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ANNEX "Bt
INCOME PAYEE’S SWORN DECLARATION OF GROSS RECEIPTS/SALES
(For SelEmployed and/or Engaged in the Practice of Profession with Several Income Payors)
of legal ae, snge! maried to
dh
‘Teapyeetieaon Number (1), 278-700:308.000 fer having been dly sworn in accordance wih ew
rey depose nd sate:
1. Thutt ved my__Professlonal__incme tm vriou income payers, and my repitered busines des ft
MSE Cimamantn.coomanéeoooy
2 Tat forthe cure yar _2022 , my gros receipts wll not exced Thee Millon Peis (30000) an ht am a. ao
‘VAT reise taper Fortis purpose, lope val of eter oe fhe name ax regress flere
Graded income Tax Rates under Seton 24A)2Xs) ofthe Tax Code, a amended, used onthe table
Income, With hs seketon,|acknolede [am ject ceiblewiolng txt he pres
‘subject to percentage nx and wil fie he eure pcentge tax rer subject fo wing
‘eentag tn eof ovement mony payments,
G bie erence ter Seton 24D) Ta Code amended on oss
‘eeiplales and ober no-opersing income» wih hs selection, | dest at hs eee
Batted come tx rates an the Percentge Tax under Seton I16 oft Tx Coes amd
‘only the redial income wiolig tax based othe presi ae sal be ns
1 Incas of Graded Income Tas Rates acknowledge ht se fom incon ti, Lam bet bsness
RECVAT) ules expres exenpink nd consent set towing ofa Motos ie
‘rors goverment ety, busines x willing tes OR
(Incase of Eight Percent (8%) nce ta ts, | atknowledge al am no lng guid to val of his
‘ion sine my income exces P0005)
tex ths, the adv income xr oe shal
‘stacy apply og with he erst laity fr eens
‘Tat dy eee hs SWORN DECLARATION in online wit te eget peel ue Sein 2 _of
Revenue Regulations No.11 - 2018; ae oe
5 Taatdec ent yt is deen en men gn ha i eof ewe
and belief to be true and correct. ore .
Se
INTHTNESS WHEREOF,Lhavehemu ety had A dayot Jin 2022 oe SS BE rps
‘SUBSCRIBED AND SWORN to before me his,
‘Applian exhibited ome hier
“CARREON
f Fablie NC-2020.04
il Jane 80, ava
& Motae Ny 3135
HAs scet2021 oboe
121820. Tas, OF.
teTe-t9
23 «610-2006
(be flea by he witoldngagendfone
Received by:
TTT
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