REPUBLIC OF THE PHILIPPINES)

PROVINCE OF TARLAC : S.S.

MUNICIPALITY OF BAMBAN )

AFFIDAVIT OF INCOME
I, _______________, of legal age, Filipino, married to
_______________, with residence and postal address at Blk. 16 Lot 15
Paglaum Village, Brgy. Mansilingan, Bacolod City, Philippines, after
having been duly sworn to in accordance with law, hereby depose and say:

THAT—

1. I am not currently employed with any person or business entity,

thus, I generate no income;

2. I do not own any kind of business and likewise not engaged in any
form of industry;

3. I am executing this Affidavit of No Income to attest to the truth of

all the foregoing facts; for all legal intents and purposes this may
serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature

this 01st day of June 2022 at Bamban, Tarlac, Philippines.

_______________
Affiant

SUBSCRIBED AND SWORN to before me this 01st day of June

2022 in the Municipality of Bamban, Province of Tarlac, Philippines.

WITNESS MY HAND AND SEAL.

Doc No. _____;

Page No. _____;
Book No. ____;
Series of 2022.