REPUBLIC OF THE PHILIPPINES)

CITY OF _________ . . . . . . . ) S.S

x----------------------------------x)

AFFIDAVIT OF NO PENDING
CIVIL OR CRIMINAL CASE

I, Florimond Joseph M. Garcia, of legal age, single, Filipino, and a resident of 9 P.

Quiambao St. Tierra Bella Homes, Tandang Sora, Quezon City, after having been duly sworn
to an oath in accordance with law hereby depose and state:

That I am currently employed at ______________;

That I have no pending case, criminal or civil, before any judicial authorities or agency
in the government;

That I am neither an advocate nor a mentor of any unlawful or subversive organization

that advocated the overthrow of the government or agency in the government;

That I was never accused of any offense or crime involving moral turpitude, neither
one of the same nature or a pending case of anti-graft law (RA 3019) against my person is
pending before any prosecution office and judicial authorities elsewhere in the Philippines;

That I am executing this affidavit to attest to the truth of all the foregoing
declarations and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set any hand this ___ day of _________, ____,
in the __________________, Philippines.

______________________________
Affiant

SUBSCRIBED AND SWORN to before me this ___________________ day of _________ in

_____________________. Affiant exhibited to me his/her Com. Tax Cert No. _________
issued on _________________ at ____________, _____________________.

Doc No. _____________

Page No. _____________
Book No. _____________
Series No. _____________