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    Affidavit of DIscrepancy

    Uploaded by

    Alexandra Castañeda
    1. Sam L. Milby executed an affidavit to correct a discrepancy in his surname on his birth certificate. 2. His birth certificate erroneously listed his surname as "Melby" instead of his correct surname "Milby". 3. He signed the affidavit to attest to the truth that "Sam L. Milby" and "Sam L. Melby" refer to the same person and to explain the error in his birth certificate.

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    Affidavit of DIscrepancy

    Uploaded by

    Alexandra Castañeda
    157 views1 page
    1. Sam L. Milby executed an affidavit to correct a discrepancy in his surname on his birth certificate. 2. His birth certificate erroneously listed his surname as "Melby" instead of his correct surname "Milby". 3. He signed the affidavit to attest to the truth that "Sam L. Milby" and "Sam L. Melby" refer to the same person and to explain the error in his birth certificate.

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    1. Sam L. Milby executed an affidavit to correct a discrepancy in his surname on his birth certificate. 2. His birth certificate erroneously listed his surname as "Melby" instead of his correct surname "Milby". 3. He signed the affidavit to attest to the truth that "Sam L. Milby" and "Sam L. Melby" refer to the same person and to explain the error in his birth certificate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    157 views1 page

    Affidavit of DIscrepancy

    Uploaded by

    Alexandra Castañeda
    1. Sam L. Milby executed an affidavit to correct a discrepancy in his surname on his birth certificate. 2. His birth certificate erroneously listed his surname as "Melby" instead of his correct surname "Milby". 3. He signed the affidavit to attest to the truth that "Sam L. Milby" and "Sam L. Melby" refer to the same person and to explain the error in his birth certificate.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    REPUBLIC OF THE PHILIPPINES)

    CITY OF TARLAC ) S.S.


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

    AFFIDAVIT OF DISCREPANCY

    I, SAM L. MILBY, of legal age, Filipino, (single/married/widow) and a resident of


    _______________________________, after having been duly sworn to in accordance
    with law, depose and state THAT:

    1. I was born on 15th day of the October 1960 to spouses Anna Lerma and John Milby;

    2. I have been using the name SAM L. MILBY in all my documents and transactions;

    3. However, when I obtained a copy of my birth certificate, I discovered that my surname


    appearing thereon was erroneously written as "MELBY";

    4. The names “SAM L. MILBY” and “SAM L. MELBY” refers to one and the same person;

    5. I execute this Affidavit of Discrepancy of Surname to attest to the truth of the foregoing
    facts and to explain the discrepancy in my birth certificate with regards my surname.

    IN WITNESS WHEREOF, I have hereunto set my hand


    this ___________________ in Makati City, Metro Manila, Philippines.

    ____________________
    Affiant
    SSS ID No. _____________

    SUBCRIBED AND SWORN TO before me this ___________________ in


    _________________, Philippines, affiant exhibiting to me his/her competent evidence
    of identity by way of __________________ issued at ______________
    on __________________.

    Doc. No. _____;


    Page No. _____;
    Book No. _____;
    Series of 2013.

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