Republic of the Philippines )

Province of Albay ) Sc.

City of Legazpi )

AFFIDAVIT

I, ____________________________________, of legal age, Filipino, single/married, and

a resident of ____________________________________________, after having been sworn to
in accordance with law, do hereby state that:

1. I have been an employee of ___________________________________________

with registered address at ___________________________________ for ______
years, specifically from __________________ to ____________________ as shown in
the attached Certificate of Employment (Annex A);

2. The abovenamed company was my employer since I earned my college

degrees from _________________ in ______________;

3. As an employee who served the company with utmost dedication and loyalty,
the company offered me a Service Vehicle which they shall shoulder the
monthly amortization and downpayment as evidence by
_______________________ issued by the company (Annex B);

4. Thus, the company shall shoulder all the expenses relative to their grant of
service vehicle to the affiant;

5. I am executing this Affidavit to atest to the truthfulness of the foregoing and for
whatever legal purpose this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this 6th day of October 2016
in Legazpi City, Philippines.

_______________________________
ID No. _________________________

SUBSCRIBED AND SWORN to before me on this this 6th day of October 2016 at
Legazpi City by the above Affiant, personally known to me to be the same person who
exhibited to me his ________________________ appearing below his name and signature,
as competent evidence of his identity.

Doc. No. ______

Page No. ______
Book No. ______
Series of 2016