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REPUBLIC OF THE PHILIPPINES)

CITY OF _________ )SS.


x--------------------------------------------x

AFFIDAVIT OF EXPLANATION

I, _______________, of legal age, single, Filipino, and a resident of __________ City


after having been duly sworn to in accordance with law, do hereby depose and say that:

1. On _____________, I received a notice from the Bureau of Internal


Revenue advising me that I failed to file BIR Tax Return Form
1601E and 1601C for the years _____________;

2. I am hereby executing this affidavit to attest to the fact that the


reason for the abovementioned failure to file the said Tax Returns is
because the construction business of which I am the sole proprietor
has ceased to operate since the year ___________ due to financial
instabilities;

3. The abovementioned construction business has not been in


operation in the years ______________ and correspondingly,
neither do I have employees for the same period and even since its
final closure in _____________;

4. Hence, the corresponding Tax Returns to be filed by my person as


the proper Witholding Agent no longer applies there being no
income payments made since the year _______ for the reason
supplied above;

5. I am executing this affidavit without any fraud or intent to deceive


on my part and I forever free the Bureau of Internal Revenue as well
as any third person from any liability that may arise from this
circumstance, and/or any entity, be it governmental or private from
any liability that may arise from the same;

6. I am executing this affidavit to attest to the truth of all the foregoing


and to apprise the Bureau of Internal Revenue of such facts as
mentioned as well as for whatever other legal purposes this affidavit
may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this ___ day of ___________
at ________ City, Philippines.
____________________
Affiant
SUBSCRIBED AND SWORN to before me this ____ day of __________, at Davao City,
Philippines, affiant exhibiting to me her _______________.

Doc No.________
Page No.________
Book No.________
Series of 2017.