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Republic of the Philippines )

City of Cagayan de Oro . . . ) Sc.

VERIFICATION AND CERTIFICATION

I, GINA LAO-TSOI, of legal age, Filipino, married and a

resident of Block 7, Lot 18, Sta. Barbara Subdivision,

Kauswagan, Cagayan de Oro City, after having duly sworn to

an oath in accordance with law, do hereby depose and state

that:

1.I am the Petitioner in this Petition for Declaration ofNullity of Marriage.

2.I have caused the preparation of this Petition and I

have read and understood the contents and affirm

that they are true and correct to the best of my own

personal knowledge.

3.I further certify that there is no other case commencedor pending before any court involving the same parties

and the same issue and that, should I learn of such a

case, I shall notify the court within five (5) dyas from

my notice.

IN WITNESS WHEREOF, I have hereunto set my hands

this 10thday of February, 2016 at Cagayan de Oro City.

GINA LAO-TSOI

Affiant

SUBSCRIBED AND SWORN TObefore me in the City of

Cagayan de Oro on this 10thday of February, 2016, affiant

exhibiting before me his Government Issued ID No. 12345

issued on December 2, 2014 at Cagayan de Oro City.

SHAYNE AMOR S. BANCE

Notary Public

Until December 31, 2016

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PTR No. 70156

Issued at Cagayan de Oro

Issued on December 28, 2015

Doc. No. _____Page No. _____

Book No. ____

Series of 2016.