REPUBLIC OF THE PHILIPPINES     )
PROVINCE OF ZAMBOANGA DEL SUR) S.S
xx----------------------------/
                           SWORN DECLARATION
      I, ______________________, Filipino, of legal age, single and a resident of
Balangasan District, Pagadian City, Philippines, after having been duly sworn to
in accordance with law, hereby depose and state, that:
1.   I am the authorized representative of __________________________,
     registered with the Bureau of Internal Revenue under Tax Identification
     Nos. ______________________________ with principal business office address
     at Salera St., Purok Spring Sta. Lucia District, Pagadian City;
2.   The Corporation has been using Manual Book of Accounts for its SALES
     and PURCHASE transactions;
3.   The Corporation has applied a Permit to Use Loose Leaf on SALES and
     PURCHASE Book of Accounts pursuant to Revenue Memorandum
     Circular No. 68-2017 dated 10 August 2017. In compliance therewith,
     hereto submitted are the requirements together with the foregoing Sworn
     Declaration, in lieu of the investigation to be conducted by virtue of RMC-
     13-82;
4.   The Corporation is committed to permanently bind the loose-leaf forms
     within fifteen days after the end of each taxable year or upon the
     termination of its use;
5.   I am executing this affidavit to prove the veracity of the facts mentioned
     herein and for whatever legal intents and purposes this affidavit may
     serve best.
    IN WITNESS WHEREOF, I have hereunto set my hand this 28 th day of
December 2020, in Molave, Zamboanga del Sur, Philippines.
                        _________________________________
                                     Affiant
     SUBSCRIBED AND SWORN to before me this 28th day of December 2020,
in Molave, Zamboanga del Sur, Philippines.
Doc. No.:______;
Page No.:______;
Book No.:XXVI;
Series of 2020.