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Republic of the Philippines )

City of Zamboanga ) S.S

X ------------------------------ X


I, __________________, of legal age, married, Filipino

citizen, and presently residing at ________________, after having
been duly sworn to in accordance with law, do hereby depose and say:

1. That I am the _____________________, a corporation duly

organized under the laws of the Philippines with principal office at

2. That said corporation was incorporated on _________ with

SEC Registration Number ___________________.

3. That as of December 31, 2016, the corporation has not commenced

operations due to the fact that Business Permit was not yet issued and
the application for Registration with the BIR has not yet started.

4. That it was only on ____________________ that the Business

Permit was issued and thereafter, the BIR Certification was issued
dated ____________________.

5. That I am executing this affidavit in order to attest to the truth of the

foregoing and for whatever legal purposes this may serve.

IN WITNESS WHEREOF, I have hereunto affixed my

signature this _____________________, at
________________, Philippines.


SUBSCRIBED AND SWORN TO before me this _____________, at

Zamboanga City, Philippines, affiant who was identified by me through
competent evidence of identity to be the same person who executed the foregoing
instrument and who exhibited to me his Drivers License with No.
______________ which will expire on _____________.