Republic of the Philippines)

_____________________) S.S

TREASURER’S AFFIDAVIT
I, __________________, of legal age, Filipino and with office address at
________________________, after being duly sworn, hereby depose and state that:
1) That I am the duly elected and qualified Treasurer of _______________________ (the
“Corporation”), a corporation duly organized and existing under the laws of Republic of
Philippines with principal office at _______________________, to act as such until the
successor, and that as such Treasurer, I am authorized to receive for the Corporation all
subscription to the capital stock of the Corporation.
2)
2.a The shareholder _______________ subscribed THIRTEEN THOUSAND EIGHT
HUNDRED (13,800) common shares from the TWO MILLION (Php 2,000,000.00)
authorized capital stock of the Corporation, at the price of ONE HUNDRED PESOS (Php
100.00) per share for a total subscription price of ONE MILLION TH HUNDRED
FORTY THOUSAND PESOS (Php 1,380,000.00).

2.b The shareholder _____________________ subscribed THREE HUNDRED (300)

common shares from the TWO MILLION (Php 2,000,000.00) authorized capital stock of
the Corporation, at the price of ONE HUNDRED PESOS (Php 100.00) per share for a
total subscription price of THIRTY THOUSAND PESOS (Php 30,000.00).

2.c The shareholder ________________ subscribed THREE HUNDRED (300) common

shares from the TWO MILLION (Php 2,000,000.00) authorized capital stock of the
Corporation, at the price of ONE HUNDRED PESOS (Php 100.00) per share for a total
subscription price of THIRTY THOUSAND PESOS (Php 30,000.00).

2.d The shareholder ________________ subscribed THREE HUNDRED (300) common

shares from the TWO MILLION (Php 2,000,000.00) authorized capital stock of the
Corporation, at the price of ONE HUNDRED PESOS (Php 100.00) per share for a total
subscription price of THIRTY THOUSAND PESOS (Php 30,000.00).

2.e The shareholder ________________ subscribed THREE HUNDRED (300) common

shares from the TWO MILLION (Php 2,000,000.00) authorized capital stock of the
Corporation, at the price of ONE HUNDRED PESOS (Php 100.00) per share for a total
subscription price of THIRTY THOUSAND PESOS (Php 30,000.00).
 3) Of the Additional subscription price above mentioned, 100% or the sum of ONE
MILIION FIVE HUNDRED PESOS (Php 1,500,000.00) was paid in cash and received
by me on 20th April 2021 for the benefit and credit of the Corporation.

____________________________
NAME
TREASURER

SUBSCRIBED AND SWORN to before me this _______ day of _______ 2021.

Affiant exhibiting to me her Tax Identification No. __________________

NOTARY PUBLIC

Doc No. ______

Page No. ______
Book No. ______
Series of 2021.