Republic of the Philippines)
Medina, Misamis Oriental...)ss
AFFIDAVIT OF DECLARATION OF INCOME
I, __________________ of legal age, Filipino, with address at
______________________, after having been duly sworn to in accordance with law
hereby depose:
1. That I am currently employed as _________________ in
_______________________;
2. That as such, I am earning a weekly/monthly/yearly income of
______________ (PHP ________)
3. That I am not engaged in any other gainful business and I have no real or
personal properties registered under my name, for which I can derive any
income;
4. That I am executing this affidavit to the truthfulness of the forgoing facts in
order to comply with the requirements of the ____________________, and for
whatever legal purpose this may serve
IN WITNESS WHEREOF, I hereunto affix my signature this
_____________________ at Medina, Misamis Oriental, Philippines.
_________________
Affiant
SUBSCRIBED AND SWORN to before me, this
___________________________ in the Municipality of Medina, Misamis Oriental,
Philippines, by _________________ with _____________________ who is known to me
to be the same person who executed the foregoing document, and I am satisfied that
he/she has read and understood the contents of the said document the contents of which
he/she has personal knowledge.