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Sworn Declaration Template

This sworn declaration certifies that: 1) One DVD-R containing 2,095 scanned BIR Form 2316 for the period of December 31, 2018 is being submitted in compliance with revenue regulations. 2) The contents of the DVD-R conform to the prescribed format required by the Bureau of Internal Revenue. 3) The soft copies of the BIR Form 2316 contained in the DVD-R are complete and exact copies of the original forms.

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1K views1 page

Sworn Declaration Template

This sworn declaration certifies that: 1) One DVD-R containing 2,095 scanned BIR Form 2316 for the period of December 31, 2018 is being submitted in compliance with revenue regulations. 2) The contents of the DVD-R conform to the prescribed format required by the Bureau of Internal Revenue. 3) The soft copies of the BIR Form 2316 contained in the DVD-R are complete and exact copies of the original forms.

Uploaded by

wynsy_kim
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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SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES


PROVINCE OF PAMPANGA
CITY/MUNICIPALITY OF ANGELES

I, _____________________, Filipino, of legal age designated as ____________________ of


________________________, with business address located at
________________________, do hereby certify the following:

 That in compliance with Revenue Regulations submitted herewith are One (1) DVD-Rs
containing Two thousand and ninety-five (2,095) scanned 2316 for the period of
December 31, 2018.

 That the contents of the DVD-Rs being submitted herewith conform to the prescribed
format as required by the Bureau of Internal Revenue.

 That the soft copies of the BIR Form 2316 contained in the DVD-Rs being submitted
herewith are the complete and exact copies of the original thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING


ATTESTATIONS ARE TRUE AND CORRECT.

_____________________
Name and Signature of Authorized
Representative
TIN: ____________

SUBSCRIBED and sworn to before me, in the City/Municipality of __________, this day
of ___, 20___by __________________ with Residence Certificate No. ___________ issued at
_____________, on ____________ 20___.

Notary Public

Doc. No. _____


Page No._____
Book No._____
Series of _____

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