REPUBLIC OF THE PHILIPPINES }
City of Lapu-Lapu } s.s.
Affidavit
I, _____________, of legal age, single, and a resident of
_____________ after being duly sworn in accordance with law, hereby
depose and state that:
1. I am one of AAA’s siblings and due to our parents’ old age, I am
processing AAA papers on their behalf;
2. AAA died on 1st of September 2019;
3. He was gainfully employed with (name of the company) from
March 14, 2012 until the day of his passing;
4. Upon his passing, he left his belongings at his home in ______.
Among his belongings was a cellular phone having a number 09765433242.
5. We no longer have access to this phone and have no knowledge of
all his accounts and passwords relating to his employment with ______.
6. I execute this affidavit to attest to the truth of the foregoing, and to
comply with (name of the company)’s requirement for the release of my
deceased brother’s pay.
IN WITNESS WHEREOF, I hereunto affixed my signature this __
day of February 2021 at __________.
_____________________________
Affiant
SUBSCRIBED AND SWORN to before me this ___ day of
________, 2021. Affiant exhibiting to me her ____________.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2021.