ANNEX D

SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, RIGEL M. MENDAROS, Filipino, of legal age designated as owner of RM VARIETY STORE, with
business address located at LOOC, PLARIDEL, MISAMIS OCCODENTAL. do hereby certify the
following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

RIGEL M. MENDAROS
Name and Signature of Authorized
Representative
TIN: 441-719-755-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, LYNIE JEAN P. VILAN, Filipino, of legal age designated as owner of RV SOFTDRINK TRADING,
with business address located at PUNTA MIRAY, BALIANGAO, MISAMIS OCCODENTAL. do
hereby certify the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

LYNIE JEAN P. VILAN

Name and Signature of Authorized
Representative
TIN: 433-825-629-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, KIM P. RIVERA, Filipino, of legal age designated as owner of KC LUMBER RETAILER, with
business address located at LABO, ALORAN, MISAMIS OCCODENTAL. do hereby certify the
following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

KIM P. RIVERA
Name and Signature of Authorized
Representative
TIN: 948-518-950-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, EMILY T. CO, Filipino, of legal age designated as owner of TOPSHOPPE DRY GOODS, with
business address located at BARRIENTOS ST. POB. 2, OROQUIETA CITY. do hereby certify the
following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

EMILY T. CO
Name and Signature of Authorized
Representative
TIN: 288-073-627-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, ANABELLA S. FERNANDEZ, Filipino, of legal age designated as owner of FERNANDEZ DRY

GOODS, with business address located at POBLACION 2, OROQUIETA CITY. do hereby certify
the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

ANABELLA S. FERNANDEZ
Name and Signature of Authorized
Representative
TIN: 122-417-798-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, PRINCESS DEE P. RIVERA, Filipino, of legal age designated as owner of DEE LUMBER
TRADING, with business address located at MANINGCOL, OZAMIS CITY. do hereby certify the
following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

PRINCESS DEE P. RIVERA

Name and Signature of Authorized
Representative
TIN: 753-133-720-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, NIMROD E. RIVERA, Filipino, of legal age designated as owner of POPOY’S LUMBER, with
business address located at TALIC, OROQUIETA CITY. do hereby certify the following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

NIMROD E. RIVERA
Name and Signature of Authorized
Representative
TIN: 180-586-170 -000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____

ANNEX D
 SWORN DECLARATION

REPUBLIC OF THE PHILIPPINES

PROVINCE OF MISAMIS OCCIDENTAL
CITY/MUNICIPALITY OF OROQUIETA CITY

I, JULIE C. GUIA, Filipino, of legal age designated as owner of JULIE GUIA LUMBER TRADING,
with business address located at POBLACION 1, OROQUIETA CITY. do hereby certify the
following:

 That in compliance with Section 13 of Revenue Regulations No. V-1, otherwise known
asthe Bookkeeping Regulations, submitted herewith is the DVD-Rcontaining the
summary list(s)/ schedule(s) of inventory(stocks-in-trade, materials, supplies and other
goods, etc.)and/or other schedules as of taxable year ending December 31, 2022.

 That 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.

 That 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.

JULIE C. GUIA
Name and Signature of Authorized
Representative
TIN: 717-884-991-000

SUBSCRIBED and sworn to before me, in the City/Municipality of ______, this day of
____, 20___ by ________________ with Residence Certificate No. __________ issued at
___________, on _________ 20___.

Notary Public

Doc. No.____
Page No. ____
Book No. ____
Series of ____