
2. I have caused the preparation of this Petition and I
have read and understood the contents and affirm
that they are true and correct to the best of my own
personal knowledge.
3. I further certify that there is no other case commenced
or pending before any court involving the same parties
and the same issue and that, should I learn of such a
case, I shall notify the court within five (5) dyas from
my notice.
IN WITNESS WHEREOF, I have hereunto set my hands
this 10th day of February, 2016 at Cagayan de Oro City.
GINA LAO-TSOI
Affiant
SUBSCRIBED AND SWORN TO before me in the City of
Cagayan de Oro on this 10th day of February, 2016, affiant
exhibiting before me his Government Issued ID No. 12345
issued on December 2, 2014 at Cagayan de Oro City.

SHAYNE AMOR S. BANCE

Notary Public
Until December 31, 2016

Doc. No. _____

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

PTR No. 70156

Issued at Cagayan de Oro
Issued on December 28, 2015