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Affidavit For Request Transfer of BIR Tin

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Republic of the Philippines)

Province of Southern Leyte) s.s.


Municipality of S O G O D )
x - - - - - - - - - - - - - - - - - - -x

AFFIDAVIT

I, DONALD ARGANA DELOY, of legal age, single, Filipino and a resident of Brgy.
Rizal, Sogod, Southern Leyte, after having been duly sworn to an oath in accordance with law,
hereby depose and say:

l. That I worked as a grinder at Valenzuela City in the year 2004 -2005 and was residing
at 300 Main road, St. Rasinel Subdivision , Veinte Reales Valenzuela City;

2. That I applied for a TAX IDENTIFICATIONA NUMBER (TIN) at BIR,Valenzuela


City, RDO 24;

3..That as such, I was issued a Tax Identification Number (TIN) 233 136 624 000 by the
aforementioned Office ;

4. That at present , I am residing at Brgy. Rizal, Sogod, Southern Leyte ;

5. That for the above-mentioned reason, I hereby request the BIR to transfer my TIN
from RDO 24 to RDO 90 as I am now living at Brgy. Rizal, Sogod, Southern Leyte
which place is under the jurisdiction of RDO 90;

6. That I executed this affidavit freely and voluntarily in order to attest to the truth and
veracity of the foregoing and for whatever legal intents and purposes this may serve.

IN WITNESS WHEREOF, I have hereunto set my hand this 19th day of October, 2011
in the Municipality of Sogod, Southern Leyte, Philippines.

DONALD ARGANA DELOY


Affiant

SUBSCRIBED AND SWORN to before me this l9th day of October, 2011 at Sogod,
Southern Leyte, Philippines.

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