REPUBLIC OF THE PHILIPPINES )

CITY OF ______________ ) S.S.

AFFIDAVIT OF NO INCOME

I, ______________, of legal age, Filipino, single and a resident of

____________ after having been duly sworn to in accordance with law,
depose and state:

1. That I am executing this affidavit to attest to the fact that I have no

income from any source whatsoever;
2. That I am executing this affidavit voluntarily and truthfully, fully
aware of the consequences of making false statements.

IN WITNESS WHEREOF, I have hereunto set my hands this ____ of

____________, 2024 at _______________, Philippines.

__________________
Affiant

SUBCRIBED AND SWORN TO before me this ___ of __________, 2024, at

_____________, Philippines, affiants exhibiting to her their valid proofs of
identification.

NOTARY PUBLIC

Doc. No. ____

Page No. ____
Book No. ____
Series of 2024.