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Sworn Declaration: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This - Day of

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Gretchen Oblefias

The document is a sworn declaration form that collects information from an individual including their name, citizenship, address, tax ID number, employment details, expected annual income, and requires their signature to declare the information is true and correct.

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© All Rights Reserved
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Sworn Declaration: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This - Day of

Uploaded by

Gretchen Oblefias
18 views1 page
The document is a sworn declaration form that collects information from an individual including their name, citizenship, address, tax ID number, employment details, expected annual income, and requires their signature to declare the information is true and correct.

Original Title

Annex-D-SWORN-DECLARATION

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© © All Rights Reserved

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The document is a sworn declaration form that collects information from an individual including their name, citizenship, address, tax ID number, employment details, expected annual income, and requires their signature to declare the information is true and correct.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
18 views1 page

Sworn Declaration: IN WITNESS WHEREOF, I Have Hereunto Set My Hand This - Day of

Uploaded by

Gretchen Oblefias
The document is a sworn declaration form that collects information from an individual including their name, citizenship, address, tax ID number, employment details, expected annual income, and requires their signature to declare the information is true and correct.

Copyright:

© All Rights Reserved
Download as PDF, TXT or read online from Scribd
Download as pdf or txt
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Annex “D”

SWORN DECLARATION

I, __________________________________________, ________________________, of
(Name) (Citizenship)
legal age, single/ married to ____________________________________ permanently residing
(Name of Spouse)
at ______________________________________________________________________________
(Address))
with Taxpayer Identification Number (TIN) ____________________, after having been duly
sworn in accordance with law hereby depose and state:

1. That I am employed as _________________________ at ___________________________


[with Salary Grade (SG) _________ - Step _____];
2. That for my current year _______, my net taxable compensation income will not
exceed Two Hundred Fifty Thousand Pesos (₱ 250, 000. 00);
3. That I duly execute this SWORN DECLARATION in compliance with the requirement
prescribed by the BIR;
4. That I declare, under the penalties of perjury, that this declaration has been made in good
faith, and to the best of my knowledge and belief to be true and correct.

IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


_________________, 20___ at ____________________________________________, Philippines.

__________________________________________
Signature over Printed Name

SUBSCRIBED AND SWORN to before me this ____ day of _______________, 20___ in


__________________________________. Affiant exhibited to me his/her ___________________
issued at _________________________ on _________________________________.
(Government Issued ID and No.)

NOTARY PUBLIC
Doc. No.: _________
Page No.: _________
Book No.: _________
Series of _________

Affix ₱ 30. 00
Documentary
Stamp Tax

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