Affidavit of No Fixed Income

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REPUBLIC OF THE PHILIPPINES)

CALOOCAN CITY ) S.S.

AFFIDAVIT
(Re: EMPLOYMENT AND SOURCE OF INCOME)

I, MARY ANN S. MONDRAGON, of legal age, single, Filipino Citizen


and with residential address at No. 15 Jasmine Street, Merville Subd., Tanza,
Navotas, Metro Manila, after having been sworn to in accordance with law
hereby depose and say;

1. That I am an authorized operator of a Philippine Charity


Sweepstakes Office (PCSO) Lotto Outlet with business address
located at 38 Los Martirez, San Jose, Navotas, Metro Manila;

2. That as operator thereof, my monthly gross income on said


establishment out of our commissions earned is on the average of
P30,000.00, while the corresponding operating and administrative
expenses thereof is approximately, P15,000.00, thus, I am earning a
net income of P15,000.00;

3. That out of said net income for the month, I have to support my
two (2) dependent children who are 11 and 3 years old respectively;

4. That I am executing this affidavit for whatever legal purposes this


may serve.

FURTHER, AFFIANTS SAYETH NAUGHT.

Done this 2nd day of March, 2009, at Caloocan City, Philippines.

MARY ANN S. MONDRAGON


Affiant
SSS ID No. 33-2688879-0

SUBSCRIBED AND SWORN to before me, a Notary Public for and in


Caloocan City, this 2nd day of March, 2009.

Doc. No. _____


Page No. ____
Book No. ____
Series of 2009

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