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Affidavit of Lost BIR Certificate

Rico B. Geron filed an affidavit of loss stating that the original copy of the Bureau of Internal Revenue (BIR) Certificate of Registration for Sorosoro Springs Resort and Adventure Park was lost. As the Chief Executive Officer of Sorosoro Ibaba Development Cooperative, he exerted diligent efforts to find the certificate but was unable to locate it. He affirms that the certificate has not been confiscated by any law enforcement agency. He undertakes to surrender the certificate if later found and requests the issuance of a new certificate in lieu of the lost one.

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Howard Untalan
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0% found this document useful (0 votes)
208 views2 pages

Affidavit of Lost BIR Certificate

Rico B. Geron filed an affidavit of loss stating that the original copy of the Bureau of Internal Revenue (BIR) Certificate of Registration for Sorosoro Springs Resort and Adventure Park was lost. As the Chief Executive Officer of Sorosoro Ibaba Development Cooperative, he exerted diligent efforts to find the certificate but was unable to locate it. He affirms that the certificate has not been confiscated by any law enforcement agency. He undertakes to surrender the certificate if later found and requests the issuance of a new certificate in lieu of the lost one.

Uploaded by

Howard Untalan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Republic of the Philippines)

City of Batangas )
x- - - - - - - - - - - - - - - - - - - x
AFFIDAVIT OF LOSS
I, Rico B. Geron (Sorosoro Ibaba Development Cooperative), 55, Filipino, married and a
resident of Barangay Alangilan, Batangas City, Philippines, after having been duly sworn in
accordance with law, hereby deposes and state:

1. That I am the Chief Executive Officer of Sorosoro Ibaba Development Cooperative


(SIDC) located at Sorosoro Ibaba, Batangas City with a Registered Business: Sorosoro
Springs Resort and Adventure Park;

2. That the Trade Name Sorosoro Springs Resort and Adventure Park under Sorosoro Ibaba
Development Cooperative was duly registered with the Bureau of Internal Revenue (BIR)
with Tax Identification No.000-639-016-000 and was therefore issued a BIR
CERTIFICATE OF REGISTRATION (BIR Form 2303) with OCN 1RC00007329;

3. That unfortunately, the original copy of BIR Certificate of Registration of Sorosoro


Springs Resort and Adventure Park issued by the BIR was lost and I took pains to look
for the original copy of said BIR Certificate of Registration but to no avail;

4. That despite diligent efforts exerted, I could no longer locate, find or recover the issued
Certificate of Registration, and to the best of my knowledge, the same is truly lost;

5. That said Certificate of Registration has not been confiscated by any officer of the law or
the issuing office or agency due to the violation of any law, statute, order, rule or
regulation;

6. That in the event that the lost Certificate of Registration should hereafter be found or
located, I undertake to forward or surrender the same to Bureau of Internal Revenue
(BIR); and

7. That I am executing this affidavit to attest to the truth of the foregoing statement and to
request for the issuance of a new and original Certificate of Registration with OCN
1RC00007329 in lieu of the one which was lost.

AFFIANT FURTHER SAYETH NAUGHT.

IN WITNESS WHEREOF, I have hereunto set my hand this _______ of _________,


2021 at Batangas City, Philippines.

__________________________
HON. RICO B. GERON
AFFIANT

SUBSCRIBED AND SWORN to before me this _________ day of ___________, 2021,


affiant exhibited to me his competent evidence of identity by way of
________________________ issued at ___________________________ on
________________________.

NOTARY PUBLIC

Doc No. __________ ;


Page No. __________;
Book No. __________;
Series of 20_________.

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