) ) s.s. ) AFFIDAVIT (Cancellation of Business Name Registration)
I, RAUL RODILLAS VILLOCERO, of legal age, Filipino, married, and a
resident of Brgy. Guindapunan, Palo, Leyte after having been duly sworn to in accordance with law hereby depose and state: 1. That I am the owner/proprietor of ROSE LPG DEALER (Barangay) registered with the Department of Trade and Industries; 2. That in connection therewith, I was issued a Certificate of Business Name Registration with Certificate No. 03320194; 3. That my Business Name Registration was issued on August 29, 2014 and is valid until August 29, 2019; 4. That however, my business suffered from losses and financial problems last August 2014; 5. That thus, I was constrained to close said business on the same month; 6. That at the time of the closure of my business until to date, I did not incur any obligation from any creditor; 7. That I am requesting for the cancellation of my Registered Business Name due to financial problems; 8. That I declare under oath that the cancellation of my BN registration is not to defraud creditors; 9. That I have no outstanding and pending financial obligation with any creditor; 10. That I am executing this affidavit to attest to the truth of the foregoing statements, to support my request for the cancellation of my business name registration and for whatever legal purpose this may serve. IN WITNESS WHEREOF, I have hereunto affixed my signature this 18th day of November 2015 at Palo, Leyte.
RAUL RODILLAS VILLOCERO
Affiant ID No.: ___________________ Issued By: ________________ SUBSCRIBED and SWORN to before me this 18th day of November 2015 at Palo, Leyte. Doc No. Page No.