FORM NO.
31
Simple Affidavit
REPUBLIC OF THE PHILIPPINES )
PROVINCE OF______________________________ ) s.s
CITY OR MUNICIPALITY OF
AFFIDAVIT
I, (name and personal circumstance of the affiant) after
having duly sworn, depose and state, that:
1. (state the matters or facts to be declared
2, xxx xxx
IN WITNESS WHEREOF, affiant signed this Affidavit on this the
_ th day of________ 20________ at ________
(Signature of the Affiant)
JURAT
(Signature and Seal of the Notary Public)
(FORM NO. 1)