We, RIZAL A. TACLIAD, of legal age, Filipino citizen, and a
resident of Barangay Tuec, Camiling, Tarlac, and SOFINA A. CALI, of legal age, Filipino citizen, and a resident of Barangay Manaquem, Camiling, Tarlac, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
1. We both personally know DELIA BARRACA NOBLE
(Delia, for brevity), who was born on April 1, 1953 to Spouses Pablo Noble and Anecita Barraca in Pandan, Antique;
2. Delia is also known as MRS. DELIA NOBLE
MARIANO after she got married to Loreto Mariano (Loreto);
3. Delia is a member of the Social Security System of
the Philippines (SSS) until her death on June 2, 2017;
4. When Loreto went to the SSS Camiling Branch to file
for the Death and Funeral Benefit Claim of her late wife, he was required to submit copies of Delias Birth, Marriage and Death records;
5. Upon obtaining the required documents, it was
discovered that the recoded First Name of Delia as recorded in her Certificate of Live Birth is DELLA, instead of DELIA as appearing in her Marriage Contract and Certificate of Death including her SSS record. Hence, the discrepancy;
6. We are not related to Delia by affinity or
consanguinity, except that of being her friends;
7. We are executing this Affidavit to attest to the fact
that the names DELLA NOBLE, as recorded in the said Certificate of Live Birth, DELIA NOBLE, as recorded in the said Marriage Contract, and DELIA NOBLE MARIANO, as recorded in the said Certificate of Death, refer to one and the same person, and that is our friend, Delia; 8. Finally, we are executing this Affidavit to attest to the truth of the foregoing statements and for all legal intents and purposes it may serve.
IN WITNESS WHEREOF, we have hereunto affixed our
signatures this 7th day of June, 2017 at Camiling, Tarlac, Philippines.
RIZAL A. TACLIAD SOFINA A. CALI
Affiant Affiant Senior Citizen ID Card Senior Citizen ID Card Control No.: 7559 Control No.: 7573 OSCA, Camiling, Tarlac OSCA, Camiling, Tarlac
SUBSCRIBED AND SWORN to before me on the date and
place indicated above. Affiants exhibited before me their respective competent evidence of identity indicated below their names.
Doc. No.:_______; Page No.:_______; Book No.:_______; Series of 2017.