Note:
This is only a sample Affidavit of Guardianship. It could be subject to modifications to suit the purpose/s of its execution and requirements of the parties. It is advisable that before an execution of any legal document, one must seek legal advice or assistance from a Lawyer.
2. The above mentioned minors are under my care and custody since my daughter, MAPUTI B. AKOH passed away last October 19, 2015;
Republic of the Philippines )
City of Makati ) Sc.
AFFIDAVIT OF GUARDIANSHIP
I, MAGANDA
B. AKOH, of legal age, married, Filipino citizen, and presently
residing at 143 ILoveYou Village, Barangay May Forever, Makati City, after having
been duly sworn to in accordance with law, do hereby depose and say, that:
1.
I am the grandmother and guardian of the following minors who have an
interest in the monetary claims and benefits as well as in insurance policy and
separation pay (if and applicable) of the late MAPUTI B. AKOH (my daughter), payable by SSS, Pag-IBIG,AND
Alive Inc.;
Full Name of Minor/s
|
Date of Birth
|
Age
|
MABAIT
AKOH
|
January 18, 2005
|
11
|
MATAPANG
AKOH
|
July 31, 2009
|
7
|
2. The above mentioned minors are under my care and custody since my daughter, MAPUTI B. AKOH passed away last October 19, 2015;
3.
I am competent to receive in behalf of the said minors any amount/s due to
them;
4.
I am not an imbecile, insane, a vagrant or a vicious person or
a habitual drunkard or a habitual criminal, and have not
abandoned, neglected or refused to support said minor/s or
caused him/them to commit offenses against the law; and
5.
I am executing this affidavit to attest to the truth of all the foregoing
statements and for whatever legal purpose it may serve.
IN
WITNESS WHEREOF,
I have hereunto set my hand this ____ day of _______ 2016 at ______________,
Philippines.
MAGANDA
B. AKOH
Affiant
JURAT
SUBSCRIBED
AND SWORN to before me this ____ day of ______________ 2016 in
_________, Philippines, affiant personally exhibited to me her Senior
Citizen ID No. 2016-1234567890, issued
on June 18, 2016 at Makati City.
NOTARY
PUBLIC
Doc No. :
_____
Page No.:
______
Book No.:
______
Series of
2016.
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