Professional Documents
Culture Documents
Owner/President
Category (Please Check)
Small
(Capital of 1 to 15 million)
Medium
(Capital of 15 to 100 million)
Large
(Capital of over 100 million)
IT Service Provider
LTO Authorization Number
EXPIRATION DATE
7. Income Tax Return for the current year, duly stamped and received by the BIR;
8. Duly sworn Affidavit attesting to its continuing compliance with all the requirements for authorization, unless
there are changes thereto, in which case the applicant shall submit the applicable documents;
____________________
Designation
Subscribed and sworn to me before this _____ day of ___________________, affiant exhibiting to me his/her
Residence Certificate No. ____________________ issued at _______________on __________________________.
Doc. No. __________
Page No. _________
Book No. _________
Series of __________
NOTARY PUBLIC