Republic of the Philippines )

) S.S.

AFFIDAVIT OF GROSS RECEIPT/SALE

I, XXXXXXXXXXXXXXXXXXXXXXXX, Filipino, of legal age, resident

xxxxxxxxxxxxxxxxxxxxxxxxxx, after having been sworn in accordance with law, hereby depose
and state that:
1. I am the Treasurer of XXXXXXXX. (the Company), located at xxxxxxxxxxxxxxx,
registered to the Bureau of Internal Revenue (BIR) with TIN xxxxxx;

2. The Gross Sales of the Company from January 1, 2020 to December 31,2020
amounts to Php 54,861,842.23, breakdown as follows:

Sale of Service - Business

Month
Processing Outsourcing
January 4,441,670.50
February 4,224,244.00p
March 4,082,540.10
April 4,110,113.60
May 3,751,946.80
June 4,243,401.55
July 4,389,839.30
August 4,161,626.35
September 4,648,101.70
October 4,853,682.00
November 7,382,856.14
December 4,571,820.19
Total 54,861,842.23

3. I am executing this affidavit to attest to the truth of the above statement and as
a requirement for the renewal of Business Permit to the xxxxxx City Hall for the
year 2021 and on whatever legal purpose it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand on this ____ day of

___________, ________ at _______________________, Philippines.

xxxxxxx
Affiant

SUBSCRIBED AND SWORN to before me, this ____ day of _______________, ______ in
_____________________, affiant exhibiting to me his TIN ID with TIN xxx-xxx-xxx.

Doc. No.: ______;

Page No.: ______;
Book No.: ______;
Series of: ______;