SWORN DECLARATION
REPUBLIC OF THE PHILIPPINES
PROVINCE OF____________
CITY/MUNICIPALITY OF___________
I, Carol Yap Pelaez, Filipino, of legal age designated as External Editor of Francis John S. Del
Rosario, with business address located at Villa Las Palmas Tabuc Suba, Jaro, Iloilo City do hereby
certify the following:
That in compliance with the requirements of Revenue Regulation No.___,
submitted herewith is/are (one DVD-R) containing (38 Scanned BIR Form 2307)
covering period (01/31/19-12/31/19)
That the contents of DVD R/s being submitted herewith conform to the
conditions/specification requirements set by the Bureau of Internal Revenue.
That the soft copies of the BIR Form 2307/2316 contained in the DVD R/s 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.
CAROL YAP PELAEZ
Name and Signature of Authorized
Representative
TIN: 277-866-752
SUBSCRIBED and sworn to before me, in the City/Municipality of ___________,
this day of ______, 20__ by ________________ with Residences Certificate No._________
issued at ____________, of ___________20____.
Notary Public
Doc. No. _________
Page No._________
Book No._________
Series No.________
SWORN DECLARATION
REPUBLIC OF THE PHILIPPINES
PROVINCE OF____________
CITY/MUNICIPALITY OF___________
I, Carol Yap Pelaez, Filipino, of legal age designated as External Editor of KIMWA-ILOILO
Construction Development Corporation, with business address located at Brgy. Mali-ao Pavia,
Iloilo do hereby certify the following:
That in compliance with the requirements of Revenue Regulation No.___,
submitted herewith is/are (two DVD-R) containing (742 Scanned BIR Form 2307)
covering period (01/31/19-12/31/19)
That the contents of DVD R/s being submitted herewith conform to the
conditions/specification requirements set by the Bureau of Internal Revenue.
That the soft copies of the BIR Form 2307/2316 contained in the DVD R/s 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.
CAROL YAP PELAEZ
Name and Signature of Authorized
Representative
TIN: 277-866-752
SUBSCRIBED and sworn to before me, in the City/Municipality of ___________,
this day of ______, 20__ by ________________ with Residences Certificate No._________
issued at ____________, of ___________20____.
Notary Public
Doc. No. _________
Page No._________
Book No._________
Series No.________
SWORN DECLARATION
REPUBLIC OF THE PHILIPPINES
PROVINCE OF____________
CITY/MUNICIPALITY OF___________
I, Carol Yap Pelaez, Filipino, of legal age designated as External Editor of Dionaldo, Melanie
Calsena, with business address located at Iloilo Doctor’s Hospital West Timawa Ave. Molo, Iloilo
City do hereby certify the following:
That in compliance with the requirements of Revenue Regulation No.___,
submitted herewith is/are (one DVD-R) containing (14 Scanned BIR Form 2307)
covering period (01/31/19-12/31/19)
That the contents of DVD R/s being submitted herewith conform to the
conditions/specification requirements set by the Bureau of Internal Revenue.
That the soft copies of the BIR Form 2307/2316 contained in the DVD R/s 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.
CAROL YAP PELAEZ
Name and Signature of Authorized
Representative
TIN: 277-866-752
SUBSCRIBED and sworn to before me, in the City/Municipality of ___________,
this day of ______, 20__ by ________________ with Residences Certificate No._________
issued at ____________, of ___________20____.
Notary Public
Doc. No. _________
Page No._________
Book No._________
Series No.________
