REPUBLIC OF THE PHILIPPINES) PROVINCE OF BENGUET ) S.S. LA TRINIDAD AFFIDAVIT OF SEPARATION and PARAPHERNAL PROPERTY I, BEN B. DAMPAG, of legal age, Filipino, and presently residing at Loo, Buguias, Benguet, after having been duly sworn to in accordance with law, do hereby depose and say that: 1. I have been married to ELFREDA B. CADINGAL (hereinafter referred to as the (“wife”) on APRIL 11,1996 at ABATAN, BUGUIAS, BENGUET; 2. Irreconcilable differences have caused the irretrievable breakdown of our marriage since 2009. All efforts at reconciliation of the differences between us have heretofore failed and future attempts at reconciliation would be impractical and not for our best interest; 3. Though there is no judicial process of annulment or legal separation, we have lived separately and apart for a continuous period of more than thirteen (13) years prior to the date of this affidavit and we have remained living separately and independently for all times thereafter; 4. I have applied for a loan at the Cooperative Bank of Benguet-La Trinidad (hereinafter referred to as the “bank”) for the purpose of purchasing one (1) unit Isuzu Aluminum Wingvan and this document, and my wife’s consent and signature are requirements from the bank; 5. The loan proceeds used to purchase the abovementioned property do not form part of our absolute community of property or conjugal partnership but my personal/paraphernal/separate fund and obligation and hereby absolve my wife, defend, and render her free and harmless from any possible suit, liability and or obligation which may arise from my failure in fulfilling my obligation with the Bank; 6. Under penalties of perjury, I voluntarily certify the above representations to be true as of the date shown below and for all legal intents this may serve best. IN WITNESS WHEREOF, I have hereunto set my hand this 17th day of February,2022 in La Trinidad, Benguet, Philippines. BEN B. DAMPAG Affiant SUBSCRIBED AND SWORN BEFORE ME, this ___________________ at La Trinidad, Benguet, the affiants personally appearing and exhibiting competent evidence of their identity. Doc. No. _________: Page No. ________ : Book No. ________ : Series of 2022