REPUBLIC OF THE PHILIPPINES}

DONE: IN THE CITY OF BAGUIO } S.S.

x ------------------------------------------- x
AFFIDAVIT OF DISCREPANCY OF DATE OF MARRIAGE OF
PARENTS
I, LAUREN ANNE M. Dela PAZ, of legal age, Filipino citizen,
single, and a resident of #05 Upper Kitma, Baguio City, Philippines,
on oath, states:
1. I was born to the spouses THEODEN W, Dela PAZ and
TERESA D. Dela PAZ on October 29, 1973 in Baguio General
Hospital, Baguio City Philippines as evidenced by the
Certificate of Live Birth issued by the Civil Registrar of Baguio
City.
2. However, in the said Certificate of Live Birth, the date of
marriage of my parents was erroneously written as "May
8,1960 instead of the true and correct date May 28, 1960" as
evidenced by the Certificate of Marriage of my parents issued
by the Civil Registrar of Baguio City, hereto attached as Annex
"A".
3. The discrepancy in my Certificate of Live Birth was an error
done inadvertently.
4. I execute this Affidavit of Discrepancy to attest to the truth of the
foregoing facts.
IN WITNESS, I have hereunto set my hand this 15TH day of
March 2016, in the City of Baguio, Philippines.
_________________________
LAUREN ANNE M. Dela PAZ
Affiant
SUBSCRIBED AND SWORN to before me, in the City of
Baguio, Philippines, this 15TH day of March 2016, by Lauren Anne M.
Dela Paz who presented to me her Social Security System Card No.
179-444-885 as competent proof of her identity, and who is the same
person who personally signed before me the foregoing affidavit and
acknowledged that she executed the same.

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