ANNEX D

SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, ANN T. BUNAGAN, Filipino, of legal age designated as owner of LESSOR, with business
address located at ENERIO ST., OROQUIETA CITY. do hereby certify the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That the contents of the DVD-Rs being submitted herewith conform to the prescribed
format as required by the Bureau of Internal Revenue under Revenue Memorandum
Circular No. 57-2015.

 That the summary list(s)/ schedule(s) of inventory and/or other schedules has been
made in good faith, verified by us, and to the best of our knowledge and belief, is true
and correct pursuant to the provisions of the NIRC, as amended, and the rules and
regulations and other revenue issuances issued under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING ATTESTATIONS
ARE TRUE AND CORRECT.

ANN T. BUNAGAN
Name and Signature of Authorized
Representative
TIN: 438-015-533-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, JOHN PAUL T. CO, Filipino, of legal age designated as owner of LESSOR, with business address
located at BARRIENTOS ST., POBLACION II, OROQUIETA CITY. do hereby certify the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That the contents of the DVD-Rs being submitted herewith conform to the prescribed
format as required by the Bureau of Internal Revenue under Revenue Memorandum
Circular No. 57-2015.

 That the summary list(s)/ schedule(s) of inventory and/or other schedules has been
made in good faith, verified by us, and to the best of our knowledge and belief, is true
and correct pursuant to the provisions of the NIRC, as amended, and the rules and
regulations and other revenue issuances issued under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING ATTESTATIONS
ARE TRUE AND CORRECT.

JOHN PAUL T. CO
Name and Signature of Authorized
Representative
TIN: 934-934-882-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, EMILY T. CO, Filipino, of legal age designated as owner of LESSOR, with business address
located at BARRIENTOS ST., POBLACION II, OROQUIETA CITY. do hereby certify the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That the contents of the DVD-Rs being submitted herewith conform to the prescribed
format as required by the Bureau of Internal Revenue under Revenue Memorandum
Circular No. 57-2015.

 That the summary list(s)/ schedule(s) of inventory and/or other schedules has been
made in good faith, verified by us, and to the best of our knowledge and belief, is true
and correct pursuant to the provisions of the NIRC, as amended, and the rules and
regulations and other revenue issuances issued under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING ATTESTATIONS
ARE TRUE AND CORRECT.

EMILY T. CO
Name and Signature of Authorized
Representative
TIN: 288-073-627-001

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____