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Affidavit (Pvao)

1) Teresita Cadigal Rapas, a widow from Southern Leyte, submitted an affidavit stating that her husband Rodrigo Ballera Rapas, a veteran pensioner, passed away on February 6, 2017 in Tacloban City. 2) In the affidavit, she declares that she has not remarried, cohabited with anyone, or engaged in a common-law relationship since her husband's death. 3) She acknowledges that her survivor pension benefits from PVAO will terminate if she remarries, cohabits, or engages in a common-law relationship in the future.

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Tessie Cadigal Rapas
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56 views1 page

Affidavit (Pvao)

1) Teresita Cadigal Rapas, a widow from Southern Leyte, submitted an affidavit stating that her husband Rodrigo Ballera Rapas, a veteran pensioner, passed away on February 6, 2017 in Tacloban City. 2) In the affidavit, she declares that she has not remarried, cohabited with anyone, or engaged in a common-law relationship since her husband's death. 3) She acknowledges that her survivor pension benefits from PVAO will terminate if she remarries, cohabits, or engages in a common-law relationship in the future.

Uploaded by

Tessie Cadigal Rapas
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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AFFIDAVIT OF SURVIVING SPOUSE

I TERESITA CADIGAL RAPAS, Filipino, of legal age, widow / widower, with address at PRK FLORDELIZ,
CONSOLACION SOGOD SOUTHERN LEYTE, and the following contact number 0970-055-3641, after
having sworn in accordance with law, hereby depose and state:

I am a widow / widower of RODRIGO BALLERA RAPAS who was a PVAO pensioner / veteran who
died on FEBRUARY 6, 2017 at EVRMC TACLOBAN CITY ;

I hereby declare that, since the death of my spouse (veteran), I have not remarried, cohabited with
another person, or otherwise engaged in a common-law relationship. I acknowledge that my
entitlement to survivorship pension from the PVAO will automatically and permanently terminate the
moment that I re-marry, co-habit with any person/engage in a common-law relationship, whether of the
same or opposite sex, or, whether or not such a relationship is still subsisting. I hereby agree
unconditionally to reimburse/return to the PVAO, without the need of demand or judicial action, all
survivorship benefits I may still unduly receive after my entitlement thereto is terminated as stated
above.

Pursuant to and consistent with the declarations I made above, I hereby authorize the PVAO to
secure information regarding my civil status from the Philippine Statistics Authority (PSA) or other
relevant government offices or even private entities.

I am executing this affidavit to attest to the truth of the foregoing statements in support of my
continuous receipt for survivorship pension with the PVAO under Republic Act No. 6948 Sec. 11, and for
other legal purposes, it may serve. I fully understand that any inaccurate and untruthful statement in
this affidavit shall render me criminally and civilly liable.

. Affiant/Name of Pensioner & Signature

Date: 10/01/2021

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