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REPUBLIC OF THE PHILIPPINES)

CITY OF CEBU ) S.S


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JOINT AFFIDAVIT OF COHABITATION

WE, JURIL BROKA PATIÑO and LILIBETH RICAPLAZA ESTOMO,


both of legal age, Filipino, single (living together) and residents of Block Lot 6,
Miramonte Subdivision, Pit-os, Cebu City, Philippines, after having been duly sworn to
in accordance with law, do hereby depose and state THAT:

1. We are the above-named affiants as well as the personal circumstances to


whom they pertain;

2. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since January 2011 (more than
five years);

3. During our cohabitation and even until the present, there exists no legal
impediment or obstacle between us to marry each other;

4. We are willingly and voluntarily executing this JOINT AFFIDAVIT OF


COHABITATION to attest to the truth of the foregoing statements and for
whatever legal purposes this may serve best.

IN WITNESS WHEREOF, we have hereunto set our hands this 3rd day of May
2017 at Cebu City, Philippines.

JURIL BROKA PATIÑO LILIBETH RICAPLAZA ESTOMO


Affiant Affiant
Drivers License No. G01-08-010199 Drivers License No. G01-16-002729
Competent Evidence of Identity Competent Evidence of Identity

SUBCRIBED AND SWORN TO before me this 3rd day of May 2017 at Cebu
City, Philippines, affiants personally appeared and exhibited to me their competent
evidence of identity as above-written.

WITNESS MY HAND AND NOTARIAL SEAL on the day, year and place
first above-written.

NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2017.

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