AFFIDAVIT OF NON-OPERATION OF A CORPORATION

REPUBLIC OF THE PHILIPPINES )

_____________________________ ) SS.

I, (name of affiant), Filipino, of legal age, single/married to (name of spouse), and a

resident of (address of affiant), after having been duly sworn in accordance with law,
hereby depose and say:
1. That I am the President of , a corporation duly organized and existing under the laws of
the Philippines with principal office at _;
2. That said corporation was incorporated on but has not yet commenced its operation
because of ;
3. That the stockholders and directors of the corporation are contemplating on reviving its
operation in the near future when the opportune time comes;
4. That this affidavit is being executed in order to attest to the truth of the foregoing
circumstances and for the purpose of complying with the reportorial requirements of the
Securities and Exchange Commission.
IN WITNESS WHEREOF, I have hereunto affixed my signature this ____day of
____________ 20___ at ____________, Philippines.
_________________________________
(Signature of Affiant over Printed Name)

SUBSCRIBED AND SWORN TO before me, a notary public in and for

_____________________ this ____ day of ____________ 20___. The affiant, whom I
identified through the following competent evidence of identity: (ID type and number),
valid from (date) to (date) issued by (issuing authority), personally signed the foregoing
instrument before me and avowed under penalty of law to the whole truth of the contents of
said instrument.
Notary Public

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2010.

This document is executed to support a claim by a corporation that it has not yet gone into
operation and therefore not yet subject to tax and reportorial requirement by the SEC.