Annex D

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REPUBLIC OF THE PHILIPPINES

PROVINCE OF CAGAYAN
CITY OF TUGUEGARAO

SWORN DECLARATION

I, MARINA P. BABARAN, of legal age, Filipino citizen, married and


a resident of 51J Atal Street, Cataggaman Viejo, Tuguegarao City,
Cagayan, after having been duly sworn to in accordance with the law
depose and state under oath that:

1. I am the proprietress of RINA’S GENERAL MERCHANDISE


with business address at J-31 Phase II, Mall of the Valley,
Tuguegarao City, Cagayan;

2. In compliance with Section 13 of Revenue Regulations No. VI,


otherwise known as the Bookkeeping Regulations, submitted
herewith is the DVD-R containing the summary
list(s)/schedule(s) of inventory (stocks-in-trade, materials,
supplies and other goods, etc.) and/or other schedules of
inventory as of taxable year ending 2020;

3. The contents of the DVD-Rs being submitted herewith


conform to the prescribed format as required by the Bureau
of Internal Revenue under Revenue Memorandum Circular
No. 57-2015;

4. The summary list(s)/ schedule(s) of inventory and/or other


schedules has been made in good faith, verified by us, and to
the best of our knowledge and belief, is true and correct
pursuant to the provisions of the NIRC, as amended, and the
rules and regulations and other revenue issuances issued
under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY


THAT THE FOREGOING ATTESTATIONS ARE TRUE AND CORRECT.

MARINA P. BABARAN
Affiant
1529-0172A-F1770MPB20000
Issued by COMELEC

SUBSCRIBED AND SWORN to before me, in the City of


Tuguegarao, Province of Cagayan, this 11th day of January, 2021. Affiant
personally appeared and exhibited to me her above-written Identification
card just below her name as competent proof of her identity.

Doc. No.______;
Page No. ______;
Book No. _____;
Series of 2021.
REPUBLIC OF THE PHILIPPINES
PROVINCE OF CAGAYAN
CITY OF TUGUEGARAO

SWORN DECLARATION

I, FERNANDO DARAUAY, of legal age, Filipino citizen, married and


a resident of _______________, Tuguegarao City, Cagayan, after having
been duly sworn to in accordance with the law depose and state under
oath that:

1. I am the proprietor of FM DARAUAY STORE with business


address at J-15 Phase II, Mall of the Valley, Tuguegarao City,
Cagayan;

2. In compliance with Section 13 of Revenue Regulations No. VI,


otherwise known as the Bookkeeping Regulations, submitted
herewith is the DVD-R containing the summary
list(s)/schedule(s) of inventory (stocks-in-trade, materials,
supplies and other goods, etc.) and/or other schedules of
inventory as of taxable year ending 2020;

3. The contents of the DVD-Rs being submitted herewith


conform to the prescribed format as required by the Bureau
of Internal Revenue under Revenue Memorandum Circular
No. 57-2015;

4. The summary list(s)/ schedule(s) of inventory and/or other


schedules has been made in good faith, verified by us, and to
the best of our knowledge and belief, is true and correct
pursuant to the provisions of the NIRC, as amended, and the
rules and regulations and other revenue issuances issued
under authority thereof.

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY


THAT THE FOREGOING ATTESTATIONS ARE TRUE AND CORRECT.

FERNANDO DARAUAY
Affiant
1529-0172A-F1770MPB20000
Issued by COMELEC

SUBSCRIBED AND SWORN to before me, in the City of


Tuguegarao, Province of Cagayan, this 11th day of January, 2021. Affiant
personally appeared and exhibited to me his above-written Identification
card just below her name as competent proof of his identity.

Doc. No.______;
Page No. ______;
Book No. _____;
Series of 2021.

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