REPUBLIC OF THE PHILIPPINES) BACOLOD, LANAO DEL NORTE) S.S.
AFFIDAVIT OF GUARDIANSHIP I, MERLYN SUMILE DELA CRUZ , of legal age, Filipino citizen, married to MICHAEL D. DELA CRUZ and residing at Pagayawan, Bacolod, Lanao del Norte after having been sworn in accordance with law hereby depose and state: 1. That I am the a distant relative and the guardian of Adriana Lomosad, an infant born on April 9, 2018 at Demologan, Bacolod, Lanao del Norte; 2. That the said minor is under my care and custody; 3. That from the time the child was born, I provide the basic needs of the child, including her food, clothing and shelter, In addition, I and together with my family provides emotional and other needs of the child; 4. That the father of the said minor is unknown and the mother, Renalyn S. Dela Cruz is financially incapable of providing support to the said minor; 5. That I am executing this affidavit to attest to the truth of the foregoing and other legal purposes this affidavit may serve. Affiant Further Sayeth Naught 30th
IN WITNESS WHEREOF, I have hereunto set my hand this day of August 2018 at Bacolod, Lanao del Norte.
MERLYN SUMILE DELA CRUZ
Affiant __________________________ Bacolod, Lanao del Norte SUBSCRIBED AND SWORN TO before me, this 30th day of August 2018 at Bacolod, Lanao del Norte.
ATTY. ALFONS JANSSEN P. MARCERA
Doc. No. : ________; Page No. : ________; Book No. : IV; Series of 2018.
Notary Public Serial No. 17-152 Iligan City- Lanao del Norte Until December 31, 2018 IBP Lifetime No. 01840 Roll No. 70427- July 31, 2017 PTR No. 3520052-12/31/18 MCLE 2016 waiting for MCLE Certificate