REPUBLIC OF THE PHILIPPINES )

Tarlac City ) S.S.

AFFIDAVIT of TERMINATION of BUSINESS

I, GULA MAN, of legal age, annulled, and a resident of San San sa Tarlac, after
having been duly sworn in accordance with law do hereby depose and state:

1. I am the registered owner of the SAMALAMIG Inc. which is registered with the
Bureau of Internal Revenue (BIR) on April 01, 2015 with Certificate of
Registration OCN No. 4RCxxx0865109;

2. I am applying for the termination of said business effective March 2017;

3. The reason for the termination is due cold weather;

4. The business has no outstanding liability and obligation;

5. I am executing this affidavit to attest to the truth of all the foregoing statements
and for 1whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have set my hand this 28 March 2017 at Tarlac City,
Philippines.

GULA MAN
Affiant

SUBSCRIBED AND SWORN to before me, a notary public in and for Tarlac
City this 28 March 2017, Affiant exhibiting to me her TSU School ID No. 2016100144
as competent evidence of identity.

Doc. No. : ________;

Page No. : ________;
Book No. : ________;
Series of 2017.