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Affidavit of No Pending Case

Mary C. Tan is retiring from her position as an Administrative Officer II with the Provincial Accounting Office of the Provincial Government of Aklan. She signed an affidavit stating that she has no pending criminal, civil, or administrative cases. She also authorized the office to deduct any financial obligations she has with the provincial government from her terminal leave benefits. The affidavit was signed in Kalibo, Aklan, Philippines.
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0% found this document useful (0 votes)
55 views1 page

Affidavit of No Pending Case

Mary C. Tan is retiring from her position as an Administrative Officer II with the Provincial Accounting Office of the Provincial Government of Aklan. She signed an affidavit stating that she has no pending criminal, civil, or administrative cases. She also authorized the office to deduct any financial obligations she has with the provincial government from her terminal leave benefits. The affidavit was signed in Kalibo, Aklan, Philippines.
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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REPUBLIC OF THE PHILIPPINES )

Province of Aklan ) S.S.


Municipality of Kalibo )
x-------------------------------------------x

AFFIDAVIT OF NO PENDING CASE AND AUTHORIZATION

I, MARY C. TAN, of legal age, Filipino Citizen, married and a resident of


Barangay Camanci Sur, Numancia, Aklan, Philippines, after having been sworn
to in accordance with the law, do hereby depose and state:
1. That I am retiring from government service as Administrative Officer II
of the Provincial Accounting Office, Provincial Government of Aklan,
effective December 29, 2022;
2. That I have no pending criminal, civil or administrative case before
any tribunal, agency, or court in the Republic of the Philippines;
3. That I hereby authorize the Office of the Provincial Accountant to
deduct all my financial obligations with the Provincial Government of
Aklan in computing the proceeds of my terminal leave benefits;
4. That I am executing this Affidavit in connection with my claim for my
terminal leave benefits and for all legal intents and purposes it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____________


day of ____________ in Kalibo, Aklan, Philippines.

MARY C. TAN
Affiant

SUBSCRIBED AND SWORN TO before me this ________ day of


____________ in Kalibo, Aklan, Philippines, affiant exhibiting to me her
employee’s ID No. 2013-1012 issued at Kalibo, Aklan, Philippines.

WITNESS MY HAND AND SEAL.

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