Republic of the Philippines)
City of Roxas ) S.S.
X-----------------------------------x
AFFIDAVIT OF TERMINATION OF BUSINESS
I, ______________, Filipino, of legal age, married, and a resident of Brgy. Tiza,
Roxas City, Capiz, Philippines, having been duly sworn to in accordance with law
do hereby depose and state: that
1. I am the registered owner of the business name ____________________;
2. I was issued a business permit by the office of the mayor;
3. ____________________ is registered with the Bureau of Internal
Revenue (BIR);
4. I am applying for the termination of the business, ____________
Registered with the BIR on July 17, 2019 with Certificate of
Registration ________________
5. ___________________P which I decided to close effective on
January 30, 2023;
6. That the reason for the termination is due to no one to administer the
said business;
7. That the business has no outstanding liability nor obligation; and
8. I am executing this affidavit to attest to the truthfulness of the
foregoing statements and for whatever legal purposes it may serve.
IN WITNESS WHEREOF, I have hereunto set my hands
this_____________ at Roxas City, Capiz, Philippines.
_______________
Affiant
ID:______
SUBSCRIBED AND SWORN TO BEFORE ME a Notary Public of Roxas
City, on this ______, affiant exhibited to me his competent
proof of identity on the place and date indicated above.
Doc No._______;
Page No.______;
Book No.______;
Series of 2023.