SWORN DECLARATION
I, , , of legal age,
single/married to permanently residing at
, with Tax Identification Numner (TIN)
after having been duly sworn to in accordance with law hereby depose and state:
1. That I am employed as at
[with Salary Grade (SG) - Step ];
2. That for the current year 2018, my net taxable compensation income will not exceed
Two Hundred Fifty Thousand Pesos (P 250,000.00);
3. That I duly execute this SWORN DECLARATION in compliance with the
requirement prescribed by the BIR;
4. That I declare, under the penalties of perjury, that this declaration has been made in
good faith, and to the best of my knowledge and belief, is true and correct.
IN WITNESS WHEREOF, I have hereunto set my hand this th day of
, 20 at , Philippines.
Signature over printed name
SUBSCRIBED AND SWORN to before me this _____th day of , 2018
in . Affiant exhibited to me his/her issued at
on .
Doc No.
Page No.
Book No.
Series of 2018