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4 BUSINESS ADDRESS
B53 L31 PH1-C San Lorenzo South Subd., Malitlit, City of Santa Rosa, Laguna
NOTE: Any change in system, contents and format for computerized accounting system or components thereof would require
taxpayer's notification of change and submission of hard copy before phasing out old system, contents and format.
6 DECLARATION Stamp of BIR Receiving Office
I declare, under the penalties of perjury, that this application has been made in good faith, verified by and Date of Receipt
me, and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the
National Internal Revenue Code, as amended, and the regulations issued under authority thereof.