Joint Consent To DFA

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Republic of the Philippines )

Quezon City ) S.S.

JOINT AFFIDAVIT OF CONSENT

We, spouses MC ROWEL D. PATRICIO and MARIA JALIQUE IMARIE A.


PATRICIO, married, of legal age, Filipino, with residence address at Blk. 16 Lot
12 Kabatuhan Subd. HEN after having sworn to in accordance with the law do
hereby deposes and state:

1. That I am the owner/possessor of the St. Peter plan and St. Peter ID
with policy no. N17420225A

2. That sometime in 2019, the above-mentioned was inadvertently lost or


might have been misplaced due to unknown circumstances.

3. That I exerted diligent efforts to locate the same but all efforts proved fruitless
up to the present and fear that the same was considered a loss beyond
recovery.

4. That I am executing this affidavit to attest to the truth of the foregoing


instrument and for any legal purpose and intents this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 6 th day of January


2023 in Quezon City.

JAY DELOS SANTOS ACEBUCHE


Affiant

SUBSCRIBED AND SWORN TO before me this 6 th day of January 2023 in


Quezon City. Affiant exhibited to me his/her Identification documents as proof of his/her
identity.

Doc No. ____;


Page No.____;
Book No.____;
Series of 2023.

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