Sworn Declaration of Sales

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SWORN DECLARATION OF GROSS RECEIPTS/SALES

I, DOLLY T. DONATO, Filipino, of legal age, single, permanently residing at 2G Marcelo St.
Dizon Compound, Maysan, Valenzuela City with Taxpayer Identification Number (TIN) 402-305-095-
000 , after having been duly sworn in accordance with law hereby depose and state:-

1. That I derived my business income from plastic manufacturing, and my registered businesses
detail is:

Name Registered Activity Location Registered BAN


DK Plastic Industries Manufacturing 2G Marcelo St. Dizon 13-118053
Compund, Maysan,
Valenzuela City

2. That for 2021and 2022, my gross sales for my registered business activity are as follows

Covered Date Amount


January 1, 2021 – December 31, 2021 P 210,758
January 1 , 2022 – November 30, 2022 P

3. That I am preparing this sworn declaration of gross sales for the purpose of retirement of business
effectively on December 31, 2022 due to unprofitable operations for 2021 and 2022 and transfer
of ownership of all my fully depreciated machineries to DYNA PLASTIC PRODUCTS
MANUFACTURING with
BAN: 21-145345.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ____________, 20___
at ___________, Philippines

__________________________________________
___
Signature over Printed Name of Individual
Taxpayer

SUBSCRIBED AND SWORN to before me this _____ day of ____________, 20___ in


_______________________________. Applicant exhibited to me his/her
___________________________issued at _______________________ on
_________________________.
(Government Issued ID and No.)

NOTARY PUBLIC
Doc. No.: __________
Page No.: __________
Book No.: __________
Series of ___________

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