REPUBLIC OF THE PHILIPPINES )

) S.S.

TREASURER’S AFFIDAVIT

I, _______________________, of legal age, Filipino and with residence

address at _______________________________________, after having duly sworn
in accordance with law, hereby depose and state that:

1. I am the duly appointed and incumbent Treasurer of

__________________________________________ (the “Corporation”), a
corporation duly organized and existing under and by virtue of the laws of the
Philippines, with principal office at _______________________________________.

2. As Treasurer of the Corporation, I am authorized to receive for and on

behalf of the Corporation any and all payments for all subscriptions made by the
subscribers to the increase in the authorized capital stock of the Corporation.

3. Out of the increase in the authorized capital stock of the Corporation

amounting to __________________________ Pesos (Php_______________) divided
into ____________________________ (_____________) shares with par value of
____________________ Pesos (Php__________) per share, at least _____________
Percent (________%) of such amount of increase in the Corporation’s authorized
capital stock has been subscribed and at least _____________ Percent (_____%) of
the amount subscribed has been paid to the Corporation, as follows:

Name No. of Amount Amount

Shares Subscribed Paid
Subscribed (in Php) (in Php)

______________________ __________ _____________ ____________

______________________ __________ _____________ ____________

______________________ __________ _____________ ____________

_____________________ __________ _____________ ____________

_____________________ __________ ____________ ____________

_____________________ __________ ____________ ____________

_____________________ __________ ____________ ____________

 ______________________ __________ _____________ ____________

______________________ __________ _____________ ____________

------------ ------------------- -----------------

Total __________ _____________ ____________
------------ ------------------ ------------------

4. The amount of PESOS: ___________________________________

(Php______________________), representing the above-mentioned amount of paid-
up capital in relation to the increase in authorized capital stock was paid in cash.

2
 IN WITNESS WHEREOF, I have hereunto affixed my signature this ______
day of ______ 2018 at _________________________.

____________________________
Treasurer

SUBSCRIBED AND SWORN to before me this ____ day of

_________2018, affiant exhibiting to me her ______________________, with her
photograph and signature appearing thereon.

Doc. No. ___;

Page No. ___;
Book No. __;
Series of 2018.