REPUBLIC OF THE PHILIPPINES )

BULA, CAMARINES SUR ) S.S.

AFFIDAVIT OF LATE
REGISTRATION OF BIRTH
I, _______________, of legal age, Filipino citizen, and resident of_______________, after
having been duly sworn to in accordance with law hereby depose and state THAT:

1. I am the currently employed as_______________________________;

2. I am receiving monthly ___________________, which is considered as below

minimum wage under the Philippine Laws;

3. I am earning an annual income which is so meager and only enough to cover our daily
needs; and

4. I am executing this Affidavit to attest to the veracity of the above in support to my

application for tax-exemption before the Bureau of Internal Revenue.

IN WITNESS WHEREOF, I have hereunto affixed my signature this

___________________ at ________________________.

____________________
Affiant

SUBSCRIBED AND SWORN TO before me this ______________________ at

_____________________, affiant exhibiting to me her _________________________________.

Doc No. __;

Page No. __;
Book No. __;
Series of ___.

Republic of the Philippines )

Bula, Camarines Sur ) S.S.

AFFIDAVIT OF LOW INCOME

I, BERNADETTE M. CABAÑEZ, of legal age, Filipino citizen, and resident of ZONE
1, BRGY. CASUGAD, BULA, CAMARINES SUR, after having been duly sworn to in
accordance with law hereby depose and state THAT:

1. I am the currently unemployed;

2. I am only receiving monthly support from my husband in the amount of Php8,000.00;

3. I have no annual income, and the monetary support from my husband is so meager and
only enough to cover our daily needs; and

4. I am executing this Affidavit to attest to the veracity of the above in support to my

application for tax-exemption before the Bureau of Internal Revenue.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24th day of August
2023 at BULA, CAMARINES SUR.

BERNADETTE M. CABAÑEZ
Affiant

SUBSCRIBED AND SWORN TO before me this 24th day of August at BULA,

CAMARINES SUR, affiant exhibiting to me her LTO Driver’s License with No. E07-19-004017
issued at Iriga City with expiry date on 22nd of September 2023..

Doc No. 110;

Page No. 20;
Book No. 1;
Series of 2023.

Republic of the Philippines )

Bula, Camarines Sur ) S.S.

AFFIDAVIT OF LOW INCOME

I, EVA S. AMILANO, of legal age, Filipino citizen, and resident of ZONE 1, BRGY.
CASUGAD, BULA, CAMARINES SUR, after having been duly sworn to in accordance with
law hereby depose and state THAT:

1. I am the currently unemployed;

2. I am currently receiving financial support from my common law partner;

3. I have no annual income, and the monetary support from my common law partner is so
meager and only enough to cover our daily needs; and

4. I am executing this Affidavit to attest to the veracity of the above in support to my

application for tax-exemption before the Bureau of Internal Revenue.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 24th day of August
2023 at BULA, CAMARINES SUR.

EVA S. AMILANO
Affiant

SUBSCRIBED AND SWORN TO before me this 24th day of August at BULA,

CAMARINES SUR, affiant exhibiting to me her LTO Driver’s License with No. E07-19-004016
issued at Iriga City with expiry date on 25th of June 2024.

Doc No. 111;

Page No. 21;
Book No. 1;
Series of 2023.