I, ________ being duly sworn, depose and say:

     That I have been elected by the subscribers of the corporation as Treasurer thereof to act as such until my successor has been duly elected and qualified in accordance with the by-laws of the corporation, and that as such Treasurer, I hereby certify under oath that at least 25% of the authorized capital stock of the corporation has been subscribed and at least 25% of the subscription has been paid, and received by me in cash/property for the benefit and credit of the corporation.

     This is also to authorize the Securities and Exchange Commission and Bangko Sentral ng Pilipinas to examine and verify the deposit in the (name of bank - branch) in my name as treasurer in trust for the (name of corporation) in the amount of _______ (P____) representing the paid-up capital of the said corporation which is in the process of incorporation. This authority is valid and inspection of said deposit may be made even after the issuance of the Certificate of Incorporation to the corporation. Should the deposit be transferred to another bank prior to or after incorporation, this will also serve as authority to verify and examine the same. The representatives of the Securities and Exchange Commission is also authorized to examine the pertinent books and records of accounts of the corporation as well as all supporting papers to determine the utilization and disbursement of the said paid up capital.

     In case the said paid up capital is not deposited or withdrawn prior to the approval of the articles of incorporation, I, in behalf of the above name corporation, waive our right to a notice and hearing in the revocation of our Certificate of Incorporation.

     Date and Place executed.

Signature of Treasurer