REPUBLIC OF THE PHILIPPINES)
) S.S.
We, (NAME OF MAN) and (NAME OF WOMAN), both of legal age, Filipino, single but living together, and residents of (Place of Residence), after having been duly sworn to in accordance with law, depose and state THAT:
1. We have been living together as husband and wife under the same roof, continuously and without any interruption, since (Date), or a period of more than a year;
2. During our cohabitation and even until the present, we remain both of single status and, hence, there exists no legal impediment for us to marry each other;
3. We have (number of children) children;
4. We are executing this affidavit to attest to the foregoing facts and for the purposes of proving the nature of our relationship, and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this (Date) in (Place), Philippines.
(NAME OF MAN)
Affiant
(NAME OF WOMAN)
Affiant
SUBSCRIBED AND SWORN TO before me this (Date) at (Place), Philippines, affiants showing to me their respective IDs stated above.
Notary Public
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 20__.