Affidavits of Legal Documents

REPUBLIC OF THE PHILIPPINES)
CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT FOR CHANGE OF BODY
OF MOTOR VEHICLE
I, Juan Dela Cruz, of legal age, Filipino, (single/married/widow) and a resident of
#20 Rimando Road, Baguio City 2600, after having been duly sworn to in
accordance with law, depose and state THAT:
1. I am the registered owner of a motor vehicle which is particularly described as
follows:
Make & Type : FORD WAGON
Motor Number : 123456789
Chassis Number : ABC6789
Plate Number : JEF123
MV File No. : 100000VEL000
Year Model : 1992
Color : WHITE
2. The original body type of the said motor vehicle was "WAGON";
3. To have more use of the said vehicle in my business, I have decided to change the
body type of the said vehicle from "WAGON" to "MULTIVAN";
4. The change of body type is not intended for any illegal or unlawful purpose but
solely due to the foregoing reasons;
5. I am executing this Affidavit to attest to the truth of the foregoing and in support of
the application for the change of body type of the above-described motor vehicle on
its Certificate of Registration.
IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of
August 2015 in Baguio City, Philippines.
Juan Dela Cruz

Affiant
SUBCRIBED AND SWORN TO before me, a Notary Public in and for the City of
Baguio this 24th day of August 2015 at Baguio City, Philippines, affiant appearing
before me, who identified himself with his SSS ID# 12345678, and who signed the
foregoing document in my presence and swore that he understood the contents
thereof and that the same was his free and voluntary act and deed.
Doc. No. 01
Page No. 01
Book No. 01
Series of 2015
JEFFERSON C. MALACAS
Notary Public
until December 31, 2015
IBP No. 1234567; 07-07-15; Manila
PTR No. 890123; 04-01-15; Baguio City
Roll No. 12345
MCLE Governing Board Order No. 1 Series of 2015, dated July 1, 2014

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF CHANGE COLOR
I, Nathaniel Lacsamana, of legal age, Filipino, (single/married/widow) and a
resident of #21 Rimando Road, Baguio City 2600, after having been duly sworn to
in accordance with law, depose and state THAT:
1. I am the registered owner of a motor vehicle which is particularly described as
follows:
Make & Type : TOYOTA INNOVA
Motor Number : 567891234
Chassis Number : ABC000006789
Plate Number : JACJEF123
MV File No. : 100000VEL000
Year Model : 2004
Color : BRONZE MICA METTALIC
2. The original color of the said motor vehicle was "BRONZE MICA METTALIC";
3. When the paint of the above-described motor vehicle had faded, I had its color
repainted to "DARK RED MICA METTALIC" such that the color of the said motor
vehicle was changed from " BRONZE MICA METTALIC " to " DARK RED MICA
METTALIC";
4. Said change of color is not intended for any illegal or unlawful purpose but solely
due to the foregoing reasons;
5. I am executing this Affidavit to attest to the truth of the foregoing and in support of
the application for the change of color of the above-described motor vehicle on its
Certificate of Registration.
Nathaniel Lacsamana
Affiant
Doc. No. 02
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF DENIAL
I, Maria Dela Cruz Makiling, of legal age, Filipino, (single/married/widow) and a
1. That I was born on June 8, 1982 in Laoag City;
2. That I established my permanent residence in #25 Rimando Road, Baguio City
2600;
3. That on August 20, 2015, I applied for a Record Clearance from the National
Bureau of Investigation;
4. That I received an information from the National Bureau of Investigation on
August 20, 2015 that my namesake, a certain Maria Makiling, has a pending
criminal case for Attempted Homicide docketed as Criminal Case No. 1234 pending
before Branch 67 of the Metropolitan Trial Court of Quezon City;
5. That I hereby unequivocally deny involvement in the aforementioned case;
6. That I also declare under oath that I am not in any way involved in any case
proceeding as either plaintiff/complainant or defendant/accused in the Philippines
and abroad, specifically with regard to the aforementioned case;
7. That I have been employed in Hong Kong for five (5) years to this date;
8. That I am executing this Affidavit to attest to the foregoing facts and to deny
absolutely and entirely any involvement in the case/s aforementioned and for all
legal intents and purposes.
Maria Dela Cruz Makiling

Affiant
SUBCRIBED AND SWORN TO before me, a Notary Public in and for the City
of Baguio this 24th day of August 2015 at Baguio City, Philippines, affiant appearing
before me, who identified himself with his CTC# 12345, and who signed the
Doc. No. 03
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345
Republic of the Philippines

Department of Justice
National Prosecution Service
OFFICE OF THE CITY PROSECUTOR
Baguio City
AFFIDAVIT OF DESISTANCE
WE, FERDINAND M. CASTRO and ROWENA A. CASTRO, Filipinos, of legal
ages, husband and wife, respectively, and residents of #30 Rimando Road, Baguio
City 2600 after having been duly sworn to in accordance with law, depose and
state:
1. We are the private complainant in a criminal case for Reckless Imprudence Resulting
to Damage to Property against Joel O. Castillo docketed as IS No. XV-05-INV-10G01000 before the Office of the City Prosecutor, Baguio City
2. In this regard, the accused has already paid the damage to our vehicle;
3. In view of the payment by the accused and considering that Rowena A. Castro was
not injured, we would like to manifest that we now completely and absolutely
exonerate the accused from any liability in connection with the above-mentioned
criminal case and that we are no longer interested, and we hereby desist, in
prosecuting the said criminal case;
4. As such, we respectfully pray that the aforementioned case against Joel O. Castillo
be withdrawn and/or dismissed.

FERDINAND M. CASTRO
Affiant
Philippine Passport No. EC56789
Issued at: DFA Baguio City
Issued on: January 15, 2013
ROWENA A. CASTRO
Affiant
Issued on January 15, 2013
SUBCRIBED AND SWORN TO before me this 24th day of August 2015 in Baguio
City, Philippines, affiants exhibiting to me their valid proofs of identification.
Doc. No. 04
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF DISCREPANCY
I, Paul M. Lacsamana, of legal age, Filipino, (single/married/widow) and a

1. I was born on
Anton Lacsamana;
15th
day
of
the
October
1975
to
spouses
Angela and
2. I have been using the name PAUL M. LACSAMANA in all my documents and
transactions;
3. However, when I obtained a copy of my birth certificate, I discovered that my
surname appearing thereon was erroneously written as "LACSAMANE";
4. The names PAUL M. LACSAMANA and PAUL M. LACSAMANE refers to one and
the same person;
5. I execute this Affidavit of Discrepancy of Surname to attest to the truth of the
foregoing facts and to explain the discrepancy in my birth certificate with regards
my surname.
Paul Lacsamana
Affiant
Doc. No. 05
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF HEIRSHIP
WE, Angelo Buenavista, and Lia Buenavista, all of legal age, Filipinos and
residents of #101 Rimando Road, Baguio City 2600, after being duly sworn to in
1. We are the surviving children of Eduardo Buenavista who who died on April 10, 2015
in Puntaverde, Zambales and his deceased spouse Claudia Buenavista;
2. That
our
parents
were
survived
Full Names of Children/Heirs

1. Angelo Buenavista
2. Lia Buenavista
by
the
following
children/heirs:
Dates of Birth
September 13, 1988
September 26, 1990
3. As evidence of our legal relation to the deceased, photocopies of our birth

certificates are herein attached; and
4. We are executing this affidavit in good faith to attest to truth that there is no other
heir or heirs except for the above-named heirs of the said deceased spouses and for
whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set our hands this 24th day of
Angelo Buenavista
Affiant
SSS ID No. 011123456
Lia Buenavista
Affiant
SSS ID No. 011245687
SUBCRIBED AND SWORN TO before me this24th day of August 2015 in Baguio

City,, Philippines, affiants exhibiting to me their SSS Identification Cards as
Competent Evidence of Identity (CEI).
Doc. No. 06
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF ILLEGITIMACY
I, Maria Dela Cruz, of legal age, Filipino, (single/married/widow) and a resident

of #20 Rimando Road, Baguio City 2600, after having been duly sworn to in
accordance with law, depose and state:
1. That I am a the mother of Juan Dela Cruz who was born in Baguio City on June 8,
1982 as evidenced by the attached Birth Certificate issued by the local civil registrar
of Baguio City;
2. That my son Juan Dela Cruz was born out of wedlock;
3. That I am not legally married to his father who I no longer have any contact with;
4. That I am executing this affidavit to attest to the above facts and to confirm the
illegitimate status of my child;
5. That I am further executing this affidavit to comply with the regulations of the
Philippine authorities in connection with his travel to Japan and for all legal
purposes and intents beneficial to my child.
IN WITNESS WHEREOF, I have hereunto set my hand this 24th day
of August 2015 in Baguio City, Philippines.
MARIA B. DELA CRUZ

Affiant
Voter's ID No. 5555
Doc. No. 07
Page No. 01
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345
JOINT AFFIDAVIT OF LEGITIMATION

WE, James C. Powers and Amor B. Powers, both of legal age,
Filipinos, husband and wife, respectively, and presently residing at #105 Rimando
Road, Baguio City 2600after having been duly sworn to in accordance with law,
depose and state:
1. That we are the biological parents of Yna B. Powers who was born on January 1,
1995 in Baguio City as evidenced by the attached copy of the Childs Birth
Certificate, made an integral part hereof as Annex A;
2. That at the time of her birth, we, the biological parents were not yet married, hence
her status in the original birth certificate was entered as Illegitimate.
3. That at the time of the conception of our child, there was no legal impediment for
us to contract marriage;
4. That we contracted marriage on December 15, 1997 in Laoag City which marriage
was solemnized by Mayor Rodolfo Marcos, as evidenced by the attached
Marriage Contract, made an integral part hereof as Annex B;
5. That by virtue of our subsequent marriage, the said child is now legitimated by
operation of law, particularly Article 177 of the Family Code of the Philippines;
6. Hence, we are executing this Affidavit to attest to the foregoing facts, for purposes
of complying with the requirements in applying for the legitimation by subsequent
marriage of our daughter, Yna B. Powers and for the proper recording of such
legitimation in her civil registry documents and Philippine passport, to enable her to
bear the surname of her father and be entitled to all the rights of a legitimated
child, and for all legal intents and purposes.
IN WITNESS WHEREOF, we have hereunto set my hand this 24th day of
James C. Powers
Affiant
Issued on: January 20, 2012
Amor B. Powers
Affiant
Issued on January 20, 2012
Doc. No. 08
Page No. 02
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF LOSS

#20 Rimando Road, Baguio City 2600, after having been duly sworn to in
1. I am a duly-licensed driver in accordance with pertinent Land Transportation
laws, rules and regulations, and was issued a corresponding (Non) Professional
Driver's License with number A01-12-12344 which is valid until December 15,
2017;
2. Sometime on August 1, 2015, said driver's license was misplaced and got lost;
3. Efforts were exerted to locate said driver's license, but in spite of diligent search, it
could not be found and the same is now beyond recovery;
4. Said Driver's License has not been confiscated by the LTO, Police or other
Traffic Enforcers for any traffic violation;
5. As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing
and to support my application for the issuance of a new (Non) Professional Driver's
License, in lieu of the one that was lost;
Juan Dela Cruz

Affiant
Doc. No. 09
Page No. 02
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF PARENTAL CONSENT TO MARRIAGE
WE, Matteo Guidicelli and Sarah Guidicelli, of legal age, Filipino citizens,
married and presently residing at #10 Rimando Road, Baguio City 2600, after
having been duly sworn to in accordance with law, depose and state THAT:
1. We are the biological parents of Lyca Guidicelli who was born in Baguio City on
August 20, 1997;
2. Our child is intending to contract marriage with Darren Espanto in Tarlac City;
3. We are giving our consent to our child, Lyca Guidicelli, marrying said Darren
Espanto;
4. We are executing this Affidavit for the purpose of informing the authorities
concerned of the veracity of the foregoing facts and for whatever legal purposes it
may serve.
IN WITNESS WHEREOF, we hereby affix our signatures this 24th day of
Matteo Guidicelli
Affiant
SSS ID No. 041257272
Sarah Guidicelli
Affiant
SSS ID No. 04272727
Doc. No. 10
Page No. 02
Book No. 01
Series of 2015
Manila
Notary Public
IBP No. 1234567; 07-07-15;

Roll No. 12345
EMBASSY OF THE REPUBLIC OF THE PHILIPPINES)

RIYADH, SAUDI ARABIA
) S.S.
x--------------------------------------------------------x
AFFIDAVIT OF SINGLE STATUS
I, Juana Dela Cruz, of legal age, Filipino, (single/married/widow) and a

resident of #18 Rimando Road, Baguio City, Philippines 2600, after having been
duly sworn to in accordance with law, depose and state:
1. THAT I have never contracted any marriage in the Philippines or elsewhere and I
remain SINGLE to this very day and hour;
2. THAT there is no legal impediment for me to contract marriage under the Philippine
Laws;
3. THAT I am executing this Affidavit for the purpose of complying with the
requirements relating to my forthcoming marriage to PEDRO B. RUIZ in Riyadh;
4. THAT I declare that the statements made in this affidavit are true and correct and I
am willing to bear all the legal responsibilities arising there from.

August 2015 at the Philippine Embassy, Riyadh, Saudi Arabia.
JUANA C. DELA CRUZ

Affiant
SUBCRIBED AND SWORN TO before me this 24th day of August 2015 at the
Philippine Embassy,
Riyadh,
Saudi
Arabia,
and
affiant
exhibiting her Philippine Passport No. 123456789 issued on August 1, 2014 in
Manila, Philippines.
Doc. No. 11
Service No.
Series of:
Fee Paid:
O.R. No.:

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF SUPPORT AND CONSENT TO TRAVEL
WE, Matteo Guidicelli and Sarah Guidicelli, of legal age, Filipino citizens, married
and presently residing at #10 Rimando Road, Baguio City 2600, after having been duly
sworn to in accordance with law, depose and state THAT:
1. We are the biological parents of Marco Guidicelli who was born in Baguio City on August
31, 2002;
2. Our child will travel to Japan to join an International Chess Competition;
3. Our child will be leaving on September 15, 2015 and will stay in the said country for a period
of seven (7) days and will be taken cared of by Mr. Bamboo Manalac;
4. We cannot personally travel with my child/children due to heavy workloads.
5. We are giving our full consent for the minor child to travel abroad to be accompanied by Mr.
Bamboo Manalac;
6. That we personally guarantee the financial support of the child in the course of his travel and
stay outside the Philippines and further guarantee that he will not in any manner become a
burden to the Philippine and Japanese governments.
7. That we are executing this affidavit in connection with our childs application for a passport at
the Department of Foreign Affairs and/or travel clearance from the Department of Social
Welfare and Development for his travel abroad.
IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of August
2015 in Baguio City, Philippines.
Matteo Guidicelli
Sarah Guidicelli
Affiant
Affiant
SSS ID No. 041257272
SSS ID No. 04272727
Doc. No. 12
Page No. 02
Book No. 01
Series of 2015
Notary Public
IBP No. 1234567; 07-07-15; Manila
Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT TO USE THE SURNAME OF THE FATHER/ACKNOWLEDGMENT
I, Pablo S. Dela Cruz, of legal age, Filipino, (single/married/widow) and a
1. That I am the biological father of JUANCHO L. SANTOS
2. That the biological mother of the child is MARIA L. SANTOS.
3. That my child JUANCHO SANTOS was born on June 12, 2007 at Baguio City.
4. That the facts of birth of my child were duly registered at the Office of the
Baguio City Civil Registrar.
5. That I, PABLO S. DELA CRUZ being the father of JUANCHO SANTOS, hereby
acknowledged and recognized him as my child and legal heir.
6.
That
I
am
allowing
my
child JUANCHO
SANTOS to use
my surname DELA CRUZ to be his surname in his Certificate of Live Birth.
7. That I execute this affidavit to attest to the truth of the above facts in compliance
with the provisions of Republic Act No. 9255.
PABLO S. DELA CRUZ

Affiant
Doc. No. 13
Page No. 02
Book No. 01
Series of 2015
Notary Public
IBP No. 1234567; 07-07-15; Manila
Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
JOINT AFFIDAVIT OF
TWO DISINTERESTED PERSONS
We, LEONILO M. GO and MICHAEL S. SY, both Filipinos, of legal ages,

married and residents of #200 Rimando Road, Baguio City 2600, having been
duly sworn to in accordance with law, hereby depose and state:
That we both personally know the person of GLORIA R. LABANDERA since
her childhood because formerly, we had lived in the same locality for a long time,
and her family has been a close family friend;
That we also know and we hereby declare that the said GLORIA R.
LABANDERA was born on May 24, 1980 at Rimando Road, Baguio City 2600 to
PERLA R. LABANDERA and ARIEL C. LABANDERA;
That we are not related in any way, either by consanguinity or affinity, to the
said GLORIA R. LABANDERA;
As such, we execute this Joint Affidavit to attest to the truth of the foregoing
facts and for any other legal purpose that this Affidavit may serve.
IN WITNESS WHEREOF, we have hereunto set our hands this 24th day of
LEONILO M. GO
Affiant
Voters ID# 6666
MICHAEL S. SY
Affiant
Voters ID# 7777
Doc. No. 14
Page No. 02
Book No. 01
Series of 2015
Notary Public
IBP No. 1234567; 07-07-15; Manila
Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF WITNESS
I, Lorenz Tan, of legal age, Filipino, (single/married/widow) and a resident of #33

Rimando Road, Baguio City 2600, after having been duly sworn to in accordance
with law, depose and state:
1. That I was present and personally saw that accused, Mike Tan, committed the
crime of Parricide against the victim Elsa Tan;
2. That I am the brother of Mike Tan;
3. That the accused Mike Tan is known to me as the husband of the victim, Elsa
Tan;
4. That I had tried to stop my brother to point his gun to his wife but to no avail;
5. That I executed this affidavit to attest the truthfulness of the foregoing facts and
to support the filing of criminal case against Mike Tan for violation of the Revised
Penal Code.

Lorenz Tan
Affiant
Doc. No. 15
Page No. 02
Book No. 01
Series of 2015
Notary Public
IBP No. 1234567; 07-07-15; Manila
Roll No. 12345

CITY OF BAGUIO
) S.S.
x------------------------------------x
AFFIDAVIT OF DESTRUCTION/MUTILATION

#20 Rimando Road, Baguio City, Philippines 2600, after having been duly sworn to
in accordance with law, depose and state:
1. That I am a holder of Philippine Passport No. EC123456 issued on January 15, 2015
by the Department of Foreign Affairs in Baguio City;
2. That on February 25, 2015, my bag, containing my passport was snatched. After
two (2) days, my bag, together with my passport was recovered by the Police
Officers; however, the portion of my passport bearing my photograph was torn and
could no longer be located.
3. That I reported the above-mentioned incident to the Police and a certified true copy
of the police blotter is hereto attached;
4. That the damage on the said passport has rendered it unusable for travel purposes
and therefore I request the Philippine Embassy/ Consulate to issue a replacement
passport in my favor; and,
4. That I attest to the veracity of the foregoing information.

Juan Dela Cruz

Affiant
SUBCRIBED AND SWORN TO before me, a Notary Public in and for the
City of Baguio this 24th day of August 2015 at Baguio City, Philippines, affiant
appearing before me, who identified himself with his SSS ID# 12345678, and who
signed the foregoing document in my presence and swore that he understood the
contents thereof and that the same was his free and voluntary act and deed.
Doc. No. 16
Page No. 02
Book No. 01
Series of 2015
Notary Public
IBP No. 1234567; 07-07-15; Manila
Roll No. 12345

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Affidavits of Legal Documents

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REPUBLIC OF THE PHILIPPINES)

Juan Dela Cruz

REPUBLIC OF THE PHILIPPINES)

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

Maria Dela Cruz Makiling

PTR No. 890123; 04-01-15; Baguio City

Republic of the Philippines

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

I, Paul M. Lacsamana, of legal age, Filipino, (single/married/widow) and a

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

Full Names of Children/Heirs

3. As evidence of our legal relation to the deceased, photocopies of our birth

SUBCRIBED AND SWORN TO before me this24th day of August 2015 in Baguio

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

I, Maria Dela Cruz, of legal age, Filipino, (single/married/widow) and a resident

MARIA B. DELA CRUZ

PTR No. 890123; 04-01-15; Baguio City

JOINT AFFIDAVIT OF LEGITIMATION

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

I, Juan Dela Cruz, of legal age, Filipino, (single/married/widow) and a resident of

Juan Dela Cruz

PTR No. 890123; 04-01-15; Baguio City

REPUBLIC OF THE PHILIPPINES)

PTR No. 890123; 04-01-15; Baguio City

EMBASSY OF THE REPUBLIC OF THE PHILIPPINES)

AFFIDAVIT OF SINGLE STATUS

I, Juana Dela Cruz, of legal age, Filipino, (single/married/widow) and a

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of

JUANA C. DELA CRUZ

REPUBLIC OF THE PHILIPPINES)

SSS ID No. 041257272

SSS ID No. 04272727

REPUBLIC OF THE PHILIPPINES)

PABLO S. DELA CRUZ

REPUBLIC OF THE PHILIPPINES)

We, LEONILO M. GO and MICHAEL S. SY, both Filipinos, of legal ages,

REPUBLIC OF THE PHILIPPINES)

I, Lorenz Tan, of legal age, Filipino, (single/married/widow) and a resident of #33

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of

REPUBLIC OF THE PHILIPPINES)

I, Juan Dela Cruz, of legal age, Filipino, (single/married/widow) and a resident of

IN WITNESS WHEREOF, I have hereunto set my hand this 24th day of

Juan Dela Cruz

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