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Republic of the Philippines )

Parañaque City )SS


x--------------------------------------x

AFFIDAVIT OF NON-FILING OF B.I.R. RETURNS

I, FRANCIS M. ALCOBENDAS, of legal age, Filipino and currently residing at 111-B


A. Lake Street San Juan City, in accordance with law hereby depose and state the
following:

1. I am the Proprietor/Representative of KF Clothing Shop located at 100 Malolos


Avenue, Bagong Barrio, Caloocan City;

2. That as of date, KF Clothing Shop have not filed any appropriate returns to the
Bureau of Internal Revenue;

3. That the foregoing is executed for all legal intents and purposes;

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ February


2023 at Paranaque City, Philippines.

FRANCIS M. ALCOBENDAS

Subscribed and sworn to before me in the date and place above-mentioned. The
declarant exhibited ID ___________________.

Doc. No.
Page No.
Book No.
2023 Series

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