ANNEX C

SWORN DECLARATION

Republic of the Philippines

Province of Abra
City/ Municipality of Pidigan

I, Apollo P. Palecpec, Filipino of legal age designated as Municipal Treasurer,

Municipal Government of Pidigan, with business address located at Poblacion West,
Pidigan, Abra do hereby certify the following:

 That in compliance with the requirements of Revenue Regulations No. 2-2015,

submitted herewith is/ are ( Number of DVD-R/s) containing 33 of Scanned BIR
Forms-2316 covering the period of December 31, 2017.

 That the contents of the DVD-Rs being submitted herewith conform to the
condition/ specification requirements set by the Bureau of Internal Revenue.

 That the soft copies of the BIR form 2316 contained in the DVD-R/s being
submitted herewith are the complete and exact copies of the original thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE

FOREGOING ATTESTATIONS ARE TRUE AND CORRECT.

APOLLO P. PALECPEC
Name and Signature of Authorized
Representative

SUBSCRIBED and sworn to before me, in the City/ Municipality of

_____________, this day of _________, 20 ____ by _____________ with Residence
Certificate No.____ issued at __________________, of __________ 20_____.

Notary Public
Doc. No._______
Page No._______
Book No._______
Series of _______
 BIR FORM 2316
MUNICIPAL GOVERNMENT OF PIDIGAN
000-613-129-000

Period Covered: No. of Scanned

12/31/2017 2316 copies: 33

APOLLO P. PALECPEC
Municipal Treasurer
 ANNEX C

SWORN DECLARATION

Republic of the Philippines

Province of Abra
City/ Municipality of Pidigan

I, Apollo P. Palecpec, Filipino of legal age designated as Municipal Treasurer,

Municipal Government of Pidigan, with business address located at Poblacion West,
Pidigan, Abra do hereby certify the following:

 That in compliance with the requirements of Revenue Regulations No. 2-2015,

submitted herewith is/ are ( Number of DVD-R/s) containing 112 of Scanned BIR
Forms-2307 covering the period of December 31, 2017.

 That the contents of the DVD-Rs being submitted herewith conform to the
condition/ specification requirements set by the Bureau of Internal Revenue.

 That the soft copies of the BIR form 2307 contained in the DVD-R/s being
submitted herewith are the complete and exact copies of the original thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE

FOREGOING ATTESTATIONS ARE TRUE AND CORRECT.

APOLLO P. PALECPEC
Name and Signature of Authorized
Representative

SUBSCRIBED and sworn to before me, in the City/ Municipality of

_____________, this day of _________, 20 ____ by _____________ with Residence
Certificate No.____ issued at __________________, of __________ 20_____.

Notary Public
Doc. No._______
Page No._______
Book No._______
Series of _______
 BIR FORM 2307
MUNICIPAL GOVERNMENT OF PIDIGAN
000-613-129-000

Period Covered: No. of Scanned

12/31/2017 2307 copies: 112

APOLLO P. PALECPEC
Municipal Treasurer