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Affidavit of Loss Bir Booklet

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Gio Trieste
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121 views1 page

Affidavit of Loss Bir Booklet

legal document

Uploaded by

Gio Trieste
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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REPUBLIC OF THE PHILIPPINES)

PROVINCE OF AKLAN )S.S.


MUNICIPALITY OF MALAY )
x-------------------------x

AFFIDAVIT OF LOSS OF BIR BOOKLET-RECEIPT

I, ______________________. , of legal age, married, Filipino, and a resident of


Barangay, Balabag, Boracay Island, Malay, Aklan, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the sole proprietor of ______________________ (establishment),


located at Bolabog Road, Balabag, Boracay Island, Malay, Aklan;

2. That the said establishment is duly registered with the Bureau of Internal Revenue
(BIR), with _________________;

3. That subsequently, the establishment have printed booklets of receipts, one booklet
of which is Booklet No. 15 with O.R. No. 0701 to 0750;

4. That sometime around the first quarter of 2019, I discovered that our said Booklet
No. 15 with O.R. No. 0701 to 0750 were missing;

5. That despite diligent efforts exerted to locate Booklet No. 15 with O.R. No. 0701
to 0750, I could not find the same such that I now consider it lost beyond recovery;

6. That I am executing this affidavit to attest to the truth of the foregoing facts for all
legal intents and purposes and in particular.

IN TESTIMONY WHEREOF, I have hereunto set my hand this 10th day of


July, 2019 at Malay, Aklan.

____________________________
Affiant
Barangay ID Card No. ________________
Issued on Aug. 2017 at Brgy. Balabag, Boracay Island, Malay, Aklan;

SUBSCRIBED AND SWORN to before me this 10th day of July, 2019 at Malay,
Aklan.

Doc. No. _________;


Page No. _________;
Book No. XIX
Series of 2019.

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