Annex A

Sample Format of a Duly Notarized Letter

______________
Date

___Concerned LTS Office/RDO___
___________(Address)__________
_____________________________

___________:

This is to inform your office that Mr./Ms. _____name of authorized user_____ is the companys authorized
user of the eSales System for the (Head Office/Branch), with TIN (including Branch Code): ______________-___,
_____address_____. Below are his/her information:

TIN :
USERNAME :
FIRST NAME :
MIDDLE NAME :
LAST NAME :
EMAIL ADDRESS :


Very truly yours,

_________________________
(Signature Over Printed Name)
President or Authorized Officer/
Owner (Single Proprietorship)
_________________________
Name of Company
_________________________
TIN
_________________________
Address
_________________________
Telephone Number


SUBSCRIBED AND SWORN to before me, this ____ day of __________, 20___, at ____________,
affiant exhibiting to me his/her Community Tax Certificate, as follows:

Name CTC Number Date of Issue Place of Issue



Notary Public


Doc. No. _____
Page No. _____
Book No. _____
Series of 20____