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    Sworn Declaration: Annex D

    Uploaded by

    Mercy Clapano-Artazo Miranda
    Nelia M. Urbiztondo declares that she is submitting inventory schedules and lists for her store Eunel Store for the 2017 tax year as required by law. She certifies that the contents on the DVD-R being submitted conform to the required format and that the schedules are true and correct to the best of her knowledge. She declares under penalty of perjury that her statements are true and correct.

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    Sworn Declaration: Annex D

    Uploaded by

    Mercy Clapano-Artazo Miranda
    79 views1 page
    Nelia M. Urbiztondo declares that she is submitting inventory schedules and lists for her store Eunel Store for the 2017 tax year as required by law. She certifies that the contents on the DVD-R being submitted conform to the required format and that the schedules are true and correct to the best of her knowledge. She declares under penalty of perjury that her statements are true and correct.

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    Nelia M. Urbiztondo declares that she is submitting inventory schedules and lists for her store Eunel Store for the 2017 tax year as required by law. She certifies that the contents on the DVD-R being submitted conform to the required format and that the schedules are true and correct to the best of her knowledge. She declares under penalty of perjury that her statements are true and correct.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    79 views1 page

    Sworn Declaration: Annex D

    Uploaded by

    Mercy Clapano-Artazo Miranda
    Nelia M. Urbiztondo declares that she is submitting inventory schedules and lists for her store Eunel Store for the 2017 tax year as required by law. She certifies that the contents on the DVD-R being submitted conform to the required format and that the schedules are true and correct to the best of her knowledge. She declares under penalty of perjury that her statements are true and correct.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    ANNEX D

    SWORN DECLARATION

    REPUBLIC OF THE PHILIPPINES


    PROVINCE OF SURIGAO DEL SUR
    CITY/MUNICIPALITY OF CANTILAN

    I, NELIA M. URBIZTONDO, FILIPINO, of legal age designated as PROPRIETOR of EUNEL STORE,


    with business address located at PUROK 4, URBIZTONDO ST., MAGOSILOM, CANTILAN,
    SURIGAO DEL SUR do hereby certify the following:

     That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known as
    the Bookkeeping Regulations, submitted herewith is the DVD-R containing the summary
    list(s) / schedule(s) of inventory stock in trade and/or other schedules as of taxable year
    ending December 31, 2017.

     That the contents of the DVD-Rs being submitted herewith conform to the prescribed
    format as required by the Bureau of Internal Revenue under Revenue Memorandum
    Circular No. 57-2015.

     That the summary list(s)/ schedule(s) of inventory and/or other schedules has been
    made in good faith, verified by us, and to the best of our knowledge and belief, is true
    and correct pursuant to the provisions of the NIRC, as amended, and the rules and
    regulations and other revenue issuances issued under authority thereof.

    I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING ATTESTATIONS
    ARE TRUE AND CORRECT.

    NELIA M. URBIZTONDO____
    Name and Signature of Authorized
    Representative
    TIN: 907-481-517

    SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
    ____, 20___ by ________________ with Residence Certificate No. __________ issued at
    ___________, on _________ 20___.

    Notary Public

    Doc. No.____
    Page No. ____
    Book No. ____
    Series of ____

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