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Declaration of Earnings

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REPUBLIC OF THE PHILIPPINES)

CITY OF MANILA ) S.S.

AFFIDAVIT OF DECLARATION OF EARNINGS

I, ___________________, of legal age, Filipino Citizen, Single, with


residence address at______________________, after having been duly sworn
to in accordance with law, do hereby depose and state:

1. That I am self–employed as Vendor who sells various soft drinks,


beverages, coffee and snacks at the sidewalk of
_______________________________

2. That I have been a vendor in said place since


_________________up to the present time;

3. That my total earnings as vendor from ______________up to


present time, _______________, is P ;

4. That I at self-employed as Vendor at the aforementioned premises


up to present time;

4. I execute this Affidavit to attest to the truth of the foregoing facts,


for the purpose of obtaining cash loan from the Social Security System (SSS)
and for whatever legal intents and purposes this may serve.

SUBSCRIBED AND SWORN to before me this ))))))))))))))

-Affiant-

SUBSCRIBED AND SWORN to before me this 10th day of


September 2018, Affiant, exhibiting to me His issued by the Social
Security System (SSS) Office, ___________________, Metro Manila.

NOTARY PUBLIC

Doc. No.
Page No.
Book No.
Series of 20___.

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