REPUBLIC OF THE PHILIPPINES
CITY/MUNICIPALITY OF ________ )
CITY OF ________ )
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 "Business"), with principal 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;
§ 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 by a corporation duly organized and registered with the Securities and Exchange Commission;
§ 6. The closure and cessation of the Business is occasioned by my decision, as its sole proprietor, to permanently discontinue the undertaking, which shall no longer be operated in any form;
§ 6. The closure and cessation of the Business is occasioned by the following: ________;
Xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx.
Xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx xxx xxxx xxxxxxxxx xx xxxxxx xxx xxxxxxxx xxxx xx xxxxx xxxxxxx xxx xxxxxx xxxx xxxxxxxxxx xx xxx xxxxxxx xxxxx xxxx xx xxxxxxxx xxx xxxxx xxxxx xx xxxxxxx.
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.
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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his own free and voluntary act and deed.
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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is her own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the City 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his/her own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the City 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the City 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is her own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his/her own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is his own free and voluntary act and deed.
SUBSCRIBED AND SWORN TO before me this ________ day of ________, in the 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 whom I am satisfied to be the same person who personally appeared before me and acknowledged that the foregoing Affidavit is her own free and voluntary act and deed.
________
NOTARY PUBLIC
Doc. No.: ________;
Page No.: ________;
Book No.: ________;
Series of ________.
{"version": 1, "questions": [{"key": "venue_kind", "label": "Where is the affidavit sworn?", "type": "text", "choices": [{"value": "printed", "label": "Keep the printed wording (City/Municipality)"}, {"value": "city", "label": "In a city"}, {"value": "municipality", "label": "In a municipality"}], "default": "printed"}, {"key": "closure_reason", "label": "Why is the business closing?", "type": "text", "choices": [{"value": "partnership", "label": "It will be continued as a partnership registered with the SEC (as printed)"}, {"value": "corporation", "label": "It will be continued as a corporation registered with the SEC"}, {"value": "ceased", "label": "It is being discontinued for good"}, {"value": "other", "label": "Another reason - stated in the affidavit"}], "default": "partnership"}, {"key": "affiant_sex", "label": "Who is the affiant?", "type": "text", "choices": [{"value": "printed", "label": "Keep the printed wording (his/her)"}, {"value": "male", "label": "A man (his)"}, {"value": "female", "label": "A woman (her)"}], "default": "printed"}], "labels": {"closure_reason_details": "Reason for the closure of the business"}, "help": {"jurat_province": "For a city that is not part of a province (e.g., a Metro Manila city), write Metro Manila."}, "constraints": [], "dateRanges": [], "legacyReviewKeys": [], "scope": "An affidavit by the sole proprietor of a single proprietorship registered with the DTI in the Philippines, declaring under oath that the business has permanently closed, for the retirement of its DTI, BIR and Mayor's Permit registrations. The form adapts the venue, the reason for the closure and the notarial jurat.", "notice": "An affidavit by the sole proprietor of a single proprietorship registered with the DTI in the Philippines, declaring under oath that the business has permanently closed, for the retirement of its DTI, BIR and Mayor's Permit registrations. The form adapts the venue, the reason for the closure and the notarial jurat."}