(COMPANY NAME)

(PRINCIPAL ADDRESS)

TREASURER’S AFFIDAVIT

KNOW ALL MEN BY THESE PRESENTS:

I, ________________, Filipino, of legal age, with address at

_______________________________________, Philippines, after having been
duly sworn in accordance with law, hereby certify that:

I am the duly elected Treasurer of _________________________

(“Corporation”), a corporation duly organized and existing under Philippine laws,
with principal address at ______________________________, Philippines, and
as such officer, I take charge and is in custody of the corporate records;

As the elected Treasurer, I am authorized to act as such until my successor

has been duly elected and qualified in accordance with the By-laws of the
Corporation.

I hereby certify that at least twenty five percent (25%) of the authorized
capital stock of ______________ (Corporation) has been subscribed and at least
twenty five percent (25%) of the subscribed capital stock in the amount of One
Hundred Twenty Five Thousand Pesos (P125,000.00) has been paid, and received
by me in cash/property for the benefit and credit of the Corporation.

IN WITNESS WHEREOF, I have hereunto signed these presents this

___ day of _________, _______ at ______________, Philippines.

Treasurer

SUBSCRIBED AND SWORN to before me this ________day of

_______ _________ at _____________, Philippines, affiant exhibiting to me
his/her Tax Identification No. __________________.

1
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of _____.