ANNEX “A”

SWORN DECLARATION

Republic of the Philippines

Province of_________________________
City/Municipality of __________________

(Name of Authorized Representative)

I, _________________________________, (Nationality)
_____________, of legal age, designated as
(Position)
_____________ (Registered Name of Company/Corporation)
duly representing _________________________________, with business address
located at _________________________________ do hereby voluntary depose and say that:

 the company is engaged in ________________(Line of Business) and existing under

(Business Name)
_____________________ (VAT/Non-VAT Reg)
with _______________ TIN __________________;

 the software/system to be adopted has the following functional and technical

features/description as shown on Annex “A” hereof;

 there is no suppression of sale/income and/or other technical scheme within the system
that may affect the appropriate computation of taxes due thereon;

 the subject <Computerized Accounting System (CAS)/Computerized Books of Accounts (CBA) and/or
______________________________________________________
Component(s)/Middleware/ESS>
____________________ complies with the applicable requirements prescribed under
existing revenue issuances;

 the _______________________________________
<CAS/CBA and/or its Component(s)/Middleware/ESS> is integrated with effective

security controls;

 the _________________________________________:
<CAS/CBA and/or its Component(s)/Middleware/ESS>

 can produce audit trails/activity logs with substantive compliance;

 can produce a standard audit file;
 can provide archive/restore procedures;
 can provide comprehensive systems documentation.

 the target system implementation date shall be on <Month-Day-Year>;

 the system application and database backup shall be preserved for a mandatory period
of ten (10) years pursuant to Revenue Regulations (RR) No. 17-2013, as amended by
RR No. 5-2014;

 the system application can be accessed and viewed by authorized Revenue Officers
for purposes of official audit activity, Post Evaluation or Tax Compliance Verification
Drive (TCVD);

 the company as a user of the software/system shall be responsible to assist the BIR in
the extraction of sales data from the software/system;

 any misrepresentation herein and in case of violation of existing rules and regulations,
I hereby undertake to face any legal sanctions and pay corresponding penalties thereof
as provided for under the National Internal Revenue Code of 1997, as amended, and
relevant revenue issuances.
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 ANNEX “A”

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING

ATTESTATIONS ARE TRUE AND CORRECT.

__________________________
Authorized Representative
(Signature over Printed Name)
TIN: _____________________

SUBSCRIBED AND SWORN TO BEFORE ME this _______ day of ___________, 2018 at

(any Government ID)
__________, affiant exhibited to me his/her __________________________.

NOTARY PUBLIC

Doc. No. ___________

Page No. ___________
Book No. ___________
Series of ___________.

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