Republic of the Philippines)
Del Gallego Camarines Sur)
AFFIDAVIT
I ___________________________________________________________ Filipino,
married/Single/widow/widower of legal age resident of and postal address at
__________________________________________ after having been sworn to in
accordance with law hereby depose and say;
That I have not been filling income tax return for the past several years
for I have not been regularly and gainfully employed in any private or
government office and/ or agency;
That the support of my family depends upon the income derived from
_____________________ Which does not exceed the total personal and
additional exemption for a dependent under Section 36’ pursuant to section
51’ both of the comprehensive Tax Reform Program of 1977;
That this affidavit is executed in lieu of my income tax return showing
exemption from filling the same and for complying with the requirements of
________________________ for my ______________________________under
__________________________.
Affiant sayeth none
IN WITNESS WHEREOF, I have hereunto set my hand this
__________________ day of ____________________ 2025, at Del Gallego,
Camarines Sur, Philippines.
________________________
Affiant
SUBCRIBED AND SWORN to before me this _________day of
_____________2025, at Del Gallego, Camarines Sur, Philippines. Affiant
exhibited to me his/her Community Tax Certificate
No._________________________ issued at ______________ on _______________.
MELANIE ABARIENTOS-GARCIA
Municipal Mayor