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A11 LegRes Aff Legit

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REPUBLIC OF THE PHILIPPINES )

PROVINCE OF LA UNION )
CITY OF SAN FERNANDO ) S.S

AFFIDAVIT OF LEGITIMATION

WE, DANIEL O. FLORES and ROSEMARIE D. FLORES, both of legal ages, husband
and wife, respectively, Filipino citizens, and residents of Brgy. I, San Fernando, La Union, after
having been sworn to an oath in accordance with law, do hereby depose and say:

1. That we are the parents of BIMBY D. FLORES, who was born on February 14, 2019
in Lorma Medical Center, San Fernando City, La Union;

2. That our son was born out of wedlock;

3. That when our son was conceived, we both possessed no legal impediment to marry
each other;

4. That we contracted our marriage on May 15, 2019 before Hon. Hermenegildo A.
Gualberto, Mayor of City of San Fernando, La Union;

5. That by virtue of our marriage, the aforesaid child is legitimated by operation of law.

6. That we are executing this Affidavit to attest to the foregoing facts, for purposes of
complying with the requirements in applying for the legitimation by subsequent
marriage of our son, BIMBY D. FLORES and for all legal intents and purposes.

IN WITNESS WHEREOF, we have hereunto affixed my signature this 29th day of


October 2019 in City of San Fernando, La Union, Philippines.

DANIEL O. FLORES ROSEMARIE D. FLORES


Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 30th of October 2019, in City of San
Fernando, La Union, Philippines.

RAY VINCENT E. CHAN


Notary Public
Until December 31, 2020
PTR No. 0165471
Issued on Jan. 3, 2019
TIN: 477-256-523

Doc No. 46
Page No. 11
Book No. III
Series of 2019

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