IN WITNESS WHEREOF, I Have Hereunto Set My Hand This - at

Download as doc, pdf, or txt
Download as doc, pdf, or txt
You are on page 1of 1

REPUBLIC OF THE PHILIPPINES)

_____________________________ ) S.S.

I, (Name), of legal age, (marital status) and a resident of (address), after having been duly sworn in
accordance with law do hereby depose and state:

That I am the (designation) of the business name (Name of Business) which is registered with the
Bureau of Internal Revenue (BIR);

That I am applying for the termination of the business, (Name of Business), registered with the BIR
in (date of registration), with Certificate of Registration OCN No. (certificate number), which I decided to
close effective (effectively date of closure);

That the reason for the termination is due to (state reason for closing the business);

That the business has no outstanding liability and obligation;

That I am executing this affidavit to attest to the truth of all the foregoing statements and for whatever
legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _________________ at _____________,


Philippines.

Printed Name and Signature


Affiant
CTC No: ______________
Issued on: _____________
At: ___________________

SUBSCRIBED AND SWORN to before me this __th day of _______________ at ____________,


Philippines.

Doc. No. : ________;

Page No. : ________;

Book No. : ________;

Series of 20___.

You might also like