REPUBLIC OF THE PHILIPPINES )

CITY OF __________________ )
PROVINCE OF ____________ )

AFFIDAVIT

I, (Branch Head) of legal age, married, Filipino Citizen and the (Designation of Branch
Head) of ____(Company)_____ - _______________ branch with business address at
___________________________________________- after having been sworn to in accordance
with law hereby depose and say:

1. That all entries of our Sales Invoice - Motorcycle, Sales Invoice - Spare Parts,
Collection Receipt and Official Receipt – Service in our Books of accounts of (Company)
- _______________ branch with Tax Identification No. ____ - _____-_____ - _____
for January to December 2020 are correct.

2. That the serial numbers of all loose-leaf records for the period covered are as follows:

FROM TO
Sales Invoice – Motorcycle
Sales Invoice – Spare Parts
Collection Receipt
Official Receipt - Service

That I am executing this affidavit for the purpose of attesting to the truth of all facts
mentioned herein and for all legal intents and purposes.

IN WITNESS WHEREOF, I have hereunto set my hand this _______th day of January
2021 at _____________________ City, ___________________.

_ (Branch Head)__
Affiant

SUBSCRIBED AND SWORN to before me this ________th day of January 2021 at

___________________ City, ________________. Affiant exhibited to me his Driver’s License
No. ________________issued at ________________________ on _____________________.

Doc. No.
Page No.
Book No.
Series of 2021