Republic of the Philippines )In the City of Davao . . . ) S.S

AFFIDAVIT OF NO INCOME

I, _____________, Filipino, of legal age and resident of ________________, Davao City, upon my oath do hereby depose and say, that:

1. That I am not gainfully employed and thus, I only generate minimal income enough for me and my family’s sustenance;

2. That I am not currently employed with any person, natural or juridical, and I have not been gainfully employed.

3. My husband ____________________ is presently connected with ___________________ and is earning minimum wage;

4. I execute this affidavit to attest to the truth of the foregoing and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I hereunto set my hand this _______________ in Davao City, Philippines.

__________________Affiant

SUBSCRIBED AND SWORN to before me this _________________ in the City of Davao, Philippines, affiant exhibiting to me her Competent Evidence of Identity in the form of her SSS ID No. _______________ issued in Davao City, Philippines.

Doc. No. ______;Page No. ______;Book No. ______;Series of 2012.