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    Annex "A": SUBSCRIBE AND SWORN TO Before Me This - Day of

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    Harry
    This document is a declaration of identity and source of income. The declarant states their full name, address, and that they are currently unemployed and earning no compensation income. They declare that they work as a copra farmer, whose annual gross sales do not exceed 100,000 pesos, and this is their principal means of subsistence. The declarant signs the document, and a witness attests to their identity. A BIR revenue officer also signs to verify the declarant's identity.

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    Annex "A": SUBSCRIBE AND SWORN TO Before Me This - Day of

    Uploaded by

    Harry
    11 views1 page
    This document is a declaration of identity and source of income. The declarant states their full name, address, and that they are currently unemployed and earning no compensation income. They declare that they work as a copra farmer, whose annual gross sales do not exceed 100,000 pesos, and this is their principal means of subsistence. The declarant signs the document, and a witness attests to their identity. A BIR revenue officer also signs to verify the declarant's identity.

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    1877rmo04_04anxa

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    This document is a declaration of identity and source of income. The declarant states their full name, address, and that they are currently unemployed and earning no compensation income. They declare that they work as a copra farmer, whose annual gross sales do not exceed 100,000 pesos, and this is their principal means of subsistence. The declarant signs the document, and a witness attests to their identity. A BIR revenue officer also signs to verify the declarant's identity.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    11 views1 page

    Annex "A": SUBSCRIBE AND SWORN TO Before Me This - Day of

    Uploaded by

    Harry
    This document is a declaration of identity and source of income. The declarant states their full name, address, and that they are currently unemployed and earning no compensation income. They declare that they work as a copra farmer, whose annual gross sales do not exceed 100,000 pesos, and this is their principal means of subsistence. The declarant signs the document, and a witness attests to their identity. A BIR revenue officer also signs to verify the declarant's identity.

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    © All Rights Reserved
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    of 1

    ANNEX A

    DECLARATION OF IDENTITY AND SOURCE OF INCOME


    I am _____(indicate full name, middle name and surname)_________________, residing
    at _____(indicate complete address)____________________________.
    I am not employed and I am not earning any compensation income.
    I am currently a ____(indicate type of business, eg. Copra Farmer)_______. This activity
    is my principal source of subsistence and livelihood and my gross sales/receipts in a 12-month
    period does not exceed P100,000.

    ______(Signature over Printed Name)__________


    Taxpayer
    __________________
    Date
    I attest to the identity of herein named taxpayer.
    _______(Signature over Printed Name)_________
    Witness attesting to identity of taxpayer
    SUBSCRIBE AND SWORN TO before me this ___________ day of ______________,
    2003, affiant exhibiting his Community Tax Certificate No. ________ issued at _____________
    on ______________.
    _______(Signature over Printed Name)_________
    BIR Revenue Officer
    Note: This form should be translated in local dialect if necessary to make taxpayers-registrant
    properly understand the content of this declaration.

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