"Taxpayer-User's Sworn Statement Template"

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Annex “B”
Taxpayer-user’s Sworn Statement
SWORN STATEMENT
I,
(Name of Taxpayer) ,
(Nationality)
, of legal age designated
as
(Position)
of
(Name of Company/Corporation)
, with business address at
, do hereby certify the following:
That, (Name of Company/Owner/Corporation) with business address at ______
1.
is a duly registered entity under the laws of the Philippines;
That the receipts or sales/commercial invoices to be issued by the abovementioned
2.
entity shall only come from the receipts or invoices covered by and reflected in the
attached BIR-registered “Printer’s Certificate of Delivery of Receipts and Invoices”;
That the above-mentioned entity shall not issue a receipt or sales/commercial invoice
3.
unless he has received his copy of the duly stamped “Registered” Printer’s Certificate
of Delivery of Receipts or Sales/Commercial Invoice;
That the aforementioned receipts or sales/commercial invoices are serially numbered
4.
and conformed to the requirements of Sections 237, 238, and 113 (for VAT taxpayer) of
the National Internal Revenue Code of 1997, as amended; and
That in case of violations of Sections 237, 238, and 113 (for VAT-registered taxpayers)
5.
of the National Internal Revenue Code of 1997, the above-mentioned business would
voluntarily pay or comply with the sanctions provided under existing laws, rules and
regulations.
I declare, under the penalties of perjury, that the foregoing attestations are true and
correct to the best of my knowledge and belief.
(Name and Signature of
Taxpayer/Authorized Representative)
Position :
TIN
:
Address :
Annex “B”
Taxpayer-user’s Sworn Statement
SWORN STATEMENT
I,
(Name of Taxpayer) ,
(Nationality)
, of legal age designated
as
(Position)
of
(Name of Company/Corporation)
, with business address at
, do hereby certify the following:
That, (Name of Company/Owner/Corporation) with business address at ______
1.
is a duly registered entity under the laws of the Philippines;
That the receipts or sales/commercial invoices to be issued by the abovementioned
2.
entity shall only come from the receipts or invoices covered by and reflected in the
attached BIR-registered “Printer’s Certificate of Delivery of Receipts and Invoices”;
That the above-mentioned entity shall not issue a receipt or sales/commercial invoice
3.
unless he has received his copy of the duly stamped “Registered” Printer’s Certificate
of Delivery of Receipts or Sales/Commercial Invoice;
That the aforementioned receipts or sales/commercial invoices are serially numbered
4.
and conformed to the requirements of Sections 237, 238, and 113 (for VAT taxpayer) of
the National Internal Revenue Code of 1997, as amended; and
That in case of violations of Sections 237, 238, and 113 (for VAT-registered taxpayers)
5.
of the National Internal Revenue Code of 1997, the above-mentioned business would
voluntarily pay or comply with the sanctions provided under existing laws, rules and
regulations.
I declare, under the penalties of perjury, that the foregoing attestations are true and
correct to the best of my knowledge and belief.
(Name and Signature of
Taxpayer/Authorized Representative)
Position :
TIN
:
Address :