AnnexC3 Affidavit of Two Disinterested Persons
AnnexC3 Affidavit of Two Disinterested Persons
AnnexC3 Affidavit of Two Disinterested Persons
(Name)
registered with the Social Security System (SSS), with Employer ID Number
, with Kasambahay/s duly hired on ,
(Employer ID Number) (DD Month YYYY)
and residential address at .
(Address)
3. We also have personal knowledge of the financial difficulty that our neighbor is
facing due to the pandemic/natural calamity/fire/burglary/death of their
breadwinner, who provides for the financial needs of the family.
4. We are aware if his/her obligation of the monthly remittances to the SSS for and
on behalf of the Kasambahay/s but was not able to remit because of the financial
difficulties that his/her family has experienced during the past years due to
which is beyond his/her control.
(Reason/s of Financial Difficulty)
5. We are executing this affidavit to attest the truth of the above-mentioned facts
for all legal intents and purposes, it may serve.
Affiant Affiant
SUBSCRIBED AND SWORN to before me this ___ day of ________, 20__, the affiants
having shown to me their government issued identification card/s bearing the following
details:
Valid Proof of Date of Expiry/
Name
Identification Place of Issue
________________________________
Notary Public
Doc. No. :
Page No. :
Book No. :
Series of :