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Template of Affidavit BIR RR 4 2014
Template of Affidavit BIR RR 4 2014
City/Municipality of _____________ )
AFFIDAVIT
1. That I am a Medical Doctor by profession and registered with the Bureau of Internal
Revenue RDO ______, ____________ City with Tax Identification No.
_____________________.
7. That I am executing this affidavit to attest to the veracity of the foregoing facts and
for all intents and for whatever legal purpose it may serve.
_______________________________
NAME
Affiant
NOTARY PUBLIC