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This General form of Affidavit is free to copy, modify and use. But needs author's permission to re-publish in print or online. It is wise to seek a lawyer's counsel before executing a sworn statement e.g. an affidavit or any other legal document.

 

AFFIDAVIT

 

            I,  (Insert Name of Affiant) , a Filipino citizen, of legal age, single/married to (Insert Name of Spouse if any), and a resident of (Insert Address of Affiant), after having been duly sworn in accordance with law, hereby depose and say:

 

(Below is a sample statement only. Please change the information and circumstances to suit what ever you want to state.)  

 

1. That (state date and facts) sample: I was born on January 1, 2000 as Maria Juana Santos Cruz. by Jose M. Cruz and Clara L. Santos.

 

2. That (state additional facts and circumstances) sample: That when I was enrolled in school, my name was registered as Ma. Juana Santos Cruz.

 

3. That (continue statement as needed) sample: my parents did not bother to correct the spelling of my first name and that I have been using the same name until now.

 

4. That I am the same person named Ma. Juana Santos Cruz as the person on my birth certificate named Maria Juana Santos Cruz.

 

Further Affiant sayeth none. 

 

            IN WITNESS WHEREOF, I have hereunto affixed my signature this ......... day of ..................... , 20__ in ..................................... Philippines.

 

 

........................................................................      

 (Signature of Affiant over Printed Name)       

 

 

 

            SUBSCRIBED AND SWORN before me this........ day of ........................... 20__, by ............................................. who exhibited to me his/her CTC No. ................................... issued on ................................. at ...........................................

 

 

                                                                           Notary Public 

 

Doc.  No. .........:

Page No. .........;

Book No. .........;

Series of   20__.

 

 

An Affidavit is a written statement made under oath attesting to the truthfulness of any information provided on the legal document. The statement is made before a Notary Pubic and Notarized. An affidavit can be used as evidence in a Court of Law in lieu of a verbal testimony. A person making any false statement on an Affidavit can be charged of Perjury and can be imprisoned. Another name for an Affidavit is a Sworn Statement.



-----------------------------------------------------------------------------Affidavit - Sample Form


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