Bir Sworn Statement Form PDF Details

Did you know that in some states you are required to provide a sworn statement when filing a Domestic Relations case? In Arizona, for example, Form DV-101 is the document used for this purpose. This form can be downloaded from the Arizona Judicial Branch website. The requirements for what needs to be included in a sworn statement vary from state to state, so it's important to review the specific form and instructions provided by your state court system. Generally, however, a sworn statement will include an outline of your relationship with the other person involved in your case, information about any minor children involved, and an account of how you have tried to resolve the dispute amicably. If you're filing a Domestic Relations case in Arizona,

Form NameBir Sworn Statement Form
Form Length1 pages
Fillable fields0
Avg. time to fill out15 sec
Other namesannex a1 sworn declaration, sworn statement bir form, sworn statement bir download, sworn statement for loose leaf application

Form Preview Example

Annex “B”

Taxpayer-user’s Sworn Statement
















(Name of Taxpayer) ,


, of

legal age




















(Name of Company/Corporation)

, with


address at









, do hereby certify the following:





(Name of Company/Owner/Corporation) with business address at ______

















is a duly registered entity under the laws of the Philippines;

2.That the receipts or sales/commercial invoices to be issued by the abovementioned entity shall only come from the receipts or invoices covered by and reflected in the attached BIR-registered “Printer’s Certificate of Delivery of Receipts and Invoices”;

3.That the above-mentioned entity shall not issue a receipt or sales/commercial invoice unless he has received his copy of the duly stamped “Registered” Printer’s Certificate of Delivery of Receipts or Sales/Commercial Invoice;

4.That the aforementioned receipts or sales/commercial invoices are serially numbered and conformed to the requirements of Sections 237, 238, and 113 (for VAT taxpayer) of the National Internal Revenue Code of 1997, as amended; and

5.That in case of violations of Sections 237, 238, and 113 (for VAT-registered taxpayers) of the National Internal Revenue Code of 1997, the above-mentioned business would voluntarily pay or comply with the sanctions provided under existing laws, rules and regulations.

I declare, under the penalties of perjury, that the foregoing attestations are true and correct to the best of my knowledge and belief.

(Name and Signature of

Taxpayer/Authorized Representative)

Position :


Address :