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AFFIDAVIT OF CLOSURE

I, LILY BETH B. MALLARI, Filipino, of legal age and capacity, residing at 1202 Primero Tibag Tarlac City,
after having duly sworn in accordance with law, hereby depose and state, to wit:

1. That I am the bona fide owner or proprietor of Business with registered name of RIZLEA GENERAL
SERVICES AND TRADING.

2. That I am executing this Affidavit of CLOSURE in my said capacity.

3. That I execute this affidavit of CLOSURE to formally close down my said registered business which
have already stopped its operation since the month of SEPTEMBER year 2012.

4. That since the period of registration of my business there was no amount received to be recorded as
either gross or net profit. That there was no amount received as payment for the operation of the
business.

5. That such business registration is intended to be in congruent with another business opportunity
which on the other hand have also failed therefore no transaction transpired with regard to my
registered business.

4. That said CLOSURE of business was due to no sale or no transaction

5. I am executing this affidavit therefore for all legal intents and purposes with regard to the closure of
said business.

Affiant Sayeth Naught

IN WITNESS WHEREOF, I have hereunto set my hand this 10 th day of June 2013.

LILY BETH B. MALLARI


AFFIANT

REPUBLIC OF THE PHILIPPINES)

CITY OF _____________________) s.s.

SUBSCRIBED AND SWORN to before me this _________ day of

____________________________ at Tarlac City.

Doc. No.__________________

Page No.__________________

Book No. _________________

Series of __________________
AFFIDAVIT OF LOSS

I, LILY BETH B. MALLARI, of legal age, married to ENRICO D. MALLARI,

Filipino citizen, and a resident of 1202 Tibag, Tarlac City, Philippines, after being sworn to in

accordance with law, depose and state:

That I am a duly-licensed owner of Business with registered name RIZLEA GENERAL SERVICES AND
TRADING in accordance with pertinent laws of the Philippines in consideration of business registration,
rules and regulations, and was issued the corresponding documents accordingly:

1. DTI Certificate with no. 01786712


(valid from July 11, 2012 to July 11, 2017
2. Mayor’s Business Permit and the corresponding Business Plate with registered no. 4361
3. 1. BIR Certificate of Registration
Registered under my name; Lily Beth B. Mallari
With Tax Identification no. 203-067-856-000

2. Registered Unused Receipts, Sales Invoice and Delivery Receipts

That when we vacated the place we designated to be our office at Sitio Tanpoco Barangay Matatalaib,
Tarlac City, said Documents or proof of registration and Certificates were misplaced and got lost.

That despite diligent search and efforts to locate my said Documents, I could not

find the same such that I now believe that it is now lost beyond recovery;

As such, I am executing this Affidavit of Loss to attest to the truth of the foregoing and to

support my application for the Closure, Cessation or Cancellation of the business Registration

and this affidavit be used for all legal purposes and intents it may serve in the process of the said closure
of my supposed business.

IN WITNESS WHEREOF, I have hereunto affixed my signature this 10 th day of June year 2013, at Tarlac
City, Philippines.

LILY BETH B. MALLARI


Affiant

REPUBLIC OF THE PHILIPPINES)


CITY OF _____________________) s.s.
SUBSCRIBED AND SWORN to before me this _________ day of
____________________________ at Tarlac City.

Doc. No.__________________
Page No.__________________
Book No. _________________
Series of __________________

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