REPUBLIC OF THE PHILIPPINES)CITY OF ILOILO                   ) S.S.x------------------------------------------x  

AFFIDAVIT

I, NENITA D. TE, of legal age, Filipino, married and a resident of Brgy. Bakhaw, Mandurriao, Iloilo City, after having been duly sworn to in accordance with law, hereby depose and state:

1. That I am a Dentist practicing my profession in the City of Manila prior to 2009;

2. That in 2009 because of the emotional stress in dealing with my problems about my husband that eventually led me to file a case against him for violating RA 9262 ( Anti-Violence against Women and their Children Act), I temporarily stopped practicing my profession;

3. That in 2009 I transferred residence in Iloilo City;

4. That because of the said transfer, I could no longer locate my used and unused official receipt booklets;

5. That despite of diligent search and effort, the same could no longer be found such that I now believe that it is now lost beyond recovery

6. That I am executing this affidavit to attest to the foregoing and to support the processing of the transfer of my home revenue district office from RDO 31 to RDO 74;

IN WITNESS WHEREOF, I have hereunto set my hand this ___________________ in Iloilo City, Philippines.

NENITA D. TEAffiant

UMID 0111-3887835-2

  SUBCRIBED AND SWORN TO  before me this ___________________ in Iloilo City, Philippines, affiant exhibiting to me her valid proof of identification.

Doc. No. _____;Page No. _____;Book No. _____;Series of 2015.