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JOINT AFFIDAVIT OF INTENT AND CONSENT

We,___________and__________,both Filipinos, of legal age, married


and presently residing at____________, Philippines, having been duly
sworn in accordance with law, hereby depose and state:
1.That we are the legitimate parents of ____________who was born
on____________in___________ Philippines.
2.That we have not, at any time abandoned said minor child.
3.That we are unable to support said child and that believing that it
would be for (his/her)own interest and benefit, we, hereby signify our
written intent, freely and voluntarily to have our(son/daughter)
____________be adopted.
4.That we also signify our written consent, freely, willingly and
voluntarily to have our son/daughter)____________be legally adopted
by
the
spouses_________and___________of___________,
Philippines in accordance with law.
5.That we are ready and willing, freely and voluntarily to abdicate our
parental
authority
over
said
child
in
favor
of
the
spouses____________and_____________,
who
are
____and
_____years of age, respectively, and who are both possessed of the
necessary civil and legal rights as well as the financial capacity to
raise, rear and support said child, after the adoption proceeding had
been instituted and an order of adoption be issued.
6.That we execute this affidavit to declare our intention and consent to
the adoption of our (son/daughter)_________as well as to the truth of
the foregoing facts.
IN WITNESS WHEREOF, we have hereunto
this____________at"_____________, Philippines.

Affiant Affiant

(JURAT)

set

our

hands

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