REPUBLIC OF THE PHILIPPINES )

PROVINCE OF LAGUNA ) S.S.

CITY OF BIÑAN )

AFFIDAVIT OF CLOSURE OF BUSINESS

I, ROBERT O. ACUÑA, of legal age, married, Filipino Citizen, and with

residence address located at Blk.. 9 Lot 20 Southville 5 Phase 1 Timbao, City of Biñan,
Laguna, after having been duly sworn to in accordance with law, hereby depose and
state the following:

1. That I am owner of business name located at ;

2. That the said business is registered with the Department of Trade and industry
(DTI) with Business Permit No. ______________ ;

3. That I am applying for termination of the business ____________ effectively on

__________ because (transfer of business, change of ownership, lack of capital
lack of manpower, bankruptcy etc.

4. That the business has no outstanding liability and obligation;

5. That we execute this affidavit to attest to the truth and veracity of the foregoing
facts for whatever legal purposes it may serve it best.

IN WITNESS WHEREOF, I have hereunto affixed my signature herein

below this 06th day of May 2024, at the City of Biñan, Laguna.

ROBERT O. ACUÑA
Affiant

SUBSCRIBED AND SWORN TO before me this 06th day of May 2024,

affiant to me his National ID. With No. 2518-0394-1586-9523 as his
Competent Evidence of Identity.

WITNESS MY HAND AND SEAL on the date and at the place

first above written.

Doc. No.______:
Page No.______:
Book No.______:
Series of 2024