REPUBLIC OF THE PHILIPPINES )
PROVINCE OF ________ )
CITY OR MUNICIPALITY OF ________ ) S.S.

TREASURER'S AFFIDAVIT
(Increase of Authorized Capital Stock)

I, ________, of legal age, ________, with residence at ________, after having been duly sworn in accordance with law, do hereby depose and state THAT:

§ 1. I am the duly elected and qualified Treasurer of ________ (the "Corporation"), a corporation duly organized and existing under and by virtue of the laws of the Republic of the Philippines, with principal office address at:

________

§ 2. As Treasurer of the Corporation, and pursuant to Section 14 in relation to Section 37 of Republic Act No. 11232, otherwise known as the "Revised Corporation Code of the Philippines," I am duly authorized to receive, in trust and for and on behalf of the Corporation, all subscription and payment of the subscribers to the increase of its authorized capital stock.

§ 3. The Board of Directors and the stockholders of the Corporation, by a vote of at least two-thirds (2/3) of the outstanding capital stock, have duly approved the increase of the authorized capital stock of the Corporation from ________ (₱________) to ________ (₱________), or an increase of ________ (₱________), at a meeting duly called and held for the purpose on ________.

§ 4. Out of the said increase in the authorized capital stock in the amount of ________ (₱________), the subscribers have validly subscribed to shares with an aggregate par/subscription value of ________ (₱________), which sum constitutes at least twenty-five percent (25%) of the increase in the authorized capital stock, in compliance with Section 37 of the Revised Corporation Code of the Philippines.

§ 5. Of the foregoing total subscription to the increase, the subscribers have actually paid, and I have actually received in trust for and on behalf of the Corporation, the sum of ________ (₱________) by way of ________, which sum constitutes at least twenty-five percent (25%) of the total subscription to the increase in the authorized capital stock, likewise in compliance with Section 37 of the Revised Corporation Code of the Philippines.

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IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of ________, 20________ at ________, Philippines.

________
Affiant — Treasurer

SUBSCRIBED AND SWORN TO before me this ________ day of ________, 20________ at ________, Philippines, affiant exhibiting to me competent evidence of identity, namely, ________ No. ________ issued at ________ and valid until ________, who is personally known to me or identified by me through the said competent evidence of identity to be the same person who executed and voluntarily signed the foregoing instrument and who acknowledged before me that the same is his/her own free and voluntary act and deed and that of the Corporation he/she represents.

________
NOTARY PUBLIC

Doc. No.: ________
Page No.: ________
Book No.: ________
Series of ________.