REPUBLIC OF THE PHILIPPINES)

QUEZON CITY )S.S.

AFFIDAVIT OF NON-FILING OF INCOME TAX RETURN

I, Suzette B. Cabiles, of legal age, Filipino citizen, and residents of

#262 V Dakila Street, Barangay Batasan Hills, Quezon City 1126, after
having been duly sworn to in accordance with law, hereby depose and
state:

1. That I am the mother of Kate Ricxette M. Cabiles;

2. That Kate Ricxette M. Cabiles is currently enrolled as a Grade

7 student at New Era University Integrated School High School
located at No. 9, Central Avenue, Quezon City;

3. Kate Ricxette M. Cabiles is applying in a Scholarship Program

under the FAPE-PEAC-DepEd Education Service Contracting
(ESC) Program;.

4. That one of the requirements is a proof of the Bureau of Internal

Revenue (BIR) validated Income Tax Return (ITR) of
parents/guardian;

5. That I did not file my ITR at the BIR because my income does
not exceed Php 30,000.00, my job being a volunteer worker,
respectively;

6. That I am executing this affidavit to attest to the truth of all the

above facts and statements for all legal intents and purposes it
may serve.

IN WITNESS WHEREOF, I have hereunto signed this document

this 4th day of October 2019, Quezon, City.

SUZETTE M. CABILES
Affiant

SUBSCRIBED AND SWORN to before me this 4th day of October

2019 in Quezon City. Affiant exhibited to me his respective
________________________ appearing below his respective signature.

NOTARY PUBLIC

Doc. No. ____

Page No. ____
Book No. ____
Series of 2019