AFFIDAVIT OF HEIRSHIP
WITH SPECIAL POWER OF ATTORNEY
WE, JOSEPH R. LOYLOY AND MARLAN R. LOYLOY, all of legal ages,
Filipinos, with residence and postal address at Banilad, Dumaguete City, Negros
Oriental, Philippines, after being duly sworn to in accordance with law, depose and
state:
That we are all legitimate children and compulsory heirs of PURIFICACION
REBUYAS LOYLOY, who died intestate in Banilad, Dumaguete City on October 15,
2021;
That our deceased mother was a member of the Office of the Senior Citizen’s
Affair (OSCA) Dumaguete Chapter and was eligible for the Unconditional Cash Transfer
(UCT) from the said organization;
That pursuant to Section 1 of Rule 74 of the Revised Rules of Court, WE,
JOSEPH R. LOYLOY AND MARLAN R. LOYLOY, hereby adjudicate unto ourselves
the said UCT from OSCA;
That due to immobility, WE, JOSEPH R. LOYLOY AND MARLAN R. LOYLOY,
do hereby name, constitute and appoint, JOMAR M. LOYLOY to be our true, lawful and
sufficient Attorney-In-Fact, for us and in our name, place and stead, to do and perform
the following things, to wit:
1. To process, sign, claim the Unconditional Cash Transfer (UCT) of our late mother,
PURIFICACION REBUYAS LOYLOY from OSCA-Dumaguete;
2. To claim and change the initial PIN of DSWD Cash Card;
3. To do such any other act or thing that maybe required necessary or incidents to carry
out effectively any and the purpose for which this authority is hereby given.
HEREBYGIVING AND GRANTING unto said Attorney-In-Fact FULL powers and
authority to do and perform all and every act requisite or necessary to carry into effect
the foregoing authority, as fully intents and purposes as we might or could lawfully do, if
personally present with full power of substitution and revocation, and hereby ratifying
and confirming all that our said Attorney-In-Fact or our substitute shall lawfully do or
cause to be done by virtue hereof.
IN WITNESS WHEREOF, We have hereunto affixed our signatures this _____
day of __________, 2024 in Dumaguete City, Philippines.
JOSEPH R. LOYLOY MARLAN R. LOYLOY
HEIR/ PRINCIPAL HEIR/PRINCIPAL
ID NO. _______________ VIN: 46100067B12973MBI10000
JOMAR M. LOYLOY
ATTORNEY-IN-FACT
ID NO. 3843-5237-1604-6981
SIGNED IN THE PRESENCE OF: __________________ __________________
ACKNOWLEDGMENT
Republic of the Philippines)
City of Dumaguete )
BEFORE ME, this ____ day of ____________, 2024, at Dumaguete City,
Philippines, personally appeared the parties with valid proof of identities below their
names, known to me know to be the same persons who executed to me the foregoing
instrument and acknowledge to me that the same is their free will and voluntary deed.
Doc. No.______
Page No. _____
Book No. _____
Series of 2024