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2 Disinterested Person SSS

Two individuals, Rolando M. Acma and Amador Marmara, provide a joint affidavit affirming details about a deceased person, Rene Bastes Lombres. They state that they personally knew Rene Bastes Lombres and that the names Rene Bastes Lombres, Reny Bastes Lombres, and Renato Bastes Lumbres all refer to the same deceased person. They also affirm that they have no familial or financial ties to the deceased. The affidavit is intended to confirm these facts for legal purposes.

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0% found this document useful (0 votes)
115 views

2 Disinterested Person SSS

Two individuals, Rolando M. Acma and Amador Marmara, provide a joint affidavit affirming details about a deceased person, Rene Bastes Lombres. They state that they personally knew Rene Bastes Lombres and that the names Rene Bastes Lombres, Reny Bastes Lombres, and Renato Bastes Lumbres all refer to the same deceased person. They also affirm that they have no familial or financial ties to the deceased. The affidavit is intended to confirm these facts for legal purposes.

Uploaded by

Chan Ders
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 Davao )S.s.


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

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS

We, ROLANDO M. ACMA and AMADOR MARMARA, both of


legal age, Filipino, married, and a resident of Victors Subdivision, Brgy.
Communal, Buhangin, Davao City, respectively, after having been sworn in
accordance with law, hereby depose and say that:

1. We personally know the late RENE BASTES LOMBRES, a resident


of Brgy. Ising, Carmen, Davao del Norte being of acquaintance for
a long period of time;

2. We know for a fact that the person by the name of RENE BASTES
LOMBRES as appearing in his death certificate and the name
RENY BASTES LOMBRES and RENATO BASTES LUMBRES as
appearing in the SSS records refers to one and the same person
and that his true and correct name is RENY BASTES LOMBRES;

3. We are not in any way related by affinity or consanguinity to the


above mentioned person, nor do we have any pecuniary interest in
this matter whatsoever;

4. We are executing this affidavit to affirm and confirm the foregoing


facts and for whatever legal purpose this may serve best.

IN WITNESS WHEREOF, I have hereunto affixed my signature this


______________, at Davao City, Philippines.

ROLANDO M. ACMA AMADOR MARMARA


Affiant Affiant

SUBSCRIBED AND SWORN to before me this____________at


Davao City, Philippines. Affiant, for purposes of identity, exhibited to me
their respective Lapanday ID No. 8619 and TADECO ID No. 47162.

Doc. No.___;
Page No.___;
Book No.___;
Series of 2018.

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