Republic of the
Philippines )
City of (Place) )
S.S
x - - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF CHANGE OF ADDRESS
I, (Name
of Affiant), of legal age, Filipino, single/married, and a resident of (Place of Residence), after being sworn
to in accordance with law, hereby depose and state that my old residential
address, to wit:
Old
Address
(PLACE
OF OLD ADDRESS)
Was on the (Date
of Change of Address) changed to:
New
Address
(PLACE
OF NEW ADDRESS – UNDERLINE)
I am executing this Affidavit to attest to
the truth of the foregoing and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto set my
hand this (Date) in (Place), Philippines.
(NAME
OF AFFIANT)
SUBSCRIBED AND SWORN TO BEFORE ME this (Date) in the (Place), Philippines by (Name of Affiant) who presented his Phil. Passport with No. (ID Number) which was issued/expires on
(Date) at (Place).
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of _____.