REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA ) S.S.

JOINT AFFIDAVIT OF COHABITATION

WE, PRIMITIVO A. VELASCO and CARMEN B. DELA CRUZ, both of legal
age, Filipino citizens, widower and widow respectively and residents of 100 after
having been duly sworn to in accordance with law do hereby depose and say:
1. That the undersigned is the Officer-in-Charge in the registration of
marriage solemnized in this church;
2. That as per records, the marriage of Spouses ROMULO A. RESULTAY
and
REBECCA
G.
OCAMPO
was
solemnized
by
___________________________________at Holy Trinity Church on
October 21, 1974 however, due to oversight the fact of their marriage
was not registered to the Office of the Local Civil Registrar;
3. That I have executed this affidavit to attest to the truth of all the
foregoing and to satisfy the inquiry or requirements of any person or
office
4. That, I have executed this affidavit to attest to the truth of all the
foregoing and to satisfy the inquiry or requirements of any person or
office and for whatever legal purpose it may serve.
FURTHER, AFFIANT SAYETH NAUGHT.

LANI ANYAG RAQUITICO

Affiant

SUBSCRIBED AND SWORN to before me this 18th day of August, 2004 in

Quezon City, affiant exhibited to me her Res. Cert. No. _______________ issued on
______________ at __________________.

Doc. No. _________;

Page No. _________;
Book No. _________;
Series of 2003.

Notary Public

REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA ) S.S.
AFFIDAVIT OF AGGREGATE LAND HOLDING
SHIMA SEKI REALTY CORPORATION, a corporation organized and existing
by virtue of the Philippine laws with office address at No. 28 Santol St., Santol,
Quezon City, represented in this act by its Corporate Secretary FRANCISCO DY,
of legal age, Filipino, and a resident of 5 th Flr. FEA Building, Masangkay St.,
Binondo, Manila, after having duly sworn to in accordance with law hereby
depose and say:
5. That, SHIMA SEKI REALTY CORPORATION has acquired a certain
agricultural land located at Brgy. Taal, Pulilan, Bulacan which is covered
by Transfer Certificate of Title No. 33634 of the Registry of Deeds of
Plaridel, Bulacan consisting an area of 555 square meters;
6. That as the Corporate Secretary, I wish to declare and manifest that our
Corporation has an aggregate agricultural land holding not exceeding to
five (5) hectares within the Philippines;
7. That I have executed this affidavit to attest to the truth of all the
foregoing and to satisfy the inquiry or requirements of any person or
office and for whatever legal purpose it may serve.
FURTHER, AFFIANT SAYETH NAUGHT.
SHIMA SEKI REALTY CORPORATION
Represented by:
FRANCISCO DY
Affiant
SUBSCRIBED AND SWORN to before me this ______ day of April 2003 in
Quezon City, affiant exhibited to me his Res. Cert. No. _______________ issued on
______________ at __________________.
Doc. No. _________;
Page No. _________;
Book No. _________;
Series of 2003.

Notary Public

REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA ) S.S.

AFFIDAVIT
I, JOSEPH B. PADUA, of legal age, married, Filipino and a resident of #4 Ilang Ilang
St., Montalban, Rizal, after having been duly sworn to in accordance with law do hereby depose
and say:
1. That I am the brother of the late GEORGE B. PADUA who died a widower on May
2, 2005 at Rizal Street, Bangued, Abra;
2. That I shouldered all the expenses for the funeral and burial services of my deceased
brother which amounted to THIRTY THOUSAND PESOS (P30,000.00), more or
less;
3. That I have executed this affidavit to attest to the truth of all the foregoing and to
satisfy the inquiry or requirements of the GOVERNMENT SERVICE
INSURANCE SYSTEM (GSIS) in support of my claim for burial benefits and for
other legal purpose it may serve.
FURTHER, AFFIANT SAYETH NAUGHT.

JOSEPH B. PADUA
Affiant
SUBSCRIBED AND SWORN to before me this 20 th day of May 2005 in Quezon City,
affiant exhibited to me his Drivers License No. A08-02-021659 which expires on 2007-06-19.
Doc. No. ________:
Page No. ________:
Book No. ________:
Series of 2005.

Notary Public

REPUBLIC OF THE PHILIPPINES)

QUEZON CITY, METRO MANILA ) S.S.

AFFIDAVIT OF CHANGE OF STATUS

I, GLORILIE S. TUMAMPIL, of legal age, Filipino, married and a resident of #

0939 Upper Tagpos, Binangonan, Rizal, after having been duly sworn to in accordance
with law, hereby depose and say:
1. That I am a member
No.______________;

of

Social

Security

System

under

SSS

2. That in my SSS record my status is still single;

3. That on October 28, 1992, in Ibajay, Aklan I got married to one
Jenny C. Tumampil;
4. That for thirteen (13) years of our living together as husband and wife, we
were blessed with four (4) minor children namely:
Name
1. Jose Corazon S. Tumampil
2. John Frenz S. Tumampil
3. Jessica Felisa S. Tumampil
4. Joan Carla S. Tumampil

Birthdate
06-18-93
11-29-94
07-22-96
11-13-98

Age
12
10
9
6

5. That being married I wish to change my status from single to married;

6. That by this instrument, I wish to declare as my legal heirs and beneficiaries
in my SSS records, my above-mentioned four (4) minor children and my
husband, Jenny C. Tumampil;
7. That I have executed this affidavit to attest to the truth of all the foregoing to
satisfy the inquiry or requirements of any person or office particularly with the
Social Security System and for whatever legal purpose this may serve.
FURTHER, AFFIANT SAYETH NAUGHT.

GLORILIE S. TUMAMPIL
Affiant
SUBSCRIBED AND SWORN to before me this 24th day of May, 2005 in Quezon
City.

Doc. No.______:
Page No.______:
Book No.______:
Series of 2005.