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REPUBLIC OF THE PHILIPPINES)

BACOLOD CITY, NEGROS OCCIDENTAL) S.S.

AFFIDAVIT OF NON-OPERATION

            I, RAFAEL ESTEBAN, of legal age, single, Filipino and with residence address at J.P. Rizal St.,
Talisay, Batangas after having been duly sworn to in accordance with law, hereby depose and state:

That I am the owner of RAFJANZ COMPUTER SERVICES with business address at W. Trinidad St.,
Talisay, Batangas;
That the said business was registered under the Department of Trade Industry at Lipa City on December
31, 2013 and valid until December 31, 2018;
That on December 2013 the said business is not operating;
That for this reason there was no income from the said business for the month;
That I am executing this affidavit to attest to the truth of the foregoing statements to inform the proper
authorities concerned, and for whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______________, in Tanauan
City.

                                                                                          RAFAEL S. ESTEBAN
                                                                                                      Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______________ in Tanauan City. Affiant
exhibiting his Community Tax Certificate No. 08142405 issued on January 10, 2014 at Talisay, Batangas
prove to me his identity.

Doc. No. ______


Page No. ______
Book No. _____
Series of 2014

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