REPUBLIC OF THE PHILIPPINES )
________________________________ ) SS
AFFIDAVIT OF CANCELLATION
WITH NO FINANCIAL OBLIGATION
I, ___________________________, of legal age, Filipino and a
resident of _____________________________, after having been duly
sworn to and in accordance with law, hereby depose and state that:
That I am the registered owner of business
_____________________________________ with business address at
______________________________________________;
That the said business was registered at the
___________________________________ with __________________________;
That I am requesting DTI to cancel
_________________________________________ because the business is no
longer operation;
That I and my said business have no creditor nor pending
unpaid financial obligations with any creditors whatsoever or claim
for any tax refund;
That the submission of a declaration under oath that the
cancellation is not intended to defraud creditors and that registered
Business owner has no outstanding and pending financial obligation
in connection with her or that she has notified all the creditors of
such cancellation, as the case may be;
That I am executing this affidavit to submit to attest to the
truth of the foregoing facts to submit the same at the proper
authorities and for all legal intents and purposes.
IN WITNESS WHEREOF, I have hereunto set my hands
_____________________________________, Philippines.
__________________________
Affiant
SUBSCRIBED AND SWORN TO before me in the City of
Valenzuela ______________________________ by affiant who
satisfactorily proven her identity to me through ____________________.
Doc. No. 1;
Page No. ;
Book No. ;
Series of 20.
