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AFFIDAVIT OF NON-OPERATION REPUBLIC OF THE PHILIPPINES ) _____________________________ ) SS.

I, (name of affiant), Filipino, of legal age, single/married to (name of spouse), and a resident of (address of affiant), after having been duly sworn in accordance with law, hereby depose and say: 1. That I am the ___________________ , an entity duly organized and existing under the laws of the Philippines with principal office at __________________________; 2. That said entity was incorporated on but has not yet commenced its operation because of _______________; 3. That the stockholders and directors of the corporation are contemplating on reviving its operation in the near future when the opportune time comes; 4. That this affidavit is being executed in order to attest to the truth of the foregoing circumstances and for the purpose of complying with the reportorial requirements of the Bureau of Internal Revenue.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ____day of ____________ 20___ at ____________, Philippines. _________________________________ (Signature of Affiant over Printed Name) SUBSCRIBED AND SWORN TO before me, a notary public in and for _____________________ this ____ day of ____________ 20___. The affiant, whom I identified through the following competent evidence of identity: ( ID type and number), valid from (date) to (date) issued by (issuing authority), personally signed the foregoing instrument before me and avowed under penalty of law to the whole truth of the contents of said instrument. Notary Public Doc. No. ..; Page No. .; Book No. .;

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