Republic of the Philippines )

Province of ----------------- ) S. S.
Municipality of --------------- )
x-------------------------------x
AFFIDAVIT OF NON-EMPLOYMENT
I, _____________________________, of legal age, Filipino, married and a resident of
Burgos, Isabela, after having been duly sworn to in accordance with law, hereby depose and say:
1. That I am the very person executing this affidavit;
2. That I was born on ________________________;
3. That I was never employed or has received any form of salary or compensation
from the government nor in the private sector;
4. That I am executing this affidavit to attest to the truthfulness of the foregoing
declaration.
IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of
________________, 2014 at __________________, ______________.

Affiant
SUBSCRIBED AND SWORN to before me this ________ day of ________________,
2014 at __________________, ______________.

Doc. No. ___

Page No. _____
Book No. _____
Series of 2014.