Republic of the Philippines)

Province of Negros Oriental)s.s.

Municipality of Sibulan)

JOINT AFFIDAVIT OF COHABITATION

That we ROSE ANN T. CORNELIA and PAUL WINSTON B. REMOLANO,

both of legal age, single, Filipinos, and residents of barangay Calo, San Jose, Negros
Oriental, after having been duly sworn to in accordance with law, do hereby depose and
manifest:

That sometime in June 2008, we meet each other in a birthday party of Kurt
Remolano in Calo, San Jose, Negros Oriental and then we became friends;

That after several meetings and acquiantances we became intimate friends, and
moved by our mutual love, and understanding we agreed and decided to live together as
husband and wife in barangay Calo, San Jose, Negros Oriental in November 2011 until
the present;

That in order to put more meaning and make our status legal we have decided to
marry each other; since we are living together as husband and wife for more than five (5)
years or for a period of more than Seven (7) years;

That during our cohabitation we were blessed with one child named, Annton
Xenia Remolano, who was born in July 21, 2015.

That this affidavit is executed freely and voluntarily just to attest the truthfulness
and veracity of my statements herein and not to defraud any government office or
institution;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 31 ST day of

December 2018 at Sibulan, Negros Oriental.

ROSE ANN T. CORNELIA PAUL WINSTON B. REMOLANO

(Affiant) (Affiant)
Police Philippine National Police ID
With ID card Number 18D060323

SUBSCRIBED AND SWORN to before me this 31st day of December, 2018, in

Sibulan, Negros Oriental, Philippines, affiants personally known to me and personally
appeared the above-named persons and exhibited to me their respective proofs of their
identity written below their respective name and signature, that they are the same persons
who appeared and signed the foregoing JOINT AFFIDAVIT OF COHABITATION in my
presence within my jurisdiction, and who avowed to the truth of its content under penalty
of law.

WITNESS MY HAND AND SEAL.

Doc No. _________;
ATTY. ROWTIR JOHN L. BANQUERIGO
Page No. ________; Notary Public until December 31, 2019 for the City of Dumaguete and the
Book No. ________; Municipalities of Sibulan, Bacong, Valencia, Dauin, Zamboangita and Siaton,
Series of 2018 all of the Province of Negros Oriental
Serial No. 2018-062
IBP No. 043305; 05-29-2018
PTR No. 2463854; 06-06-2018; Sibulan, Negros Oriental
Roll of Attorney’s No. 70587
234 Nillas Street, Poblacion Sibulan, Negros Oriental