I, ____________________, of legal age, Filipino, single, with business address at
__________________________________________________, after having been duly sworn to in accordance with the law, hereby depose and say that:
(1) That I am a Lawyer by profession and registered with the Bureau of
Internal Revenue RDO __, Municipality of _____________ with Tax Identification No. ____________________.
(2) That I am currently holding place of work at
_____________________________________________.
(3) That on March 3, 2014, the Bureau of Internal Revenue released
Revenue Regulation No. 4-2014 Guidelines and Policies for the Monitoring of Service fee of Professionals;
(4) That I charge the following professional fees to my client:
a) Appearance fee PHP 3000
b) - PHP 3,000 c) Notary Public Fees PHP 100
The above-rates would vary depending on the classification, relation of
client, difficulty of cases, length of service, and profit-sharing agreements arising from the Emloyer .
(5) That the manner of billing for is through the office;
(6) That professional fees paid by Senior Citizens/PWDs are discounted
by 20%;
(7) That I am executing this affidavit to attest to the veracity of the
foregoing facts and for all intents and for whatever legal purpose it may serve.
THIS INSTRUMENT/DOCUMENT was personally subscribed and sworn to by the
affiant before me this _______________, in ________________ City. Affiant, who is personally known to me avowed under penalty of law to the whole truth of the contents of the foregoing document/instrument, and exhibited her _______________________(government-issued ID with photograph and signature) which is valid until _______________________.
IN WITNESS WHEREOF I have hereunto set my hand and affixed my Notarial Seal on the date and place first above written.
Doc. No. ___________;
Page No. ___________; Book No. ___________; Series of 2015.