REPUBLIC OF THE PHILIPPINES)

CITY/MUNICIPALITY OF ) SS.

AFFIDAVIT OF CESSATION OF
BUSINESS OPERATION

I, SASHA GREY, of legal age, married, Filipino, and

presently residing at Blk 55, Lot 66, Ibarra Homes,
Tulingan, Cavite, after having been duly sworn to in
accordance with law, do hereby depose and say:

1. That I am the Sole Proprietor of XHamster Pet Shop located at Lot

67 Caloocan Business Park, Caloocan City;
2. That said business is registered with the Bureau of Internal
Revenue (BIR) on January 16, 2011 with Certificate of
Registration OCN No. 189998-11;
3. That I am applying for the termination of the business
effectively on January 30, 2014 because I am about to migrate to
the United States;
4. That the business has no outstanding liability and obligation;
5. That I am executing this affidavit to attest to the truth of all
the foregoing statements and for whatever legal purpose it may
serve.

IN WITNESS WHEREOF, I have hereunto set my hand this

th
30 day of January 2014 in Imus City, Cavite, Philippines.

SASHA GREY
Affiant
 Philippine Passport No.
123456 valid until January 13,
2018

th
SUBCRIBED AND SWORN TO before me this 30 day
of January 2014 in Imus City, Cavite, Philippines, affiant
exhibiting to me her competent evidence of identity
indicated below his above- stated name.

NOTARY PUBLIC

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