Joint Manifestation of Reconciliation

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REPUBLIC OF THE PHILIPPINES

REGIONAL TRIAL COURT


FIFTH JUDICIAL REGION
Branch _____
Legaspi City

AAA Civil Case No. ________


Petitioner, for: Legal Separation

-versus-

BBB
Respondent.
x------------------------------------------------x

JOINT MANIFESTATION OF RECONCILIATION

PETITIONER, AAA, and RESPONDENT, BBB, unto this Honorable


Court, MOST RESPECTFULLY STATES THAT:

1. Petitioner and Respondent have reconciled on December 24, 2021 after


Respondent voluntarily submitted himself for re-confinement at the
Malinao Treatment and Rehabilitation Center;

2. Petitioner and Respondent have mutually and voluntarily agreed to


terminate and abandon the instant case for legal separation.

WHEREFORE, premises considered, Petitioner and Respondent


respectfully pray that the instant case for legal separation, which remains
pending as of even date, be dismissed.

Other reliefs just and equitable under the premises are likewise prayed
for.

Legazpi City, Philippines, January 28, 2022.

AAA BBB
Petitioner Respondent
VERIFICATION

We, AAA and BBB, Filipino Citizens, of legal age, with residence at
Legazpi City, after having been duly sworn to in accordance with law, hereby
depose and state that:

1. We are the Petitioner and Respondent, respectively, in the above


instant case;
2. We caused the preparation and filing of the foregoing Joint
Manifestation of Reconciliation;
3. We have read and understood the contents thereof; We hereby affirm
that the facts stated therein are true and correct of our personal
knowledge and/or on the basis of authentic records.

Legazpi City, Philippines, January 28, 2022.

AAA BBB
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this 28th day of January,


2022, in Legazpi City, Philippines, by the following, who exhibited to me their
respective Passports as follows:

Name Passport No. Date / Place Issued


AAA 6473625 Jan. 25, 2019 /
Legazpi City, Albay
BBB 789456 Jan. 25, 2019 /
Legazpi City, Albay

Doc. No. _____; ATTY. NNN


Page No. _____; NOTARY PUBLIC for Legazpi City
Book No. _____; Commission Serial No. 654321
Series of 2021. Until December 31, 2021
PTR OR No. 654321, Jan. 5, 2021
IBP OR No. 654321, Jan. 5, 2021
Roll of Attorney No. 654321, Feb. 22, 2009
MCLE Compliance No. P-654321

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