FepuL|ic cf Ihe Fhi|ippine:)

Frcvince cf LeyIe ) S.c

Municipc|iIy cf Fc|c )

AFFIDAVII
We, Dicni:ic S Icmcnccng cnc Scrch 8 Icmcnccng, cf |egc| cge,
hu:Lcnc cnc wife, LcIh re:icenI: cf 8rgy. CcmpeIic, Fc|c, LeyIe, cfIer hcving
Leen cu|y :wcrn Ic cn ccIh in ccccrccnce wiIh |cw cc hereLy cepc:e: cnc
:cy:
1. IhcI we gcI mcrriec cn Jcnucry 1, 188 cnc L|e::ec wiIh :even {7)
chi|cren:
2. IhcI l, Dicni:ic S Icmcnccng, pre:enI|y wcrking c: ccn:IrucIicn wcrker
in crcer Ic :u:Icin Ihe neec: cf my fcmi|y:

3. IhcI Leing c ccn:IrucIicn wcrker, l hcve c mecger :curce cf inccme cnc
my wife hc: nc cIher :curce cf inccme c: :he i: c p|cin hcu:ewife:

4. IhcI we cre execuIing Ihi: cfficcviI Ic cIIe:I Ic Ihe IruIhfu|ne:: cf
Ihe fcregcing fccI: cnc Ic :uppcrI cur cpp|iccIicn fcr Icx ExempIicn.

5. IhcI we cre execuIing Ihi: /fficcviI Ic cIIe:I Ic Ihe IruIh cf Ihe fcregcing
cnc Ic :uppcrI cur cpp|iccIicn fcr Icx ExempIicn.


IN WIINESS WHEkEOF, we hcve hereunIc :eI cur hcnc: Ihi: 28
Ih
ccy cf
CcIcLer 2011, in Fc|c, LeyIe, Fhi|ippine:.

Dicni:ic S Icmcnccng Scrch 8 Icmcnccng
/fficnI /fficnI
_____________________ ____________________
l::uec cI ____________ l::uec cI __________
l::uec cn ___________ l::uec cn ___________

SU8SCFl8ED /ND SWCFN, Ic Lefcre me Ihi: 28
Ih
ccy cf CcIcLer 2011, in
Fc|c, LeyIe, Fhi|ippine:.

Dcc Nc.
Fcge Nc.
8cck Nc.
Serie: cf 2011