REPUBLIC OF THE PHILIPPINES

_________________________ CITY) S.S.

SWORN DECLARATION AND WAIVER FOR NON-SUBMISSION OF THE REQUIRED BIR FORM 2316

In accordance with the provisions of Section 2.83.1 of Revenue Regulation No. 2-98 of the National Internal
Robert Renan Maata
Revenue Code, I ____________________________________ hereby voluntarily depose and say:

1. That 24-7 Intouch, has required me to secure a copy of the said form in compliance with the above
regulation;

2. That I cannot submit Form 2316 since I don’t have previous employer.

3. That in any case that 24-7 Intouch will not be able to compute for my correct taxes, I will shoulder the
corresponding penalties, surcharges and interests as may be imposed by the Bureau of Internal Revenue;

4. That this waiver shall be effective beginning with my employment with 24-7 Intouch.

I hereby declare under penalties of perjury that the foregoing representations are true and correct and that this
waiver is voluntarily and knowingly made in accordance with the provisions of the National Internal Revenue
Code, as amended.
02/24/2023
Signed this _____________________________ at ________________________________________________.

Robert Renan Maata

_____________________________________________
Signature over Printed Name of the Employee/Taxpayer

SUBSCRIBED AND SWORN to before me this _____________________________, affiant who is personally

known to me, exhibiting to me his/her ID’s:

ID Type ID No. Issued at Issued on

Doc. No. ________;

Page No. ________; Book
No. ________; Series of
2021.