SAMAYLA, Luriza Legal Forms Week4-5
SAMAYLA, Luriza Legal Forms Week4-5
A. Distinctions
ACKNOWLEDGEMENT JURAT
indicates that the signer, (a) personally notary guarantees that the signer, (a)
appeared before the Notary; (b) was personally appeared before the notary;
identified by the Notary; and (c) (b) was given an oath or affirmation by
acknowledged to the Notary that the the notary, and finally; (c) signed in the
document was freely signed. Notary’s presence.
used to verify the identity of the used when the signer is swearing to
signer and to confirm that they signed the content of the document.
the document.
AFFIDAVIT OF LOSS
Notary Public
AFFIDAVIT OF MERIT
3. I have read the allegations contained therein and I hereby state that
the same is true and correct of my personal knowledge and based on
authentic records.
March 4, 2021
JOSEPH SANTOS
Affiant
ELEN SAME
Affiant
AFFIDAVIT OF DISCREPANCY
I, MICHAEL C. PEREZ, of legal age, single, Filipino, with residence
at Heights, Malaybalay City, after having been sworn to in accordance with
law hereby dispose and state that:
2. During my childhood and when I went to school, I used the name Michael C.
Perez as it was the name my parents had given me;
3. Since childhood, I have been accustomed to using Michael C. Perez and used the
said name when I signed documents and secured government identification cards;
4. It is only later, when I tried to apply for a passport, that I found out that my name
in my Certificate of Live Birth is Michelle C. Perez;
5. The names Michelle C. Perez and Michael C. Perez refer to one and the same
person;
6. I am executing this affidavit to attest to the truthfulness of the foregoing and clear
discrepancy that may arise from official documents bearing the name Michelle C.
Perez or Michael C. Perez and for whatever legal purpose it may serve.
MICHAEL C. PEREZ
Affiant
Notary Public
\
Republic of the Philippines
City of Malaybalay S.S.
Province of Bukidnon
AFFIDAVIT OF SELF-ADJUDICATION
2. That the said deceased, DIOSCORO DELA CERNA, left deposit in the Central
Bank of the Philippines, in the amount of P300,000;
4. That pursuant to Rule 74, Sec. 1 of the Rules of Court, I hereby adjudicate unto
myself the above described real estate by means of this Affidavit and hereby files the
same with the Register of Deed of Bukidnon, with the request that the said
adjudication be made effective without judicial proceeding as prescribed by the
aforementioned Rules of Court.;
CCC
Notary Public
CARDO A. DIMAGIBA
Affiant
Voter's ID No. 3142
AFFIDAVIT OF DESISTANCE
2. After my assessment and analysis of the incident, I have realized that because I
was not wearing my eyeglasses and it was dark, I cannot point out, without a doubt
the accused or any other person/s who inflicted harm against me.;
3. Since I could not state with certainty and without doubt the liability of Sebastian
Gonzales, in fairness to him, I am permanently withdrawing my complaint against
him. I clear him of whatever responsibility or liability to me.
5. I likewise request the Regional Trial Court, Branch No. 10, City of Malaybalay to
dismiss with prejudice the said criminal case.
JOHN BALBUENA
Complaining Witness