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Sworn Declaration Bir

This sworn declaration certifies that Rosa-Rosales Wesleyan Academy has complied with Revenue Regulation requirements by submitting a USB with 16 copies of their BIR Form 2316 for the period ending December 31, 2022. The declaration also states that the USB's contents conform to BIR specifications and that the soft copy forms are exact duplicates of the original documents. The authorized representative, Erlina D. Wag-E, affirms under penalty of perjury that the above statements are true and correct.

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5K views1 page

Sworn Declaration Bir

This sworn declaration certifies that Rosa-Rosales Wesleyan Academy has complied with Revenue Regulation requirements by submitting a USB with 16 copies of their BIR Form 2316 for the period ending December 31, 2022. The declaration also states that the USB's contents conform to BIR specifications and that the soft copy forms are exact duplicates of the original documents. The authorized representative, Erlina D. Wag-E, affirms under penalty of perjury that the above statements are true and correct.

Uploaded by

ynid wage
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

Annex “C”

SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES


PROVINCE OF PANGASINAN
MUNICIPALITY OF ROSALES

I, ERLINDA D. WAG-E, Filipino, of legal age are designated as the School Principal of RWA-
ROSALES WESLEYAN ACADEMY INCORPORATED with business address located at Zambrano
Street, San Pedro West, Rosales, Pangasinan do hereby certify the following:

- That in compliance with the requirements of Revenue Regulation No. ____, submitted
herewith is/are 1 piece of USB containing 16 copies of scanned BIR form 2316 covering the
period 12/31/2022.

- That the contents of the USB being submitted herewith conform to the
conditions/specification requirements set by the Bureau of Internal Revenue.

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

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING


ATTESTATION ARE TRUE AND CORRECT.

ERLINDA D. WAG-E, Ed.D.


Name and Signature of Authorized Representative
TIN: 160-559-160-000

SUBSCRIBED and sworn to before me, in the Municipality of Rosales, this day of
___________________, 2023 by _______________________________ with the Residence Certificate No.
____________ issued at ________________________ of ________________________________ 2023.

Notary Public
Doc. No. ________
Page No. ________
Book No. ________
Series of ________

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