Affidavit of No Income

I, , of legal age, married, and with address at , under oath, state that:

1. The last time I was gainfully employed was in year until year as at .

1. I availed an early retirement on .

1. In year - , I have a source of income amounting to Pesos only ( Php ).

1. The said monthly income is from my jeepney. The said jeepney was sold in sometime in year due to financial reasons.

1. From year up to the present I have never engage in any gainful employment.

1. I am executing this Affidavit of No Income to attest to the truth of the foregoing facts and to use the same for whatever legal purpose it may serve;

1. Affiant further sayeth naught.

IN WITNESS WHEREOF, I hereunto affix my signature this at Taguig City.

SUBSCRIBED AND SWORN to before me, a Notary Public for and in Taguig

City personally appeared this at Taguig City.

, who presented to me her ID No. , the same bearing affiant's photograph and signature, and who attested that she is the same person who personally signed before me the foregoing document and acknowledged that she executed the same.