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Republic of the Philippines)

Iligan City )
x------------------------------x
AFFIDAVIT OF DECLARATION

I, ARNALDO P. ARDIENTE, of legal age, married, resident of


Purok Zone 1, Brgy. Bagong Silang, Iligan City, after being sworn in
accordance with law hereby depose and say:

1. That I am one of the children of Julio Ardiente and Helena


Plaza Ardiente;

2. That my father and mother died on 1984 and 1965


respectively;

3. That I knew of their deaths because I was still with them at the
time of their death;

4. I am executing this affidavit to attest to the fact of death of my


parents aforementiones.

IN WITNESS WHEREOF, I have hereunto affixed my signature


this 2nd day of September 2014 at Iligan City, Philippines.

(SGD) ARNALDO P. ARDIENTE


Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, this 1st day of
September 2014 at Iligan City, Philippines, affiants exhibitng to me
his Senior Citizen Identification card No. 1393455, issued on July 3,
1995 at Iligan City

(SGD) JAMES O. REID


Notary Public
Suite 310, Abalos Building
Aguinaldo St., Iligan City
PTR No. 5369111 01-02-14
IBP No. 875555 12-18-13
ROLL NO. 39999
MCLE Compliance No. V-0000077

Doc No. 331


Page No. 67
Book No. 04
Series of 2014

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