TREASURER’S AFFIDAVIT

Republic of the Philippines )

Prov./City/Mun. _____________) S.S.
x--------------------------------------x

I, ___________________________________after having been duly sworn to in

accordance with law, do hereby depose and say:

1. That I am the duly elected Treasurer of the

_______________________________________________________________________, to
act as such until my successor shall have been elected / appointed and
qualified in accordance with the By-Laws of this cooperative;

2. That as such, I hereby certify that the authorized share capital of this CSF
cooperative is __________________________________________ (Php _________);

3. That the subscribed share capital of the CSF cooperative is

___________________________________________________ (Php______________)
which is at least twenty five percent (25%) of the authorized capital;

4. That the paid-up share capital of the CSF cooperative is

____________________________________________________ (Php_____________)
which is at least twenty five percent (25%) of the subscribed capital;

5. That the total Restricted Capital for Surety of the CSF cooperative is
________________________________________________ (Php_____________); and

6. That I have actually received the total paid-up share capital and restricted
capital for surety.

IN WITNESS WHEREOF, I have hereunto affix my signature this __________

day of _________________, in ________________, Philippines.

______________________
Affiant

SUBSCRIBED AND SWORN TO before me this _________ day of

__________________, in ______________, Philippines, by ___________________ who
exhibited to me his/her Proof of Identity ____________ issued on
_________________, in __________________, Philippines.

Notary Public

Doc. No. _________

Page No. _________
Book No. _________
Series of _________