REPUBLIC OF THE PHILIPPINES )

PROVINCE OF PAMPANGA ) S.S.

AFFIDAVIT

I, , of legal age, Filipino citizen, married, and with residence at under

oath, depose and state:

1). That in June 28, 2018, I started my business under the trade name - ,
with office address at ;
2). That my business is a sole proprietorship establishment and I am the
one managing and operating it;
3). That since the starting (June 28, 2018) of said business up to present, ,
has no business operation and undertaking. In other words, the business has not
engaged and transacted in any business dealings with the public.
4). That my business recommence its operation this January 2020;
5). That the affiant, respectfully informed the government agencies
concern relative the circumstances of no operation of my business from June 28,
2018 up to present;
5). That this affidavit is executed to attest to the truth of foregoing facts
and for the purpose of informing the government agencies concerned anent the
circumstances of no operation of t.
IN WITNESS WHEREOF, I have signed on this day of December, 2019 at
Lubao, Pampanga.

Affiant

Issued by BIR

SUBSCRIBED AND SWORN to before me on this 27 th day of December,

2019 at Lubao, Pampanga. Affiant exhibited to me his identification document
appearing below her name.

Doc No. ______

Page No. _____
Book No. _____
Series of 2019.