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Affidavit of No Income

To swear that you have no job, business or regular income, often for a scholarship, a school or a government benefit. Fill it in, print it, and sign it in front of the notary.

You

In years, for example 34.

Your Situation

For example, June 2025. Leave it empty if you have never had income.

For example, sales clerk at a grocery in Lipa City, which ended in May 2025. Leave it empty to skip.

For example, my parents, Juan and Maria Santos, or my daughter who works abroad. Leave it empty to skip.

Purpose

For example, my application for the CHED scholarship, or my PhilHealth membership as an indigent.

Where

ID

For example, PhilSys ID No. 1234-5678-9012-3456, or Postal ID No. ABC1234567.

What you type is kept on this device only, so you can come back and finish later. Nothing is sent anywhere. Press Clear to erase it, especially on a shared phone or computer.

REPUBLIC OF THE PHILIPPINES )
city or municipality ) S.S.

AFFIDAVIT OF NO INCOME

I, full name, age years old, Filipino, civil status, and residing at home address, after having been duly sworn in accordance with law, hereby depose and state that:

  1. I am not employed, I am not engaged in any business, trade or profession, and I have no regular source of income;
  2. I am executing this affidavit to attest to the truth of the foregoing and to support purpose, and for whatever other lawful purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of ______________ 20___ at city or municipality, Philippines.

full name
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______________ 20___ at city or municipality, Philippines, affiant exhibiting to me ID type and number as competent evidence of identity.

Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 20___.

NOTARY PUBLIC

Before You Print

  • Not legal advice. This is a general form. For your own situation, consult a lawyer, especially if your case is unusual or a lot of money is involved.
  • You will swear before the notary that it is true, then sign (this is called a jurat).
  • Do not sign it yet. You sign in front of the notary, with a valid government ID.
  • Some offices ask for a Barangay Certificate of Indigency, or a certificate from the city or municipal social welfare office, instead of or together with this affidavit. Ask the office what it accepts.
  • Only sign it if it is true. Swearing to something you know is false is perjury, a crime under the Revised Penal Code.

What notarizing it usually costs →

For the steps around this document, see the guide Barangay Certificates.

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