Sworn Declaration Bir

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Annex “C”

SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES


PROVINCE OF PANGASINAN
MUNICIPALITY OF ROSALES

I, ERLINDA D. WAG-E, Filipino, of legal age are designated as the School Principal of RWA-
ROSALES WESLEYAN ACADEMY INCORPORATED with business address located at Zambrano
Street, San Pedro West, Rosales, Pangasinan do hereby certify the following:

- That in compliance with the requirements of Revenue Regulation No. ____, submitted
herewith is/are 1 piece of USB containing 16 copies of scanned BIR form 2316 covering the
period 12/31/2022.

- That the contents of the USB being submitted herewith conform to the
conditions/specification requirements set by the Bureau of Internal Revenue.

- That the soft copies of the BIR Form 2316 contained in the USB being submitted herewith
are the complete and exact copies of the original thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING


ATTESTATION ARE TRUE AND CORRECT.

ERLINDA D. WAG-E, Ed.D.


Name and Signature of Authorized Representative
TIN: 160-559-160-000

SUBSCRIBED and sworn to before me, in the Municipality of Rosales, this day of
___________________, 2023 by _______________________________ with the Residence Certificate No.
____________ issued at ________________________ of ________________________________ 2023.

Notary Public
Doc. No. ________
Page No. ________
Book No. ________
Series of ________

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