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Proof of Income

1. Justin Edward M. Hapa affirms in an affidavit that he is unemployed and a student supported financially by his father, Jose Manuel C. Hapa, who works as an overseas Filipino worker in the United States. 2. Jose Manuel works as a personal caregiver for Thomas Sadowski in Malibu, California in an informal arrangement not bound by a legal contract. 3. Jose Manuel earns an annual gross income of 400,000 PHP. 4. Justin executed this affidavit to attest to his source of income in order to apply for student dormitory housing at the University of the Philippines Diliman.

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100% found this document useful (2 votes)
478 views

Proof of Income

1. Justin Edward M. Hapa affirms in an affidavit that he is unemployed and a student supported financially by his father, Jose Manuel C. Hapa, who works as an overseas Filipino worker in the United States. 2. Jose Manuel works as a personal caregiver for Thomas Sadowski in Malibu, California in an informal arrangement not bound by a legal contract. 3. Jose Manuel earns an annual gross income of 400,000 PHP. 4. Justin executed this affidavit to attest to his source of income in order to apply for student dormitory housing at the University of the Philippines Diliman.

Uploaded by

John Melby
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines )

City/Municipality of __________ )
Province of_________________) S.S.

AFFIDAVIT
(of Declaration of Source of Income)

I, Justin Edward M. Hapa, Filipino, single, of legal age, and with residence address at
1359 Purok 1, Bambang, Bulakan, Bulacan, after having been sworn in accordance with the law,
hereby depose and state:

1. That I am unemployed as I am a student whose financial support is being provided by my


father, Jose Manuel C. Hapa, who is currently working as an overseas Filipino worker in the
United States of America;

2. That my father is working as a personal caregiver to Thomas Sadowski, resident of Malibu,


California, and that my father’s work arrangement under him is only on an informal basis and
thus not currently bound by a legal contract;

3. That my father is earning an annual gross income of 400,000 php;

4. That I am executing this Affidavit to attest to the truth of the foregoing and for the purpose of
applying for a student dormitory in the University of the Philippines Diliman.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________day of


_______________, 2019 in ____________________________, Philippines.

___________________________________
Affiant

SUBSCRIBED AND SWORN TO BEFORE ME this ____ day of _________, Affiant


exhibiting to me his/her Community Tax Certificate No. ______________, issued on ________
at ___________________ and __________ ID No. ______________ issued on ____________
in _________________.

NOTARY PUBLIC
Doc. No. _____;
Page No. ____;
Book No. ____;
Series of ____.

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