13 Qfrm- Income

Republic of the Philippines ) Province of Cavite

)

Dasmariñas City

)

S.S 

AFFIDAVIT OF INCOME

I, PERLITA TOMAS DAQUIOAG, of legal age, Filipino, with residenceatBlk.10,Lot.44,CitilaneSubd.Malagasang,ImusCavite,afterhaving sworntoinaccordancewithlaw sworntoinaccordancewithlaw,herebydep ,herebydeposeandstate oseandstate:

1. ThatIamapresentlyemployedasa ThatIamapresentlyemployedasaHouseholdHousehold-Helper; Helper; 2. ThatIhavebeenemployedassuch,sinceMarch2012,intheresidence ofMa.ElphaC.Paguntalan,whostandsasmyemployeruptothe present; 3. Asahousehold-helper,IreceivethemonthlyremunerationofFIVE THOUSANDPESOS(P.4.000)  THOUSANDPESOS( P.4.000) ; ; 4. That That Iam execut executing ing this this toattest toattest the truthfu truthfulne lnessof ssof the forego foregoing ing  declar declarati ations ons

under under penal penaltie ties s of perjur perjury y to aid aid any legal legal cause cause at the the

HomeDevelopmentMutual(PAG-IBIG HomeDevelopmentMutual( PAG-IBIG)FundattheSocialSecurity )FundattheSocialSecurity System System (SSS) (SSS) andthe and the Philippin Philippine e Insuranc Insurance e Corporatio Corporation, n, moreover moreoverto to furtherserveotherlegalintents.

IN WITNESS WHEREOF, Iherebyaffixmysignatureonthis7 dayofFebruary2013 th

atDasmariñasCity,Cavite.

PERLITATOMASDAQUIOAG  Affiant

SUBSCRIBED AND SWORN TO BEFORE ME onthis 7 dayofFebruary2013 at th

Dasm Dasmar ariñ iñas as City City, , affi affian ant t exhib exhibit itin ing g to me her her ___ _____ _____ _____ _____ ______ _____ _____ ___ as

compe compete tent nt

proo proof f of

identification.

Doc : 372

ATTY. FE B. AÑONUEVO

Page :

NOTARY PUBLIC  Until 31 December 2014

Book :

70 57

Series Series of 201

 –

ROLL OF ATTORNEY No. 35746 IBP No. 902501 - 08-15-12  –Imus Cavite/ PTR No. 3179872 -01-07-13 TMC Cavite 4TH

MCLE Exemption No. 000189

2nd Flr.Paris Bldg. Zone 1, Aguinaldo Hi-way,Dasmarinas City Cavite

Republic of the Philippines ) Province of Cavite

)

Dasmariñas City

)

S.S 

AFFIDAVIT OF INCOME

I, JULIEMAR PAGUNTALAN

CUAYCO , of legal age, single,

FilipinowithresidenceatBlk.10,Lot.44,CitilaneSubd.Malagasang,ImusCavite, afterhavingsworntoinaccordancewithlaw,herebydeposeandstate:

1. ThatIamaGLASS-CUTTERbyprofessionandispresently/habitually employedassuch;

2. Iamattestingtothefactthatasaglass –cutter,Iregularlygarnera monthlyincomeofnotlessthanFIVETHOUSANDPESOS(P.5.000) ;

3. That Iam executing this toattest the truthfulness of the foregoing declarationsunderpenaltiesofperjuryinaidofmycauseofsecuringa loanattheHomeDevelopmentMutual( PAG-IBIG )FundtowhichI amabonafidememberandtofurtherservealllegalintents.

IN WITNESS WHEREOF, Iherebyaffixmysignatureonthis6 dayofFebruary2013 th

atDasmariñasCity,Cavite.

JULIEMAR PAGUNTALAN CUAYCO  Affiant

SUBSCRIBED AND SWORN TO BEFORE ME onthis 6 dayofFebruary2013 at th

Dasmariñas City, affiant exhibiting

to me his _____________________ as

competent proof

of

identification.

Doc : Page : Book :

341

ATTY. FE B. AÑONUEVO

40

NOTARY PUBLIC  Until 31 December 2014

57

 –

ROLL OF ATTORNEY No. 35746 IBP No. 902501 - 08-15-12  –Imus Cavite/ PTR No. 3179872 -01-07-13 TMC Cavite 4TH

MCLE Exemption No. 000189

2nd Flr.Paris Bldg. Zone 1, Aguinaldo Hi-way,Dasmarinas City Cavite

CERTIFICATE OF EMPLOYMENT

Undersigned, hereby certifies that PERLITA TOMAS DAQUIOAG, has  been employed in my residence as a Household-helper, since March 2012, up to the present and receives a monthly income of FOUR THOUSAND PESOS ( P. 4.000) .

The foregoing certification is being issued on this 7th day of February 2013, at Imus Cavite, to support any and all legal purpose of the abovenamed employee.

MA. ELPHA C. PAGUNTALAN

Employer

