ATTESTATION

I, ATTY. __________________of legal age, married, Filipino and with

office address at_______________________________, attest under oath
as follows:

1. I personally conducted the interrogation of the herein

petitioner, ____________________________;

2. I personally verified that she has been a resident of

__________________________________ for at least six (6) months
prior to the filing of the petition;

3. That I am executing this affidavit to confirm the foregoing facts.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this___________ hereat___________________

ATTY____________
Affiant

SUBSCRIBED AND SWORN to before me

this_____________hereat ___________