REPUBLIC OF THE PHILIPPINES )

____________________ ) SS.

AFFIDAVIT

I, ______________(Name of Self-Employed Professional), Filipino, of legal

age, single/married with office address at ____________________
_____________________________, after having been duly sworn in accordance with
law, hereby depose and say:
1. That I am a __________( Profession ) with TIN #______________, duly
registered with the Bureau of Internal Revenue under RDO ___;
2. That as a __________( Profession ) , I render professional services to a
number of clients, and that my fees range from ___________ to
___________ (ex.P1000.00 P5,000.00 or 3%-5% of gross selling price );
3. That, I bill my clients by issuing them, Official Receipt/s that are duly
registered with the BIR;
4. That, the factors I consider in determining the equitable rate of fees charged
or to be charged are: the complexity of the work performed or to be
performed, the extent of responsibility assumed, the volume of work number
of hours spent or to be spent in doing the work and _________
5. That this affidavit is hereby executed to attest to the truth of the facts above-
stated, and in compliance with the dictates of BIR Revenue Regulations No.
4-2014.

IN WITNESS WHEREOF, I have hereunto affixed my signature this ___ day of

____________, 2014 at ______City, ___________ Province, Philippines.

_____________________________

SUBSCRIBED AND SWORN to before this____________ day of

______________, in ____________, affiants exhibiting to me his/her
____________________________Issued at _____________________
Doc.No.
Page No.
Book No.
Series of 2014

Source : http://www.philippinecpa.com/