Republic of the Philippines)
In the City of Davao
)s.s
X --------------------------------- x
AFFIDAVIT OF LOW INCOME
I, ________ of legal age, widow, Filipino and a resident of Indangan, Upper
Malagamot, Davao City, after having been duly sworn to in accordance with
law, do hereby depose and say that:
1. I am the same person executing this affidavit;
2. I am an applicant for membership for Nagkahiusa Settlers Association
at Indangan, Davao City;
3. My annual income is thirty six thousand (36,000) pesos;
4. The said wage is so meager and only enough to cover my familys
needs;
5. I am executing this affidavit to attest to the truth of the foregoing facts
and for whatever legal purpose this may serve best.
IN WITNESS WHEREOF, I have hereunto
_______________________, at Davao City, Philippines.
set
my
hand
this
___________________________
Affiant
______________
SUBSCRIBED AND SWORN TO before me this _____________________,
at Davao City, Philippines.