AFFIDAVIT OF NO INCOME

I, __________________, of legal age, single, and a resident of

_____________________________________, after having been sworn in accordance
with law, hereby depose and state:

1. I used to be a _________________________.

2. From ___________ up to this date, I am not employed

nor engaged in any gainful activity.

3. I am executing this affidavit to attest to the truthfulness

and veracity of the foregoing and for whatever legal
purpose it may serve best.

Signed ___ February 2017, ___________ City.

___________________
Affiant

ACKNOWLEDGEMENT

Republic of the Philippines )

City of ________________ ) S.S.

SUBSCRIBED AND SWORN to before me, this _____________, by the

Affiant whom I have identified through competent evidence of identity and who
exhibited her ________________ ID with ID No. ________________ issued in
Metro Manila.

NOTARY PUBLIC
Doc. No. _____;
Page No. _____;
Book No. _____;
Series of 2017