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Affidavit of Loss

The affidavit summarizes the loss of business records for a sole proprietorship. It states that the bookkeeper responsible for keeping records left for another job and took the records. Efforts to find the missing documents, including lists of inventory, sales receipts, and accounting forms, were unsuccessful. The affidavit is being filed to officially close the business and allow its use for any legal purposes due to the loss of essential records. It requests the Bureau of Internal Revenue to close the business given the missing documentation.

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Lowell James Polinar
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70 views1 page

Affidavit of Loss

The affidavit summarizes the loss of business records for a sole proprietorship. It states that the bookkeeper responsible for keeping records left for another job and took the records. Efforts to find the missing documents, including lists of inventory, sales receipts, and accounting forms, were unsuccessful. The affidavit is being filed to officially close the business and allow its use for any legal purposes due to the loss of essential records. It requests the Bureau of Internal Revenue to close the business given the missing documentation.

Uploaded by

Lowell James Polinar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines)

Quezon City )S.S.

AFFIDAVIT OF LOSS
KNOW ALL MEN BY THESE PRESENTS:
I, _________, Filipino, single, of legal age and resident of _____________, after having
been duly sworn in accordance with law, do hereby depose and say that:

1. That I am the sole proprietor of _____________ hereinafter referred to as


____________;
2. That the said business employed a bookkeeper who was in charge of keeping and
storing all the books and records of the business of __________ including but not limited
to the following records:

i. List of ending inventory goods and supplies, including capital goods;


ii. Inventory of unused sales invoices and/or official receipts (SI/OR)
iii. Unused sales invoices and/or official receipts and all other unutilized
accounting forms including vouchers, debit and/or credit memos, delivery
receipts, purchase orders, business notices and permits

3. That the said bookkeeper left us for a company outside Metro Manila.
4. When we hired a new bookkeeper, we discovered that the business records were
incomplete.
5. That I tried to search for the said documents, however, I could no longer locate them
despite exertion of utmost diligent efforts;
6. That I am executing this affidavit to attest to the truthfulness of the foregoing
facts and for the purpose of requesting the Bureau of Internal Revenue to
officially close the above-mentioned business and for whatever legal purpose
this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my hand this 17th day of June 2022 at
Quezon City, Philippines.
___________________________
Affiiant
Government issued ID: _________
Issued on: _____________
Expiry date: _________________

SUBSCRIBED AND SWORN to before me this 17nd day of June 2022 at Quezon City,
Philippines, with affiant personally appearing before me and exhibiting to me their government
issued I.D. as shown below their respective name.
Doc No. _____
Page No. _____
Book No. ____
Series of 2022

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