Affidavit of Parental Care and Custody
Affidavit of Parental Care and Custody
Affidavit of Parental Care and Custody
That the total value of the aforementioned property child including the present value of Life Insurance Policy
No. ________________________________________ which he/she has an interest or to which h/she has a claim,
does not exceed Php 500,000.00.
That as the parent of the said minors, I am the legal administrator of his/her property; that I have not been
disqualified by any competent authority, nor I am suffering from any legal disqualification to administer the
property of the said children.
That I file this affidavit with the BDO Life Assurance Company, Inc with the request that I be allowed to
represent the aforementioned children in claiming benefit under Policy no. ________________ issued on the life
_________________________________.
That in consideration of the action the Company in granting my aforesaid request and in allowing me to
receive the aforesaid proceeds of any other benefit in behalf BDO Life Assurance, from any and all consequences
of said action and warrant to defend forever said action against any and all persons who may assert right under the
policy or file and adverse claim thereon and to REIMBURSE the Company of whatever payment it may mamke,
or damages and expenses it may occur, by reason of such action.
____________________
Parent/Affiant
IN TESTIMONY WHEROF, I hereby sign this affidavit this _______ day of ______, 20___
at_______________________________________________________________.
SUBSCRIBED AND SWORN to before me this _____ day of ______________, with affiant exhibiting her
Government-issued ID [Passport/Driver’s License/SSS/TIN No.] ______________ issued at
__________________________ on ________________ and his Government-issued ID [Passport/Driver’s
License/SSS/TIN No.] ______________ issued at __________________________ on ________________.
Doc. No.
Notary Public Page No.:
Book No.:
Series of 20__