REPUBLIC OF THE PHILIPPINES}

DONE: IN THE CITY OF BAGUIO } S.S.

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

AFFIDAVIT OF ILLEGITIMACY

I, DANIELLE MACATULAD, single, of legal age, Filipino citizen, with

residence and postal address at #35 Green Valley Village, Baguio City,
Philippines, having been duly sworn in accordance with law, do hereby depose and
state that:

1. I am the biological mother of XIAN MACATULAD, who was born on

March 23 2002, at St. Paul Hospital, and who is a resident of Baguio City,
Philippines. Attached hereto and made as integral part hereof is a PSA copy
of the birth certificate of my child.

2. That as appearing in the records of Office of the Civil Registrar of the

Municipality of Mangaldan, Province of Pangasinan, Philippines, the father
of the XIAN MACATULAD is DENVER PADRIGO, who is a Filipino
citizen. The same is certified by the attached Certificate of Live Birth of the
said child.

3. That I hereby affirm and attest to the truth of the fact that the father of the
above-mentioned child is indeed DENVER PADRIGO.

4. That at the time my child was born, I was not legally married to her
biological father, nor am I legally married to the said father now. Attached
is a copy of a Certificate of No Marriage and made an integral part hereof.

5. This Affidavit is being executed in order to attest to the truth of the

foregoing facts and for whatever purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 2ND day of April
2019, in the City of Baguio, Philippines.

______________________________
DANIELLE MACATULAD
Affiant

SUBSCRIBED AND SWORN to before me in the City of Baguio,

Philippines, this 2ND day of April 2019, by Danielle Macatulad, who has
satisfactorily proven her identity to me through her Non-Professional Driver’s
License No. 887799 valid until August 30, 2019, and that she is the same person
who personally signed the foregoing affidavit before me and acknowledged that
she executed the same.

Atty. Jamaica Flora

Notary Public
nd
2 floor, Pusong Baguio,
Session Road, Baguio City
(074) 415-3567/ 09058517855
PTR No. 105555; 1-9-17/Baguio City
Roll No.93355
IBP O.R. No. 423765 Baguio-Benguet
MCLE No. III- 1234567, 07-03-16
Commission Serial No. 89-NC-16 (R)
TIN: 865-888-333

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Series of 2019