REPUBLIC OF THE PHILIPPINES)

SAN FERNANDO CITY, La Union)S.S.

AFFIDAVIT OF NON-FILING OF INCOME TAX RETURN

We, SANTIAGO ESPE BALAGOT JR. and GLYNIS SALBATERA-

BALAGOT, both of legal ages, Filipino citizens, and residents of Block 2, Lot 14,
Barangay Biday,Euphrosina Heights, San Fernando City, La Union, after having
been duly sworn to in accordance with law, hereby depose and state:

1. That we are the parents of WABI S. BALAGOT

2. That WABI S. BALAGOT is currently enrolled as a Grade 11 student a La

Union Cultural Institue San Fernando City, La Union.

3. That our said daughter is applying in a Scholarship Program under the

DOST Science Education Institute Program.

4. That one of the requirements is a proof of the Bureau of Internal Revenue

(BIR) validated Income Tax Return (ITR) of parents/guardian.

5. That we did not file our ITR at the BIR because our income does not
exceed Php 60,000.00, our job being helper and babysitter, respectively.

6. That we are executing this affidavit to attest to the truth of all the above
facts and statements for all legal intents and purposes it may serve.

IN WITNESS WHEREOF, we have hereunto signed this document this ____

day of September 2020 in San Fernando City.

SANTIAGO ESPE BALAGOT JR. GLYNIS SALBATERA- BALAGOT

Affiant Affiant
__________________________ ___________________________

SUBSCRIBED AND SWORN to before me this ____ day of September 2020

in San Fernando City. Affianst exhibited to me their respective Valid I.Ds appearing
below their respective signatures.

NOTARY PUBLIC
Doc. No. ____
Page No. ____
Book No. ____
Series of 2020