Republic 

of the Philippines )
Province of Palawan )S.S.
City of Puerto Princesa )
  

AFFIDAVIT OF NO INCOME
 

I, ___________, of legal age, married, and with address at _______, under

oath, state that:
1. The last time I was gainfully employed was in year _______ until year ______ as
_____ at _________.

2. I availed an early retirement on _________.

3.  In year ______ – _____, I have a source of income amounting to () Pesos only
(PHP 20,000).
4. The said monthly income is from my jeepney. The said jeepney was sold in
sometime in year _________ due to financial reasons.

5. From year ___________ up to present I have never engage in any gainful

employment.
6. I am exciting this affidavit of No Income to attest to the truth of the foregoing facts
and to use the same for whatever legal purpose it may serve;
7. Affiant further sayeth naught.

IN WITNESS WHEREOF, we have hereunto affixed our signatures this ____day

of ____________ 2022 at ____________, Philippines.

______________________
Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of _______ at

_______________ affiants exhibited to me their SSS Identification Card Nos. 1234 and
4567 issued on March 6, 2012 and April 8, 2012, respectively, in Puerto Princesa City,
Palawan.

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Page No. .......                                                     
Book No. ......
Series of 2022.