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versus
JUAN DELA CRUZ FOR: NULLITY OF MARRIAGE
Respondent.
x--------------------------x
JUDICIAL AFFIDAVIT OF
PETITIONER
I, JUANA DELA CRUZ , of legal age, married, and living at ________________, Cebu City,
petitioner in this case, after having been duly sworn, hereby attests that:
PRELIMINARY STATEMENT
The person examining me is Atty. May Pagasa with office address at _____________
Cebu City. The examination is being held at the same address. I am answering her
questions fully conscious that I do so under oath and may face criminal liability for
false testimony and perjury.
1. Q. Please state your name and other personal circumstances for the record.
A. JUANA DELA CRUZ
2. Q. Are you the same JUANA DELA CRUZ, the petitioner in this case?
A. Yes sir.
IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of 2015 at Cebu
City.
___________________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME, a notary public in and for the city of Cebu this
____th day of ____________ 2015. Affiant personally came and presented to me
her ___________________ ID issued by the ________________ on 2012 at Cebu City, as
valid and competent proof of her identity, known to me as the same person who personally
signed the foregoing judicial affidavit before me and avowed under penalty of law to the
veracity of the contents of said instrument.
___________________________________________
Notary Public