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Republic of the Philippines)

In the City of Davao. . . . . .)S.S.


X-----------------x

AFFIDAVIT OF LOW INCOME

I, FLORENTINO D. TOLENTINO, Filipino, of legal age, widower, and a


resident of Ilang- Ilang St., Kabacan, Matina, Davao City, after having been duly
sworn to in accordance with law, hereby depose and say:

1. That I am a PUJ operator;

2. That I only have one PUJ and for the year 2009am a widow and I only
have two adult children but are jobless;

3. That I am executing this affidavit to apprise the authorities concerned


on the veracity of the foregoing facts and circumstances and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my signature this June


10, 2009 at Davao City, Philippines.

CARMEN L. RICARDO
Affiant

SUBSCRIBED AND SWORN to before this June 10, 2009 at Davao City,
Philippines.

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