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Affidavit of Discrepancy D

The document is an affidavit of discrepancy from an individual stating that their birth date and place of birth on their marriage certificate are erroneous and different from what is on their birth certificate. They are executing this affidavit to attest to the truth of this discrepancy and to use it for any legal purpose.

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Johanna Marie Bermudo
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27 views2 pages

Affidavit of Discrepancy D

The document is an affidavit of discrepancy from an individual stating that their birth date and place of birth on their marriage certificate are erroneous and different from what is on their birth certificate. They are executing this affidavit to attest to the truth of this discrepancy and to use it for any legal purpose.

Uploaded by

Johanna Marie Bermudo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES)

CITY OF ILOILO ) S.S.


x---------------------------------------------x

AFFIDAVIT OF DISCREPANCY

I, _________________________________________of legal age, Filipino, married


to___________________________, and with address at Cauayan, Pototan, Iloilo Philippines,
after having been duly sworn to in accordance with law do hereby depose and state
that:
:
1. My birth date is ____________________________ and my place of birth is
___________________________________as stated and registered in my Certificate of Live Birth
issued by Office of the Civil Registry of Cotabato City. A copy of my Certificate of Live
Birth is hereto attached as ANNEX “A”;

2. My birth date and place of birth appearing in my Certificate of Marriage issued by the
Office of the Civil Registry of Iloilo are erroneous;

3. I have been using ___________________________as my birth date and


_________________________as my place of birth in all my personal records, transactions and
communications;

4. That the ________________________referred to in the Certificate of Live Birth with Registry


No. _________________and Certificate of Marriage with Registry No. _________________are
one and the same person, the herein Affiant;

5. I am executing this Affidavit to attest to the truth of the foregoing facts and to use the
same for whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this


______________________________ at Iloilo City, Philippines.

_________________________________
Affiant
ID No. ________________
Issued by: LTO

SUBSCRIBED AND SWORN to before me this ________________________in the City


of Iloilo, Philippines. Affiant exhibited to me his identification card identified by me
through competent proof of identity as defined by the 2004 Rules on Notarial practice
pursuant to EN BANC A.M. No. 02-8-13 SC Resolution.

Doc. No.______ ;
Page No._____ ;
Book No._____ ;
Series of 2021.

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