REPUBLIC OF THE PHILIPPINES…) ROXAS CITY, CAPIZ…………………....)S.S. CAPIZ………………….. ..)S.S.
AFFIDAVIT I, XXXXXXXXXXXXXXX, Filipino Citizen, of legal age, married and with postal address at Poblacion Tacas, Cuartero, Capiz, after being duly sworn in accordance with law, depose and state that: 1. That, I am an Owner of the business name “XXX’ FARM IMPLEMENTS & REPAIR SHOP” which is registered with the Department of Trade and Industry (DTI) pursuant to the provisions of Act 3883, as amended by Act 4147 and RA 863;
2. That, I was issued a Certificate of Business Name Registration Registration which is valid from 09 January 2013 to 09 January 2018;
3. That recently, when we looked for the original copy of the said DTI Certificate Business Name Registration, the same could not be found and must have been lost and destroyed by reason of the flood that affected our house because of Typhoon Agaton and that despite of diligent search and efforts, the same could no longer be found such that I now believe that it is lost beyond recovery;
4. That, I execute this affidavit to help support my request for renewal of my business name registration before the DTI;
5. That, I execute this affidavit to attest to the truthfulness of the foregoing facts.
IN WITNESS WHEREOF, I have hereunto _______________________ _______________________ at Roxas City, Capiz, Philippines.
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XXXXXXXXXX Affiant SUBSCRIBED AND SWORN TO before me, a Notary Public commissioned in and for the City of Roxas, Province of Capiz, Philippines, this _____________________ by the affiant who has satisfactorily proven to me his identity through her TIN 0000000 and who appeared and signed the foregoing AFFIDAVIT in my presence within my jurisdiction, and who avowed to the truth of its contents under the penalty of law.
Doc No.______; Page No._____; Book No._____; Series of 2018.
