AFFIDAVIT OF FREE STATUS

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.
I, (name of affiant), Filipino, of legal age, single/married to (name of spouse), and a
resident of (address of affiant), after having been duly sworn in accordance with law,
hereby depose and say:
1. That I am the sister of _ who was born on , in _;
2. That I used to stay with my parents and my above-named sister until I got married on _
when I transferred to the above address;
3. That as 's sister, I certainly know her to be single and that she has never been married
before either civilly or in a religious ceremony;
4. That I am executing this affidavit in order to attest to the veracity of the above
circumstances and for the purpose of compliance with the requirements of _ for said sister's
impending marriage in said church on _ to Mr. _.
Further Affiant sayeth none.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____day of
____________ 20___ at ____________, Philippines.

_________________________________
(Signature of Affiant over Printed Name)

SUBSCRIBED AND SWORN TO before me, a notary public in and for

_____________________ this ____ day of ____________ 20___. The affiant, whom I
identified through the following competent evidence of identity: (ID type and number),
valid from (date) to (date) issued by (issuing authority), personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents of
said instrument.

Notary Public

Doc. No. ........;

Page No. .......;

Book No. .......;

Series of 2010.

Other names: Certificate de Coutume, Certificate of No Impediment, Certificate of Nulla

Osta, Single Status Statutory Declaration, Certificate of Legal Capacity to Contract Marriage,
Single Status Certificate. Required by almost all countries before they will issue a marriage
license to a foreign couple - must be obtained from place of origin. E.g. two Filipinos wishing
to marry in Singapore must get something like this.