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REPUBLIC OF THE PHILIPPINES

___________________________) S.S.

AFFIDAVIT OF NO INCOME

I, ____________________________________, of legal age, Filipino, married, and with postal address


at ________________________________________________________________, after having been sworn to
in accordance with law, hereby depose and state that:

1. I am the duly appointed Resident Agent of __________________________________________


registered to do business in accordance with the laws of the Republic of the Philippines as a
Representative Office, with principal office address at __________________________________

2. As a Representative Office, ___________________________________does not derive any income


from sources within or from the Philippines and is fully subsidized by its head office in Japan
inasmuch as its principal functions here in the Philippines solely and exclusively pertain to non-
transactional activities such as, but not limited to, information dissemination, quality control, and
promotion of products or services of clients of the parent company.

3. This Affidavit of no income is being executed to attest to the truth of the foregoing facts and for
whatever lawful purpose that it may serve.

IN WITNESS WHEREOF, I have hereunto set my hands on the _____________________________, in


________________________.

__________________________________
Affiant / Resident Agent

REPUBLIC OF THE PHILIPPINES)


___________________________ )S.S.

Subscribed and sworn to before me in ____________, on this ____ day of __________,


__________________________-, who is personally known to me and to me known to be the same person who
executed the foregoing instrument, exhibited to me his Driver’s License No. _________________________-
and / or who was identified by me through competent evidence of identity to be the same person who executed
the foregoing instrument.

Notary Public

Doc. No. ____;


Book No. ____;
Page No. ____;
Series of 2020

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