REPUBLIC OF THE PHILIPPINES )

____________________ ) S.S.

AFFIDAVIT OF INCOME

I, _____________________________________, of legal age, Filipino

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

1. I earn income by working as an independent freelance

skilled worker.

2. I work for different individuals and/or companies at

different times, and I am not affiliated and/or employed with a specific
company.

3. My annual income ranges from PhP__________ to

PhP__________.

4. I am executing this affidavit to comply with the

requirements for the Relocation Program.

IN WITNESS WHEREOF, I have hereunto set my hand this

______________________at Makati City.

_________________________________
Affiant

SUBSCRIBED AND SWORN to before me this

______________________, in Makati City, affiant exhibited to me her
_______________ issued in _______________, which expires on
_______________.

Doc No.______; NOTARY PUBLIC

Page No. ______;
Book No.______;
Series of 2015.