Republic of the Philippines)

_____________________)S.S.

AFFIDAVIT CERTIFICATION
OF GROSS SALES

I, ___(Name of Affiant)___, of legal age, Filipino, single, and with office address at/a
resident of ______________________(address) ______________________, after having been
duly sworn to in accordance with law, hereby depose and state:

1. That I am the c of ___(Name of Corporation)___ (“Corporation”), a corporation duly

organized and existing under the laws of the Republic of the Philippines, with office
address at ___________(office address) ___________;

2. As _(Position)_, I am responsible for supervising the books of accounts and

transactions of the Corporation, tracking of revenue and expenses, drafting of regular
Financial Statements, and monitoring of permits renewal and licenses;

3. That for the Year (Year), the (supposed source of income, ex: Crusher Plant) of the
Corporation in _______(location)_______ has generated no income;

4. For purposes of (purpose, ex: 2022 Business Permit Renewal) at

_______(location)_______, the (supposed source of income, ex: Crusher Plant) of
the Corporation has the following financial records and results of operations:

Gross Revenue / Gross Sales (Year)

(Name of Corporation)

That I am executing this affidavit to attest to the truth of the foregoing on my capacity as
_(Position)_ and for whatever legal purpose this may serve.

IN WITHNESS WHEREOF, I have hereunto affixed my signature this ___________ at

____________, Philippines.

______(NAME OF AFFIANT)______
Affiant

SUBSCRIBED AND SWORN to before me this ___ day of ____________ in

_____________, affiant exhibiting to me his identification below his name.

Doc. No. _____;

Page No. _____;
Book No. _____;
Series of 2022.