EPUBLIC OF THE PHILIPPINES)QUEZON CITY, METRO MANILA) S.

SAFFIDAVIT OF EXEMPTION
OFINCOME TAX RETURNSThat I, [name], of legal age, Filipino, married to [spouse], with
residence and postal address at[address], after having been duly sworn to in accordance with
law hereby depose and state:[reason for getting exemption]That under Section 44 (2A) of the
National Internal Revenue Code of the Philippines, asamended, affiant is exempted and not
required to file any income tax returns as his/her gross annualcompesation is only [amount]
which does not exceed her personal and additional exemptions of P80,000.00;That s/he did not
file his/her income tax returns for the year involved in accordance with the provisions of the
National Internal Revenue Code of the Philippines, as amended;That this affidavit is executed in
order to attest to the facts and circumstances why affiant did notfile an income tax return
for the year involved and in order to attest to the truthfulness of the abovenarration of facts for
all legal intents and purposes it may serve.IN WITNESS WHEREOF, I have hereunto affixed my
signature this ___day of [month, year], atQuezon City, Metro
Manila, Philippines. __________________________ (Affiant)