Republic of the Philippines}
CITY OF T A G U M } S.s.
X - - - - - - - - - - - - - - - - - - -x
AFFIDAVIT OF LOW INCOME
I, _________________, of legal age, married and a resident of
_____________, Philippines, upon oath in accordance with law, do hereby
depose and say, THAT:
1. I am the same person whose personal circumstances are described
in the preceding paragraph;
2. I am the mother of _________________ who is currently detained in
Lantun City Jail at Lagao, General Santos City;
3. I certify that ________________ is an indigent with low income, as
per record issued in the Office of the Punong Barangay
of________________________.
4. I am executing this affidavit to attest to the truth of the foregoing
facts and for whatever legal purpose this may serve.
IN WITNESS WHEREOF, I have hereunto affixed my signature this 27
July 2018 at Tagum City, Philippines.
Affiant
SUBSCRIBED AND SWORN to before me this 27 July 2018 at Tagum
City, Philippines. Affiant exhibiting to me her Competent Evidence of
Identity. Written below her name and signature.