You are on page 1of 1

Sworn Statement Sworn Statement

Per BIR RMC No. 62-2018 Per BIR RMC No. 62-2018
Dated 28 June 2018 Dated 28 June 2018

1. That any one of the surviving joint depositor/s to the 1. That any one of the surviving joint depositor/s to the
effect that all of the other joint depositors are still living effect that all of the other joint depositors are still living
at the time of withdrawal, and at the time of withdrawal, and
(1) (2)
2. That the withdrawal is subject to 6% FWT. 3. That the withdrawal is subject to 6% FWT.

_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name

Sworn Statement Sworn Statement


Per BIR RMC No. 62-2018 Per BIR RMC No. 62-2018
Dated 28 June 2018 Dated 28 June 2018

1. That any one of the surviving joint depositor/s to the 1. That any one of the surviving joint depositor/s to the
effect that all of the other joint depositors are still living effect that all of the other joint depositors are still living
at the time of withdrawal, and at the time of withdrawal, and
(3) (4)
4. That the withdrawal is subject to 6% FWT. 5. That the withdrawal is subject to 6% FWT.

_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name

Sworn Statement Sworn Statement


Per BIR RMC No. 62-2018 Per BIR RMC No. 62-2018
Dated 28 June 2018 Dated 28 June 2018

1. That any one of the surviving joint depositor/s to the 1. That any one of the surviving joint depositor/s to the
effect that all of the other joint depositors are still living effect that all of the other joint depositors are still living
at the time of withdrawal, and at the time of withdrawal, and
(5) (6)
6. That the withdrawal is subject to 6% FWT. 7. That the withdrawal is subject to 6% FWT.

_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name

Sworn Statement Sworn Statement


Per BIR RMC No. 62-2018 Per BIR RMC No. 62-2018
Dated 28 June 2018 Dated 28 June 2018

1. That any one of the surviving joint depositor/s to the 1. That any one of the surviving joint depositor/s to the
effect that all of the other joint depositors are still living effect that all of the other joint depositors are still living
at the time of withdrawal, and at the time of withdrawal, and
(7) (8)
8. That the withdrawal is subject to 6% FWT. 9. That the withdrawal is subject to 6% FWT.

_____________________________________ _____________________________________
Signature Over Printed Name Signature Over Printed Name

You might also like