Republic of the Philippines)

______________________) S.C.

JOINT AFFIDAVIT OF TAX EXEMPTION

We, ______________________ and ______________________, both of legal

age, Filipinos and residents of ______________________, after having been duly sworn
in accordance with law hereby depose and state:

That we are the parents of the following:

1. _________________________ an incoming ________

student at ___________________; and

That one of the required documents for enrollment is a tax

exemption of parents from the BIR;

That in connection thereof, we hereby attest that I,

_____________________ am a plain housewife and that my husband
works at St. Peter Hardware, Lucena City, a copy of his ITR is attached
for reference, while I, _____________ am a plain housewife;

That due to the above predicament, our income is exempted from

paying tax and hereby request the BIR to issue a certificate of tax
exemption in our favor;

That we are executing this affidavit to attest the truth of all the
foregoing and/or for whatever legal purposes this may serve.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this _____

day of ______________ at ____________________.

_________________________________ __________________________
Affiant Affiant
Proof of Identity: Proof of Identity: Postal ID
_______________________ No. 1382420 valid until 07-04-15

SUBSCRIBED AND SWORN to before me at the date and place above

mentioned.

Doc. No. ___________
Page No. ___________
Book No. ___________
Series of 2017
________________________________
NOTARY PUBLIC FOR ________________________
UNTIL 12/31/2015
ROLL No. 61024; TIN: _____________________
PTR No. ____________; 01/08/2013; ______________
IBP No. ___________; _____________
MCLE Exempt until 04/14/2013
____________________________