REPUBLIC OF THE PHILIPPINES

CITY OF TAGUIG

)
) SS

AFFIDAVIT OF BUSINESS CLOSURE

I, _______________________ of legal age,_________, Filipino, with residence
and postal address at ___________________________________________, after
having been duly sworn to in accordance with law, do hereby depose and
say:
1.

That I am the (state position) of (state business name) located

at (state business address);

2.

That said business is registered with the Department of Trade

and Industry (DTI) on ____________ with Business Permit No.
_______;

3.

That I am applying for the termination of the business

___________ effectively on _____________ because (state reason
for closing the business such as transfer of business, change of
ownership, lack of capital, lack of manpower, medical
condition, bankruptcy, etc.);

4.

That the business has no outstanding liability and obligation;

5.

That I am executing this affidavit to attest to the truth of all

the foregoing statements and for whatever legal purpose it
may serve.

AFFIANT FURTHER SAYETH NAUGHT.

________________________
Affiant

SUBSCRIBED AND SWORN to before me this _________ day of

___________, 20_____ in the City of Taguig, affiant having exhibited to me
his/her Passport No. ________________ issued at ___________________ on
__________________________.
Doc. No. ______
Page No. ______
Book No. ______
Series of ______