Republic of the Philippines )

PROVINCE OF ISABELA )s.s.

AFFIDAVIT OF NO EARNING

I, ESMERALDA, of legal age, Filipino, widow and a resident of Brgy.Sta.Maria,

Isabela, after having been duly sworn in accordance with law, do hereby
depose and state that:

1. I am the same person executing this Instrument;

2. I am not gainfully employed with any person, natural or juridical;

3. Since September 10, 2016, I ceased from engaging in any form of

business or self-employment and had since earning no profit, income,
compensation, bonuses, dividends, interest or whatsoever from any
source;

4. I am executing this Instrument to declare and attest to the veracity and

truthfulness of the foregoing.

IN WITNESS WHEREOF, I have hereunto affixed my signature this _____th day

of _________________________ hereat _________________________,
Philippines.

ESMERALDA
Affiant

SUBSCRIBED AND SWORN t o b e f o r e m e t h i s _ _ _ _ _ _ _ _ _ _ _ _ _ _

i n _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Philippines, affiant exhibiting to me her
Competent Evidence of Identity in the form of her ________________ with ID
No. _______________ issued in ______________________, Philippines.

Notary Public
Page No. ;
Doc. No. ;
Book No. ;
Series of ___________.