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    Benilda A. Balantan - Bir

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    Amanda Hernandez
    1. Benilda Balantan, a former proprietor of Balantan's Store in Itogon, Benguet, Philippines, executed an affidavit of loss stating that she could no longer find the ASK FOR RECEIPT NOTICE issued to her business by the Bureau of Internal Revenue. 2. Balantan and her husband diligently searched their home and store but were unable to locate the missing document. 3. The ASK FOR RECEIPT NOTICE was never given or pledged to anyone else and was not confiscated by authorities.

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    Benilda A. Balantan - Bir

    Uploaded by

    Amanda Hernandez
    193 views1 page
    1. Benilda Balantan, a former proprietor of Balantan's Store in Itogon, Benguet, Philippines, executed an affidavit of loss stating that she could no longer find the ASK FOR RECEIPT NOTICE issued to her business by the Bureau of Internal Revenue. 2. Balantan and her husband diligently searched their home and store but were unable to locate the missing document. 3. The ASK FOR RECEIPT NOTICE was never given or pledged to anyone else and was not confiscated by authorities.

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    affidavit of loss

    Original Title

    Benilda a. Balantan - Bir

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    1. Benilda Balantan, a former proprietor of Balantan's Store in Itogon, Benguet, Philippines, executed an affidavit of loss stating that she could no longer find the ASK FOR RECEIPT NOTICE issued to her business by the Bureau of Internal Revenue. 2. Balantan and her husband diligently searched their home and store but were unable to locate the missing document. 3. The ASK FOR RECEIPT NOTICE was never given or pledged to anyone else and was not confiscated by authorities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    193 views1 page

    Benilda A. Balantan - Bir

    Uploaded by

    Amanda Hernandez
    1. Benilda Balantan, a former proprietor of Balantan's Store in Itogon, Benguet, Philippines, executed an affidavit of loss stating that she could no longer find the ASK FOR RECEIPT NOTICE issued to her business by the Bureau of Internal Revenue. 2. Balantan and her husband diligently searched their home and store but were unable to locate the missing document. 3. The ASK FOR RECEIPT NOTICE was never given or pledged to anyone else and was not confiscated by authorities.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 1

    Republic of the Philippines)

    In the City of Baguio……….) S.S.

    AFFIDAVIT OF LOSS
    I, BENILDA A. BALANTAN, of legal age, married, Filipino Citizen, with
    postal address at Ducot, Ucab, Itogon, Benguet, Philippines, after having been
    duly sworn to in accordance with law hereby depose and state that:

    1. I am an former proprietress of a certain business, Balantan’s Store,


    located at Ducot, Ucab, Itogon, Benguet and which was duly
    registered with the Bureau of Internal Revenue, hence, was issued a
    ASK FOR RECEIPT NOTICE;

    2. However, I could not remember anymore where I kept the said ASK
    FOR RECEIPT NOTICE. I and my husband exerted diligent effort to
    locate the said ASK FOR RECEIPT NOTICE in our house and in our
    store but the same could no longer be found, hence, considered
    forever lost;

    3. Said ASK FOR RECEIPT NOTICE was never given nor pledged to
    anyone for any purpose whatsoever, nor was it taken or confiscated
    by the authorities for any violation of the business law;

    4. I am executing this affidavit to attest to the veracity and truthfulness


    of my foregoing statements and for other lawful intents and purposes
    it may serve.

    IN WITNESS HEREOF, I have hereunto affixed my signature this 19th


    day of January, 2018 at Baguio City, Philippines.

    BENILDA A. BALANTAN
    AFFIANT
    BIR TIN: 446-676-352-000
    Date of Issue: 02-05-2014

    SUBSCRIBED AND SWORN to before me this 19th day of January, 2018


    at Baguio City, Philippines. Affiant personally appeared before me and
    represented to me herself to be the same person who executed and signed this
    instrument.

    MODESTO T. ANDONG
    Notary Public
    Comm. No. 39-NC-18-R/Until: December 31, 2019
    PTR No. 3397734/12-13-2017/BC
    IBP No. 1083758/12-13-2017
    Baguio-Benguet Chapter
    Roll No. 31289/5-15-81/Manila
    Doc. No. 090; MCLE COMPLIANCE No. VI-0000192/June 14, 2016
    Page No. 19; BIR TIN No. 121-017-652
    Book No. XXVIII; No. 19, 2nd Floor Old Market Bldg.,
    Series of 2018. Magsaysay Ave., Baguio City, Philippines

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