Republic of the
Philippines )
City of Cebu ) S.S.
AFFIDAVIT
OF NON-PATERNITY
I, CHOY T. PAKLONG,
Filipino, of legal age, married, and a resident of Bondai, Talisay City, Cebu, after
having been sworn to in accordance with law, hereby depose and state:
1.
I
am the legal husband of Chimay T. Pipay at the time of the birth of the
latter's child: ____________________________, who was born in _________________ on
____________________.
2.
I
acknowledge that I am not the biological father of the above-named child;
3.
Although
a presumed father, I acknowledge that I am not the biological father of the
above-named child. I understand that by signing this affidavit I may be giving
up certain rights if the presumed father is not the named the father of the
above-named child;
4.
I
do not want my name to appear on the child's birth certificate and other
official documents;
5.
I
have not provided the birth mother with child support or pre-birth support; I
have not provided her with prenatal care or assisted her with medical expenses;
I have not provided the birth mother or her child or unborn child with support
of any kind, nor do I intend to do so;
6.
I
do not object to this affidavit being filed with the court, any government
agency or foreign consulate even if I am not present. I understand and agree
that the agency or institution concerned, based on this affidavit, may enter a
judgment or resolution declaring that another man is the child's father.
7.
The
information above is true of my own personal knowledge and belief.
IN WITNESS WHEREOF, I have hereunto affixed my signature
this _______________________, in Cebu City.
CHOY T. PAKLONG
Affiant
SUBSCRIBED AND SWORN to before me this ____________________
in Cebu City, with affiant exhibiting to me his ID No. _____________________.
Doc. No. ____;
Page No. ____;
Book No. ____;
Series of 2015.
