REPUBLIC OF THE PHILIPPINES)
CITY/MUN. OF ____________ ) S.S.
x------------------------------------x
AFFIDAVIT OF COHABITATION
I, ________________________________of legal age, _______________________, Filipino and resident
of ________________________________________________, after having been duly sworn to in
accordance with law, depose and state:
1. That I am an still singe/widow, not having been married before to anybody here in the
Philippines or elsewhere and I remain single and unmarried up to presents;
2. That I had been living and cohabiting with __________________________________as husband
And wife and under one roof without the benefit of married up to the presents;
3. That I am executing this affidavit to attest to the truth and veracity of the foregoing statement
And to inform proper authorities of the fact that I had been living and cohabiting with
_______________________ as husband and wife without the benefit of
Marriage for more than _____________years and for whatever legal proposes it may serve.
FUTHER AFFIANT SAYETH NAUGHT.
Signed and executed this _____day of__________________ In Quezon city
AFFIANT
SUBSCRIBED AND SWORN TO BEFORE ME, a notary Public for in above stated locality this
_________day of _________personality appeared with CTC No._________________ issued on
_____________________ at Quezon City .
NOTARY PUBLIC
DOC. No__________;
Page No.__________;
Book No.__________;
Series of 201_