REPUBLIC OF THE PHILIPPINES)

CITY OF _______________) S.S.

AFFIDAVIT OF CANCELLATION

I, _______________________________________, of legal age, Filipino, ____________, and

presently residing at ________________
_________________________________________________, after having been duly sworn to
in accordance with law, depose and state:
1. I am presently engaged in a business under the name and style of Prime
Choose Consultancy Services.
2. The business is now aiming for expansion and is now attracting other investors
in the process.
3. To protect all the investors who are putting not an inconsiderable amount of
capital, the plan is to change the present business organization from sole
proprietorship to incorporation.
4. Thus in so doing, the cancellation of the business registration in the
Department of Trade and Industry is now properly called for.
5. In changing the present organizational set- up, no creditors will be prejudiced
because the business has no obligation arising from contract, other monetary
claims and sources of obligation.
6. I therefore have executed this Affidavit to attest the truth I mentioned herein
and for whatever legal purposes it may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this _____ day of __________ 20____ in
____________, __________, Philippines.

_______________________________________

Affiant

Philippine Passport No. ___________

valid until ____________ ____, 20____

SUBSCRIBED AND SWORN TO before me this ____ day of ___________ 20____
in _____________, _________, Philippines, affiant exhibiting to me her competent evidence
of identity indicated below his above- stated name.

Doc. No. _____;

Page No. _____;

Book No. _____;

Series of 20____.