REPUBLIC OF THE PHILIPPINES)

CITY OF LEGAZPI )s.s.

x---------------------------------------------x

AFFIDAVIT OF JUSTIFICATION/EXPLANATION
I, BARBIE CRUZ, 71 years old, American Citizen, formerly married to Ken Cruz
, with residence address at Daraga, Albay, after having been duly sworn to in accordance
with law, do hereby depose and say that:
1. I am a natural born Filipino citizen by birth;
2. I lost my Filipino citizenship when I was naturalized as a citizen of the United States
of America on March 28, 1979.
3. I intend to stay in the Philippines for good. I would also like to retain and reacquire
my Philippine citizenship under Republic Act No. 9225.
4. As requirement for my petition with the Bureau of Immigration, I have executed my
Oath of Allegiance on August 14, 2017, under Doc No. 407, Page No. 83, Book No.
12, Series of 2017 before notary public Harvey Specter.
5. My Oath of Allegiance was not taken before the Bureau of Immigration Legal
Officer in Metro Manila because I already have a difficulty in walking and currently
supported by a wheelchair. Hence, travelling by air or by land from Legazpi to
Manila would be very difficult on my part and hazardous to my health.

6. That I am executing this affidavit to attest to the truth of the foregoing and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 14th day of August
2017 at Legazpi City, Philippines.

BARBIE CRUZ
Affiant
Passport No. 987654321
Issued by Department of State
United States of America

SUBSCRIBED AND SWORN to before me this 14th day of August 2017 at

Legazpi City, Philippines, affiant personally appeared and exhibited to me her
Identification Card bearing her photograph and genuine signature as competent proof of
her identity pursuant to the 2004 Rules on Notarial Practice.
Doc. No. 409;
Page No. 83;
Book No. 12;
Series of 2017.