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Department of Finance
BUREAU OF INTERNAL REVENUE
Quezon City
SWORN AFFIDAVIT
(To be accomplished by the Authorized Officer of Non-Individual Taxpayer Securing Tax Clearance for Bidding)
2. That it is registered with BIR under Certificate of Registration No. _________________________issued at Revenue
District Office No.______________ on_________________________;
3. That this SWORN AFFIDAVIT is executed in relation to the aforesaid non-individual taxpayer’s APPLICATION
FOR TAX CLEARANCE , a pre-requisite for entering into any contract with the Government/Private Agency requiring
the same under EXECUTIVE ORDER NO. 398 as implemented by RR No. 3-2005, as amended;
4. That the undersigned is the Authorized Officer of the aforesaid corporation/company to sign in the Request for Tax
Clearance Form;
5. That, as the authorized Officer of the said company, I am allowing the Bureau of Internal Revenue to disclose in the Tax
Clearance the company’s current assets and current liabilities as indicated in the latest submitted Financial Statements;
and
5. That the submitted documents attached to the Request for Tax Clearance Form are all authentic.
_______________________________________________
Signature over Printed Name of Authorized Representative