Republic of the Philippines )

City of Cebu..............................)
S.S.

AFFIDAVIT OF NON-FILING OF INCOME TAX RETURN

I, RICARDO S. DALISAY, of legal age, Filipino, married, and a resident of

Sitio Mangga Punta Princesa, Cebu City, Philippines haing been duly s!orn in
accordance
!ith la!, hereby depose and state"

#. $hat I am the biological father of RICARDO A. DALISAY, JR.%

&. $hat RICARDO A. DALISAY, JR.% is currently enrolled as 'rade #( student

at niersity of San *ose+Recoletos asa- Campus%

. $hat my son is applying in a Scholarship Program under the Senior

/igh School 0oucher Program for S1 &(#2+&(#3%

4. $hat one of the re5uirements is a proof of the ureau of Internal Reenue

6IR) alidated Income $a7 Return 6I$R) of parents%

8. $hat I did not file my I$R in the IR because my annual income does not
e7ceed si7ty thousand pesos 6Php. 9(,(((.(() my :ob being a :eepney
drier
!here my sales income are usually fluctuating%

9. $hat I am e7ecuting this affidait to attest to the eracity of the foregoing

facts, in support of my son;s application for scholarship and for !hateer
legal purpose this may sere.

IN WITNESS WHEREOF, I hae hereunto affi7ed my signature this 8 th day of

February &(#2, in Cebu City, Philippines.

RICARDO S. DALISAY
  <ffiant
SSS I=. >o. #(#934(8#3(
Issued at" Cebu City
th
SUBSCRIBED AND SWORN to before me this 8  day of February &(#2 at Cebu
City, Philippines. <ffiant e7hibited to me his competent eidence of identity as
per data indicated belo! his name.

=oc. >o. 
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