REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF ________ )
PROVINCE OF ________ ) S.S.
AFFIDAVIT OF CLOSURE OF BUSINESS OF
________
I, ________, of legal age, Filipino, single, with Taxpayer Identification Number (TIN) ________, and presently residing at ________, after having been duly sworn to in accordance with law, do hereby depose and state THAT:
§ 1. I am the sole proprietor and absolute owner of a single proprietorship business duly registered under the trade name ________ (the
egistal place of business at ________;
§ 2. The Business Name was registered with the Department of Trade and Industry (DTI) pursuant to Act No. 3883, as amended by Republic Act No. 863 and Republic Act No. 4147, under Business Name Registration Certificate No. ________, issued on ________;
§ 3. The Business was issued a Business Permit/Mayor's Permit on ________ by the Office of the Mayor of ________, under Permit No. ________, pursuant to the Local Government Code of 1991 (Republic Act No. 7160);
§ 4. The Business was registered with the Bureau of Internal Revenue (BIR) on ________, in accordance with Section 236 of the National Internal Revenue Code of 1997, as amended, under Certificate of Registration OCN No. ________;
§ 5. The Business has permanently ceased, closed, and terminated all of its commercial operations effective ________;
§ 6. The closure and cessation of the Business is occasioned by the fact that the undertaking shall no longer be operated as a single proprietorship but shall henceforth be conducted as a partnership duly organized and registered with the Securities and Exchange Commission;
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IN WITNESS WHEREOF, I have hereunto set my hand this ________ day of ________, at ________.
________
Affiant
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the City/Municipality of ________, Province of ________, by the affiant ________, who is personally known to me or who has exhibited to me the following competent evidence of identity in accordance with the 2004 Rules on Notarial Practice: ________, and who I am satisfied is the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his/her own free and voluntary act and deed.
________
NOTARY PUBLIC
Doc. No.: ________;
Page No.: ________;
Book No.: ________;
Series of ________.