REPUBLIC OF THE PHILIPPINES )

_________________________) S.S

SWORN DECLARATION
OF GROSS RECEIPT FOR TAXABLE YEAR 2019

I, J_______________ Filipino, of legal age and with business address located at

___________________________,Makati City, Metro Manila, do hereby certify the following:

1. That I am the designated as Treasurer of X Company Inc.., a corporation duly recognized and existing
under and by virtue of the Laws of the Philippines, with office located
at________________________,Makati City, Metro Manila.

2. That the gross receipt of the aforesaid corporation for taxable year 2019 was Php90,885.00;

3. That I declare, under the penalties of perjury, that this declaration has been made in good faith, and
to the best of my knowledge and belief to be true and correct.

IN WITNESS, WHEREOF, I have hereunto set my hand this _______________________ at

__________________.

Corporate Treasurer

SUBSCRIBED AND SWORN to before me this _______________________ at ____________________________,

affiant exhibited to me his government issued ID ______________________ issued by Bureau of Internal
Revenue.

Notary Public

Doc. No. _________;

Page No._________;
Book No._________;
Series of 2020.