REPUBLIC OF THE PHILIPPINES)

CITY OF TARLAC ) S.S

AFFIDAVIT
That I, NOEL G. CATACUTAN, of legal age, Filipino citizen,
married, resident of and with postal address at Matindeg, Pura,
Tarlac, after having been duly sworn to in accordance with law, do
hereby depose and state – THAT:
1. That my business is registered as MAERAYKAELAZEL
ENTERPRISES, with Tax Identification Number 164-624-278-
000 located at Brgy. Matindeg, Pura, Tarlac.

2. That my gross receipts for the taxable year 2018 is amounting

to TWENTY THOUSAND PESOS (PHP 20,000.00) PHILIPPINE
CURRENCY.

3. That I am executing this affidavit to attest to the truth of the

foregoing statements.

IN WITNESS WHEREOF, I have hereunto set my hand this,

____________, at Tarlac City, Philippines.

NOEL G. CATACUTAN
Affiant

SUBSCRIBED AND SWORN to before me this ___________ at

Tarlac City, Philippines.

Doc No. _________ ;

Page No. _________ ;
Book No. _________ ;
Series of 2019