Republic of the Philippines)

City of ______________) S.S.

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

JOINT AFFIDAVIT OF COHABITATION

WE, ______________, of legal age, single and a resident of ____________ and

_____________, likewise of legal age, single and a resident of ____________________
after having duly sworn to in accordance with law hereby depose and state:

1) That, we are living together as husband and wife without the benefit of marriage
at our residence at ____________;

2) That the said cohabitation started since __________ or more than nine years now;

3) That, there is no legal impediment between the two of us to marry each other
since the day we cohabited up to this date;

4) That we are executing this affidavit to attest to the truth hereof and to prove that
we are living together as husband and wife since _______;

IN WITNESS WHEREOF, We hereunto affixed our signatures this ________ at

_______________.

______________________ _______________________
Affiant Affiant

SUBSCRIBED AND SWORN TO before me this ______ at ____________.

Doc. No. ________

Page No. ________
Book No. _______
Series of 2010