Republic of the Philippines )
Province of Cagayan )
City of Tuguegarao ) S.S
AFFIDAVIT IN LIEU OF CERTIFICATE OF LEGAL CAPACITY TO
CONTRACT MARRIAGE FOR AMERICAN CITIZENS
Before me, ________________________(Notary Public) personally appeared the undersigned who,
being duly sworn, states:
1. My name is LUIS CARLOS ENRIQUE P. AQUINO, of legal age, and I am a citizen of the
United States of America;
2. I hold U.S. Passport No. 678951107, issued on 07/07/2022;
issued at U.S. Department of State ;
3. I am a legal resident of (state) California;
4. My address while in the Philippines is #930 Mars Street, Phase 2, Moonwalk Village, Talon
Singko, Las Piñas City 1747.
5. (Check which applies)
__ I have never been married; OR
____ I have been married ____ (number of times) times previously. All previous marriages
have been legally terminated.
______________________________________
(Affiant’s Signature)
SUBSCRIBED AND SWORN to before me on _________________ at _____________________.
_________________________________
Notary Public
Doc. No.: ______;
Page No.: ______;
Book No.: ______;
Series of 2022.