Affidavit of Confirmation

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Republic of the Philippines )

City of Santa Rosa, Laguna ) S.S.

AFFIDAVIT OF CONFIRMATION

I, LLOMARC D. VILLANUEVA, Filipino, of legal age and a resident of B6 L1 Phase 2.


Garden Villas 1, Brgy Labas, City of Sta.Rosa, Laguna, a bonafide member of the Philippine
National Police with Rank of PSMS and presently assigned at Force Communication and
Electronic Office, after having been duly sworn in accordance with law, hereby depose and
say:

1. Pursuant to this affidavit, we confirming that the named below are my legal
beneficiaries and/or heirs, to wit;

NAME RELATIONSHIP BIRTHDATE

MA. LEN B. VILLANUEVA WIFE September 02, 1976


MA. GUADA SHAINE B. VILLANUEVA DAUGHTER December 12, 2001
DARLENE B. VILLANUEVA DAUGHTER May 28, 2007
GABRIEL B. VILLANUEVA SON May 28, 2007

2. That my relationship with the persons whose names are listed above are borne
out by the fact that we are the lawful parents and the legitimate/illegitimate
father/mother of the afore-named children as evidence by the attached marriage
contract and birth certificates;

3. That I hold myself criminally and administratively liable for perjury and dishonesty
should any statements made herein are inaccurate or later on found to be false
and in of law;

4. Affiant sayeth naught;

IN WITNESS WHEREOF, I have hereunto affixed my signature this 3 rd day of June,


2020, in the City of Sta. Rosa, Laguna.

LLOMARC D. VILLANUEVA
Affiant

SUBSCRIBED AND SWORN TO before me this this 3rd day of July,


2020 in the City of Santa Rosa, Laguna, Philippines, affiant exhibiting to me
his competent evidence of identity by way of ___ ID No. ____________.

ATTY. BLESSIE ROSE CARPENA


Doc. No. 404 Notary Public
Page No. 82 Until December 31, 2020
Book No. XVII Roll No. 64719
Series of 2020 IBP No. 098536 (01/15/19)
PTR No. 3930174 (01/02/2020)
MCLE Compliance V-0021577
City of Santa Rosa, Laguna
ATTY. BLESSIE ROSE L. CARPENA
Notary Public
Until December 31, 2018
IBP No. 1056129; 1/04/17 Laguna
PTR No. 3026419; 01/10/17 Sta. Rosa, Laguna
Roll No. 64719
MCLE Comp V-0021577
Doc No. ____;                                                            
Page No. ___;                                          
Book No. ___;                                             
Series of 2018.  

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