REPUBLIC OF
THE PHILIPPINES )
PROVINCE OF
BATANGAS ) S.S.
AFFIDAVIT OF NO EARNINGS
I, (NAME OF AFFIANT), of legal age,
Filipino, with present address at ______________, Talisay, Batangas, after having
been sworn to in accordance with law, hereby depose and state, that:
1. I am presently
a resident of the above-stated-address;
2. I had been
a voluntary member from October, 1994- December, 2009;
3. I declared
that I have NO SOURCE OF INCOME
being unemployed and with no business whatsoever since January 2010 up to the
present.
IN TRUTH
WHEREOF, I have hereunto affixed my signature this ____ day of April
2017 at Talisay, Batangas.
(NAME OF AFFIANT)
Affiant
SUBSCRIBED and SWORN to before
me this ____ of April affiant exhibiting her CTC No. 123456789 issued on January
03, 2017 at Talisay, Batangas.
NOTARY
PUBLIC
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