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Sworn Zero

Cecilio Cargo Medios Jr., owner of Aqua Blue Water Refilling Station, declares that he has no merchandise inventory for the taxable year 2023. He certifies that the inventory summary is true and correct according to relevant regulations. The declaration is made under penalty of perjury.

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5 views

Sworn Zero

Cecilio Cargo Medios Jr., owner of Aqua Blue Water Refilling Station, declares that he has no merchandise inventory for the taxable year 2023. He certifies that the inventory summary is true and correct according to relevant regulations. The declaration is made under penalty of perjury.

Uploaded by

victorious.acctg
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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ANNEX D

SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES


METRO MANILA
CITY/MUNICIPALITY OF CALOOCAN

I, CECILIO CARGO MEDIOS JR., FILIPINO, of legal age designated as OWNER of AQUA BLUE WATER
REFILLING STATION, with business address located at 1416 F. JHOCSON ST. ZONE 042 BRGY 408
SAMPALOC MANILA, do hereby certify the following:

 That I have no merchandise inventory as of the taxable year 2023.

 That the NO summary list(s)/ schedule(s) of inventory and/or other schedules has been
made in good faith, verified by us, and to the best of our knowledge and belief, is true
and correct pursuant to the provisions of the NIRC, as amended, and the rules and
regulations and other revenue issuances issued under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING ATTESTATIONS
ARE TRUE AND CORRECT.

CECILIO CARGO MEDIOS JR.


Name and Signature of Owner
TIN: 176-310-003-000

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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