Republic of the Philippines)

Mandaluyong City ) s.s.

AFFIDAVIT

I, , of legal age, , and a resident of _ ____

___________________, after having been duly sworn to in accordance with law, hereby depose and state:

1. That I am the of a business named: with business

address at ________________________ _.

2. That the business is currently in the process of enrolling /has been enrolled on the EFPS
through its respective district office.

3. That future filing of the pre requisite returns and payments will be done through EFPS within
the next two months and thereafter.

4. That I am fully aware that the issued Tax Clearance by the Collection Division of Revenue
Region 7B – East NCR may be void if not active with its Electronic Filing and Payment System
(EFPS) usage within the next two months from the date of the issuance.

5. That I am executing this affidavit to attest to the truth of all above facts and statement for
legal purposes it may serve.

____________________________

SIGNATURE OVER PRINTED NAME

IN WITNESS WHEREOF, I have hereunto affix my signature this ___ day of ___ 2022 in Mandaluyong City.
Affiant to me her ID with ID number:

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