Revised March 2012
TREASURER’S AFFIDAVIT
  Republic of the Philippines )
                                        Dava
  o City                   ) S.S.
  x                                      -x
        I, Ana S. Adang, after having been duly sworn to in accordance with
  law, do hereby depose and say:
  1.       That    I     am     the    duly    elected    Treasurer    of    the
           One Salapawan Agriculture Cooperative to act as such until my
           successor shall have been appointed and qualified accordance with the
           By-laws of the Cooperative;
  2.       That as such, I hereby certify that the authorized share capital of this
           cooperative is two hundred forty-four thousand eight hundred pesos
           (Php 244,800.00);
  3.          That the subscribed share capital of the cooperative is
         sixty thousand two-hundred pesos (Php 61,200.00) which is at least
         twenty five (25%) percent of the authorized capital ;
  4.           That the paid-up share capital of the cooperative is
           fifteen thousand three hundred pesos (Php 15, 300.00) which is at least
           twenty five (25%) percent of the subscribed capital; and
  5.       That the total membership fees paid is seven thousand five
           hundred pesos (Php 7,500).
  6.       That I have actually received the total paid-up share capital and
           membership fee.
           IN WITNESS WHEREOF, I have hereunto affixed my signature this
                day of         , in               , Philippines.
                                              Affiant
         SUBSCRIBED AND SWORN TO before me this                           day of
              , in                   , Philippines, by                       who
exhibited to me his/her Proof of Identity           issued on                 , in
            , Philippines.
                                Notary Public
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