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Affidavit of Confirmation Sample. Joart

Hans Gross McThunder confirms his legal beneficiaries in an affidavit. He lists his mother Rose McThunder, father David McThunder, and daughter Stella McThunder as his beneficiaries. He confirms his relationship to the beneficiaries through marriage and birth certificates. He acknowledges legal liability if any information provided is found to be inaccurate or false.

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Lingskie Miñoza
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787 views1 page

Affidavit of Confirmation Sample. Joart

Hans Gross McThunder confirms his legal beneficiaries in an affidavit. He lists his mother Rose McThunder, father David McThunder, and daughter Stella McThunder as his beneficiaries. He confirms his relationship to the beneficiaries through marriage and birth certificates. He acknowledges legal liability if any information provided is found to be inaccurate or false.

Uploaded by

Lingskie Miñoza
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines)

City of Iligan ) s.s.

AFFIDAVIT OF CONFIRMATION

I, HANS GROSS MCTHUNDER, Filipino, of legal age, married/single, a resident


of Purok Green Valley Brgy. Ubaldo D. Laya Iligan City, a bonafide member of the
Philippine National Police with the rank of Police Officer 1 (PO1) and presently assigned
at RPHAU, RPHRDD after having been duly sworn to in accordance with law, do hereby
depose and say that:

1. Pursuant to this affidavit, I am confirming that the following are my legal


beneficiaries and/or heirs, to wit:

NAME RELATIONSHIP BIRHTDATE


Rose Mcthunder Mother October 29, 1975
David Mcthunder Father July 30, 1964
Stella Mcthunder Daugther June 05, 2015

2. My relationship with person/s whose name/s is/are listed above are borne out
by the fact that I am the lawful spouse, legitimate/illegitimate father/mother,
legitimate/illegitimate son/daughter, or legitimate/illegitimate brother/sister of
the afore-named beneficiary/ies and/or heir/s, and as evidenced by the
attached marriage contract and/or birth certificate/s;

3. I hold myself criminally and administratively liable for perjury and dishonesty
should any statements made herein are inaccurate or later found to be false
and in of law.

AFFIANT SAYETH NAUGHT:

HANS G. MCTHUNDER
(Name and signature of affiant)
CTC No. 0456789
Issued on: January 04,2018
Issued at: Iligan City

SUBSCRIBED AND SWORN to before me this 23rd day of August, 2018 at


Iligan City, Philippines.

Doc No.______;
Page No._____;
Book No._____;
Series of 2018.

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