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REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________________________ )
CITY OR MUNICIPALITY OF ________________________ )S.S.
AFFIDAVIT OF CHILD SUPPORT
I, ________, Filipino, single, of legal age, with address at ________ after being duly sworn according to law, hereby depose and state:
1. I am the father of the following child:
________, Male, born on ________ in ________;
2. I hereby promise and undertake to support by providing the needs of the child's psychological, emotional, moral and social well-being, as well as love, support, and giving the child the time and comfort I can provide.
3. To be specific, the support that I will provide to the child involves the payment of a sum of money to answer for the following expenses:
1. Sustenance,
2. Shelter,
3. Clothing,
4. Medical Attendance, and
5. Education and transportation;
5. In order to provide the support needed by the child as specified in the preceding articles, I promise and undertake to send money to the child's mother, ________, in the amount of ₱________ (________ pesos) monthly. The obligation to make payments will begin on ________ and will be paid on the 1st (first) of each month.
6. The payment of the above-stated amount shall be deposited in the following account:
Account number: ________
Account name: ________
Bank/E-wallet: ________
8. I am executing this Affidavit of Child Support freely and voluntarily, without any force, intimidation, or undue influence from any person, and with full understanding of the obligations herein undertaken.
9. I am executing this Affidavit to attest to the truth of the foregoing statements and to formalize my commitment and undertaking to provide support for the above-named child, and for whatever legal purpose this may serve.
AFFIANT FURTHER SAYETH NAUGHT.
________
Affiant
SUBSCRIBED AND SWORN TO BEFORE ME this _________ day of ______________________, 20______ at CITY OR MUNICIPALITY OF ________________________, ________________________
Affiant, ________ personally appeared before me and exhibited to me Driver's License no. ________ which is valid until ________.
Doc. No.: _________;
Page No.: _________;
Book No.: _________;
Series of _________.
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