REPUBLIC OF THE PHILIPPINES] MALOLOS CITY, BULACAN ]S.S.

AFFIDAVIT OF INDIGENCY
I, PLACIDO RICARDO P. DE LEON III, Filipino, of legal age, with residence and postal address at Km. 17 McArthur Hiway, Bancal, Meycauyan City, Bulacan, after having been duly sworn to in accordance with law, depose and states, that: 1. I am the husband of deceased Imelda S. De Leon; 2. We belong to the lower strata in life having no sufficient source of income; 3. My gross income and that of my immediate family do not exceed an amount double the monthly minimum wage of an employee and that we do not own real property as could be gleaned from the attached certification from the Assessors Office of Meycauayan City (please see Annex C- Exparte Motion to litigate as Pauper); 4. Attached thereto also are the Certification of Indigency issued by the Barangay concerned as well as the Office of the Department of Social Welfare and Development (DSWD); (Please see Annexes A & B- Ex-parte Motion to litigate as Pauper); I am executing this affidavit to attest to the truth of the foregoing and for whatever purpose it may serve. PLACIDO RICARDO P.DE LEON III Affiant SUBSCRIBED AND SWORN to before me this 27th day of June 2013 at Malolos City, Bulacan. Affiant exhibited to me his Postal ID No. 9842462 valid up to August 2013. ROMEO B. CRUZ, JR. Notary Public UNTIL DEC. 31, 2013 PTR NO._____________ Malolos City,_______

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