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Affidavit of Disability

Disability

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Pedro Silo
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166 views

Affidavit of Disability

Disability

Uploaded by

Pedro Silo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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REPUBLIC OF THE PHILIPPINES )

MALOLOS CITY, BULACAN. . . . .) S.S.

AFFIDAVIT

I, WILFRANDO ARELLANO, of legal age, Filipino and resident of


Mindanao St., San Juan, Malolos City, Bulacan, after having been duly sworn
to in accordance with law, do hereby depose and say:

1. That on December 26, 2013, I was issued by Villarica Pawnshop


Pawn Ticket No. 092088 for my loan of P3,500.00 and will mature on January
26, 2014;

2. That however, I am now physically disable due to the stroke illness I


had suffered recently and I cannot affix my signature on any papers as its
consequence;

3. That my signature can only be identified thru my thumb mark;

4. That from now on, I have to use my thumb mark as my identifiable


signature in any and all documents;

5. That I am executing this affidavit to attest to the veracity of the


facts contained herein and for whatever legal intents and purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 16 th day of


January 2014 at Malolos City, Bulacan.

WILFRANDO ARELLANO
Affiant

SUBSCRIBED AND SWORN to before me this 16 th day of January, 2014


at Malolos City, Bulacan, affiant exhibiting to me his valid ID No.
____________, a competent proof of identity, and known to me and to me
known personally to be the same person who executed the foregoing
Affidavit.

Doc. No. ___; BERNAR D. FAJARDO


Page No.___; Notary Public
Book No.105; Until December 31, 2014
Series of 2014. PTR No. 0196207 Roll No. 33633
MCLE IV-0002533 8-16-11

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