Professional Documents
Culture Documents
In accordance with Revenue Memorandum Order No. __________ dated ____________, the parties
are executing this sworn statement under penalties of perjury, to attest to the truth of the declaration and for
the purpose of stating the true conditions of the property/ies described below that it/they/ has/have no
existing improvements whatsoever as of ___________________________ duly verified by them.
(date of sale/donation/death of decedent)
IN WITNESS WHEREOF, we have hereunto set our hands this _________ day of ___________
2002 in _____________.
_____________________________________
Signature over Printed Name of Transferee
We hereby authorize the Commissioner of Internal Revenue or his duly authorized representative to
verify the above information.
_______________________________
Notary Public/Administering Officer