Nothing Special   »   [go: up one dir, main page]
Scribd Logo
Upload

Welcome to Scribd!

  • 463 views

    Affidavit For SSS - Error of Entry - Sample

    Uploaded by

    Roland Rosales
    This affidavit states that [company name] erroneously included a deceased individual, with their SSS number and date of death listed, in an R3 report submitted to SSS for December 2014. The affiant requests that SSS rectify this error and delete the individual from their records. The affiant attached a death certificate as evidence of the erroneous inclusion.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Affidavit For SSS - Error of Entry - Sample

    Uploaded by

    Roland Rosales
    463 views1 page
    This affidavit states that [company name] erroneously included a deceased individual, with their SSS number and date of death listed, in an R3 report submitted to SSS for December 2014. The affiant requests that SSS rectify this error and delete the individual from their records. The affiant attached a death certificate as evidence of the erroneous inclusion.

    Original Description:

    Original Title

    Affidavit for SSS_error of entry_Sample

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This affidavit states that [company name] erroneously included a deceased individual, with their SSS number and date of death listed, in an R3 report submitted to SSS for December 2014. The affiant requests that SSS rectify this error and delete the individual from their records. The affiant attached a death certificate as evidence of the erroneous inclusion.

    Copyright:

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

    Affidavit For SSS - Error of Entry - Sample

    Uploaded by

    Roland Rosales
    This affidavit states that [company name] erroneously included a deceased individual, with their SSS number and date of death listed, in an R3 report submitted to SSS for December 2014. The affiant requests that SSS rectify this error and delete the individual from their records. The affiant attached a death certificate as evidence of the erroneous inclusion.

    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 )

    __________________________ )S.S.

    AFFIDAVIT

    I, _____________, of legal age, Filipino citizen, with postal address at


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

    1. I am the (state position in corporation) of _______________________, a corporation


    duly organization under the laws of the Philippines with principal office address at
    _________________________;

    2. ________________ erroneously included ____________________, with Social Security


    System (SSS) Number ___________________, in its R3 report submitted to the SSS for
    the month of December 2014;

    3. As evidence of the erroneous inclusion by ________________ in its R3 report is the


    death certificate of the late ___________________ showing that he passed away on
    November 15, 2013. A copy of the said death certificate is hereto attached and made an
    integral part hereof as Annex A;

    4. I am executing this affidavit in order to attest to the truth of the foregoing statements, for
    the purpose of requesting the SSS to rectify the aforementioned error and delete the same
    from their records and for whatever legal purpose it may serve.

    IN WITNESS WHEREOF, I have hereunto set my hand this ____ day of


    __________________ at ______________, Philippines.

                                                                                        ________________
                                                                                                    Affiant
                                                                                       

                SUBSCRIBED AND SWORN to before me this ____ day of _________________ in


    _________, Philippines, affiant exhibiting to me as competent proof of identification
    _______________________________________.

    Doc. No. _____,


    Page No. _____,
    Book No. _____,
    Series of _____,

    You might also like