Republic of the Philippines )

City of ______
) S.S.
x--------------------------x
AFFIDAVIT OF CESSATION OF BUSINESS OPERATION

I, _________________, of legal age, single/married/widow, Filipino citizen, and

presently residing at _____________________, after having been duly sworn to in
accordance with law, do hereby depose and say:
1. That I am the (state position) of (state business name) located at (state businessaddress);
2.

That said business is

registered

with

the

Bureau

of Internal

Revenue (BIR)

on

____________ with Certificate of Registration OCN No. _______;

3.

That I am applying for the termination of the business ___________ effectively on

_____________ because (state reason for closing the business);

4. That the business has no outstanding liability and obligation;

5. That I am executing this affidavit to attest to the truth of all the foregoing statements and
for whatever legal purpose it may serve.
IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of _______
2014 at ______________, Philippines.

________________
Affiant

SUBSCRIBED AND SWORN to before me this ____ day of ______ 2014 in

_________, Philippines, affiant exhibiting to me his/her competent evidence of identity by
way of _______________ issued at ___________ on ________________.
Doc No. : _____
Page No.: ______
Book No.: ______
Series of 2014

Notary Public