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Republic of the Philippines) City of Pasay ) SS.

JOINT AFFIDAVIT OF TWO DISINTERESTED PERSONS


We, ________________________. married, Filipino, a resident of ___________________________, and _______________, of legal age, single/married, Filipino, a resident of the same address, after being duly sworn to in accordance with law, depose and say: 1. That we personally know __________, a beneficiary of the __________ insurance contracted by his grandmother, _______________________ and later on, continued by his aunt, _______________; 2. That _________________s grandmother is already deceased, and that all the children of the deceased agree to terminate the foregoing insurance of his grandmother; 3. That the children of the late _______________________ expect that upon approval by the PHILAMLIFE of their request for termination, portion of the money paid thereto, if not the entire amount, be returned to them without much ado; 4. That we have of the fact family of the late _____________________ is planning to move to New Zealand for good; 5. That we execute this Affidavit to attest the truth hereof, and for the purpose of complying the requirement set forth by the insurance company. IN WITNESS WHEREOF, we have hereunto affixed our hands this ___ day of August, 2013 in Pasay City, Philippines. ___________________ Affiant __________________ Affiant

SUBCRIBED AND SWORN to before me on the day, month, year, place above-written. Affiants exhibited to me their CTC No. ___________,issued on ____________, in ________, Pasay City; CTC No.__________ issued on __________, in____________. _________________________. NOTARY PUBLIC Doc. No. __________; Page No.__________; Book No.__________: Series of __________.

Republic of the Philippines) City of Pasay ) SS.

AFFIDAVIT OF LEGAL GUARDIANSHIP


I, ______________________ married, Filipino, a resident of # ________________________________, after being duly sworn to in accordance with law, depose and say: 1. That I stand as the legal guardian/parent of a minor, __________________, a beneficiary of the PHILAMLIFE insurance contracted by our mother, _____________________, and later on, continued by my half-sister, _______________; 2. That said minor has been under my care and custody since birth, and that he is dependent on my support; 3. That I executed this Affidavit to attest the truth hereof, and for the purpose of complying the requirement set forth by the PHILAMLIFE insurance company as prerequisite for the termination of the insurance contract wherein the above-said minor is the beneficiary; IN WITNESS WHEREOF, we have hereunto affixed our hands this ___ day of August, 2013 in Pasay City, Philippines. ________________ Affiant SUBCRIBED AND SWORN to before me on the day, month, year, place above-written. Affiant exhibited to me his CTC No. ___________, issued on ____________, in ________, Pasay City, Philippines. NOTARY PUBLIC Doc. No. __________; Page No.__________; Book No.__________: Series of __________.

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