Republic of the Philippines)

Done: In the City of Baguio) s.s.

AFFIDAVIT OF CERTIFICATION
I, ELESIA T. ALILIS, of legal age, Filipino Citizen and with residence and
postal address at Taloy, Sur, Tuba, Benguet after having been duly sworn to in
accordance with law hereby depose and state:
1. That I am the Manager of Taloy Sur Multi-Purpose Cooperative with
Reg. No. 9520-15011110 and office address at Taloy Sur, Tuba,
Benguet;
2. That the following are the members of Taloy Sur Multi-Purpose
Cooperative, to wit:
NAME

CTC/TIN

CONTRIBUTION

Beverly Aqui

13464957

P300.00

Flordelina Untalan

13465019

P300.00

Remy Tacay

13464983

P300.00

Fortunato Balinto

13474204

P300.00

Palma Aliteg

13472795

P300.00

Mary Joy Pagnas

13474207

P300.00

Anesia Baggin

13474249

P300.00

Jordan Bagote

13474232

P300.00

Lydia Pagnas

13471710

P300.00

Naty Mallare

13471747

P300.00

David Andres

13467595

P300.00

Paz Marcelo

13475084

P300.00

Leonida Oldico

13467348

P300.00

Lourdes Laruan

13474210

P300.00

Lolita Mendoza

13474226

P300.00

Sonia Loquitan

13472831

P300.00

Crispin Sal-ongan

13467315

P300.00

Luis Manis

13467323

P300.00

Regina Pagnas

13467324

P300.00

Paulina Lingbanan

13465029

P300.00

Janet Salvador

13469330

P300.00

Remy Kit-ing

1346713

P300.00

Rudy Loguitan

13464984

P300.00

Catalino Labbot

13467304

P300.00

Dominga Federico

13467310

P300.00

Alberto Loquitan

13467563

P300.00

Bernard Estonio

13464976

P300.00

Marissa Sal-ongan

13467305

P300.00

Judith Siapno

13472802

P300.00

Mylene Sal-ongan

13467305

P300.00

Ben Dangatan

13465000

P300.00

Peter Ingosan

13467340

P300.00

Valentina Poclis

13465008

P300.00

Leonora Balinto

13467304

P300.00

Eunice Pasol

13465022

P300.00

Dolores Labbot

13465046

P300.00

Macario Paus Jr.

13471704

P300.00

Monica Loguitan

13465033

P300.00

Fely Pucay

13465042

P300.00

Marilyn Sufo

13469341

P300.00

Remedios Laruan

13469318

P300.00

Arabella Maliones

13475095

P300.00

Eddie Kit-ing

13472849

P300.00

Marilyn Belit

13465050

P300.00

Jonelyn Menzi

13472850

P300.00

BIR TIN 173-556-264

P300.00

Cilisia Alilis

Alumno Ampaguey

P300.00

Kenneth Miguel

1345098

P300.00

Leonarda Dapyawen

13476166

P300.00

Muriel Bontiway

13464965

P300.00

Florida Olicio

13464970

P300.00

Jerry Dulagan

13472757

P300.00

Michelle Saingan

13472797

P300.00

Vicente Luis

13472801

P300.00

Edith Lquitan

13476165

P300.00

Flora Lumas-e

13465045

P300.00

Janelyn Viloria

13472814

P300.00

Brinalyn Lontoc

13467593

P300.00

Jerson Balinto

13467599

P300.00

Ricardo Loquio

13471735

P300.00

Lito Juan

13475095

P300.00

Sylvia Ingosan

13475068

P300.00

Renoso Ortega

13474223

P300.00

Michael Ba-i

13475099

P300.00

3. That I hereby Certify that the aforementioned parties are the

registered members of Taloy Sur Multi-Purpose Cooperative;

4. That I am executing this affidavit to attest to the veracity and

truthfulness of the foregoing and to support our application for Tax
Exemption at the BIR and for all legal intents and purposes it may
serve.
IN WITNESS HEREOF I have hereunto set my hand this 31 st day of July
2013 at Baguio City, Philippines.

ELESIA T. ALILIS
Affiant
BIR TIN No. 903-737-792
Issued On: 02-22-2008
SUBSCRIBED AND SWORN to before me this 31st day of July 2013 at
Baguio City, Philippines. Affiant personally appears before me and identified by
me through her BIR TIN ID card and to be the same person who executed this
affidavit as her free act and deed.

MODESTO T. ANDONG
Notary Public
Commission No. 45-NC-12-R/Until: December 31, 2013
PTR No. 01336066/01-02-13/Baguio City
IBP No. 910564/1-3-13/Baguio-Benguet Chapter
Roll No. 31289/5-15-81/Manila
Doc. No. 228;
Page No. 46;
Book No. 5;
Series of 2013.