REPUBLIC OF THE PHILIPPINNES )

PROVINCE OF PANGASINAN ) S.S.

MUNICIPALITY OF SUAL )

AFFIDAVIT

I, REYNALDO R. RABARA, legal of age, Filipino and a resident of Sual, Pangasinan,

under oath hereby, depose and say that:

1. I am an Administrative Aide I of LGU- Sual, Pangasinan;

2. I am now processing my Terminal leave;

3. I am voluntarily authorizing the Municipality of Sual to deduct whatever financial

obligation that I have from my retirement benefits;

4. I have no pending criminal investigations or prosecution against me under RA No.

3019;

5. I executed this Affidavit to attest to the truth of all the foregoing statements and for
any legal intent it may best serve.

IN WITNESS WHEREOF, I have hereunto set my name this 5TH day of November,
2020 at Sual, Pangasinan.

REYNALDO R. RABARA
AFFIANT
ID NO. ______________

SUBSCRIBED AND SWORN to before me this 5TH day of November, 2020 at Sual,
Pangasinan.

Doc No.499;
Page No. 101; ATTY. MAGERYL SHAY B. DE GUZMAN
Book No. IV; Notary Public for Sual, Pangasinan
NC No. 01-06-2020-002L
Series of 2020.
Until December 31, 2021
Roll No. 71457
PTR No. 6025845/12/30/2019/Sual, Pangasinan
MCLE Compliance No. VI-0026158 April 14, 2022