REPUBLIC OF THE PHILIPPINES )

CITY OF CAGAYAN DE ORO ) S.S.

JOINT AFFIDAVIT OF COHABITATION

WE, RALPH VINCENT CABOTAJE CLAVACIO and ATHENA VILLEGAS

MORILLO, both of legal age, Filipino, married to each other and residents of Barangay
5, Poblacion, Quezon, Bukidnon, after having been duly sworn to in accordance with
law, depose and state THAT:

1. We have been living together as husband and wife under the same roof,
continuously and without any interruption, since _________ or a period of more than
five (5) years;

2. During our cohabitation and even until the present, we remain both of single status
and, hence, there exists no legal impediment for us to marry each other;

4. We are executing this affidavit to attest to the foregoing facts and for the purposes
of contracting marriage before a parish priest without the need of securing the marriage
license pursuant to the provisions of Article 34 of the Family Code of the Philippines.

IN WITNESS WHEREOF, we have hereunto set our hands this

___________________ in _______________, Philippines.

__________________ ____________________
Affiant Affiant

SUBCRIBED AND SWORN TO before me this ___________________ in

_________________, Philippines, affiants exhibiting to me their valid proofs of
identification.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2013.