REPUBLIC OF THE PHILIPPINES )
CITY OF TARLAC ) S.S.
AFFIDAVIT OF TERMINATION
That I, _____________________, of legal age, Filipino, and a resident of
_______________________________, after having been duly sworn to in accordance with law,
do hereby depose and state the following:
1. I have a business named ______________________ registered before BIR, SSS,
Philhealth and Pag-ibig;
2. That on ___________________, I decided to terminate my employee named
_____________________, with SSS Number _________________, that is registered on
SSS as my employee;
3. That since the said date, I did not employ any employees therefore I handled the business
by myself;
4. I execute this Affidavit to certify or attest to the truth of the foregoing facts and for
whatever legal purpose that this Affidavit may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this _____________ day of
______________ at Tarlac City.
________________________
Affiant
ID No.: _______________
SUBSCRIBED AND SWORN to before me this ________ day of ______________ at
Tarlac City.
Doc. No. ______;
Page No. ______;
Book No. ______;
Series of 2019.