Professional Documents
Culture Documents
1”
1. GENERAL PROFILE
If yes, specify: .
2.5 Serial numbers of sales invoices/official receipts used during the period of claim
____________________________________________________________________________________________
____________________________________________________________________________________________
The undersigned hereby declare under the penalties of perjury that the foregoing attestations
are true and correct.
______________________________
(Signature Over Printed Name)
SUBSCRIBED AND SWORN to before me, this ____ day of ___________, 20__ at
________________________, affiant exhibited to me his/her (competent evidence of identity – e.g.
government issued ID) issued on ________________ at ______________________ indicated below
his/her name.
______________________________
Notary Public
Until __________________
PTR No. _______________
Issued at _______________
On ____________________