Republic of the Philippines )

City of Manila ) SS.

AFFIDAVIT OF NO INCOME

I, _______________________________, of legal age, single/married, Filipino

and presently residing at ___________________________________, after having been
duly sworn to in accordance with the law, do hereby depose and state:

1. That, I don’t have any gainful occupation nor employed by any private or
government entity since ______________;

2. That, I am fully dependent on the financial support extended to me by my

immediate relatives;

3. That, I am executing this Affidavit to attest to the truth and veracity of the
foregoing facts and statements, and for whatever legal intents and purposes
this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

_________________, in the City of Manila, Philippines.

__________________________________
Affiant

SUSBSCRIBED AND SWORN to before me this _________________, in the

City of Manila, Philippines.

Doc. No. : ________;

Page No.: ________;
Book No. :________;
Series of 2021.