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Affidavit of Loss - BIR

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REPUBLIC OF THE PHILIPPINES )

Taguig City ) S. S.

Affidavit of Loss

I, _______________, Filipino, of legal age and with address at 2____________, after having
been duly sworn to in accordance with law, hereby depose and state that:

1. I am applying for closure of my business under Tax Identification Number


_____________;

2. One of the requirements for the said closure of business are: (a) List of ending of
inventory of goods, supplies, including capital good; (b) Inventory of unused sales
invoices/official receipts (SI/OR); (c) Unused sales invoices/official receipts and all other
unutilized accounting forms;

3. All requirements mentioned above can no longer be found in my office because the
business was not operating since 1998;

4. Diligent efforts have been exerted to locate the said documents but the same are already
deemed lost;

5. This Affidavit is executed to attest to the truth of the foregoing;

IN WITNESS WHEREOF, I have affixed my signature this _______________ at Taguig City,


Philippines.

_____________
Affiant

SUBSCRIBED AND SWORN TO before me this ____________________, affiant exhibiting to me his


________________ issued on _____________-, bearing his photograph and signature, in accordance
with Rule II, Section 12 and Rule IV Section 2 (b) of the 2004 Rules on Notarial Practice.

Doc. No.: ____;


Page No.: ____;
Book No.: ____;
Series of 2019.

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