Affidavit of Cohabitation - Mondejar

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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AGUSAN DEL SUR) S.S

JOINT AFFIDAVIT OF COHIBITATION


WE, ANDREW BRYAN ABELITA MONDEJAR, born on July 19, 1983 in South
Cotabato and MARISSA DEGUINION PLATERO born on March 03, 1988 in Alegria, San
Francisco, Agusan del Sur, both Filipino, single (living together) and residents of Barangay
2, San Francisco, Agusan del Sur after having duly sworn to in accordance with law, depose
and state THAT:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since August 1, 2011 or a period of more than
five (6) years;

2. During our cohabitation and even until the present, we remain both of single
status and, hence, there exists no legal impediment for us to marry each other;

3. We are blessed with three children namely:

Name Date of Birth Place of Birth


ALYSSA T. LADEMORA Jan. 16, 2012 Alegria, San Francisco, ADS.
ALLISON T. LADEMORA July22, 2014 Alegria, San Francisco, ADS.
CLYDE T. LADEMORA Aug. 1, 2015 Alegria, San Francisco, ADS.

4. We are executing this affidavit to attest to the foregoing facts and for the purposes
of contracting marriage without the need of securing the marriage license pursuant to the
provisions of Article 34 of the Family Code of the Philippines.

IN WITNESS WHEREOF, We have hereunto set our hand this 5 th day of


October 2018 at San Francisco, Agusan del Sur, Philippines.

ANDREW BRYAN ABELITA MONDEJAR MARISSA DEGUINION PLATERO


AFFIANT AFFIANT
ID NO: ID NO:

SUBSCRIBED AND SWORN TO before me this 5th day of October 2018 at San
Francisco, Agusan Del Sur affiant exhibiting to me his/her competent evidence
of identity indicated herein-above.

Notary Public

Doc. No. ______;


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

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