Republic of the Philippines }

Quezon City, Metro Manila} S.S.

AFFIDAVIT OF INCOME

I, ___________________________, Filipino, of legal age, single/married, with

residence address at _________________________________________________________
________________________________________________, after having been duly sworn
in accordance with law, hereby depose and say:

1. That my present source of income/employment is

___________________________ at ___________________________________
and my monthly gross income is PhP____________________________.

2. That the above monthly gross income exempts me from filing my income tax
returns as provided for by the Philippine Internal Revenue Code.

3. That I executed this affidavit to attest to the truth and veracity of the
foregoing facts and not for FRAUD and for whatever legal purpose it may
serve.

AFFIANT FURTHER SAYS NONE.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at

Quezon City, Metro Manila, Philippines.

_______________________
Affiant

SUBSCRIBED AND SWORN to before me on the date and place above indicated.
Affiant exhibiting to me his/her Community Tax Certificate as indicated above.

Doc. No.
Page No.
Book No.
Series of 2018