application for certificate of tax exemptio1

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SIERRA MADRE FARMERS MULTI-PURPOSE COOPERATIVE Villaluz, Benito Soliven, Isabela The Regional Director Bureau of Internal Revenue Carig, Tuguegarao City, Cagayan Valley Attn. : Chief, Legal Division Sir : Pursuant to Revenue Regulation 20-2001, we respectfully submit the following requirements for the issuance of a Certificate of Tax Exemption to SIERRA MADRE FARMERS MULTI- PURPOSE COOPERATIVE, to wit: 1. Certified true copy of Articles of Cooperation and By-Laws. 2. Certified true copy of Certificate of Registration / Confirmation issued by CDA. 3. Original copy of Certificate of Good Standing from the CDA. 4. Latest financial statements duly audited by an independent CPA 5. Certification under oath by the Chairperson / General Manager a. The cooperative is transacting business with members only with both members and non-members. b. Amount of accumulated general reserve fund and undivided net savings. c. At least 25% of the net surplus is retained to members in the form of interest on capital and a patronage refund. d. List of members and the share contribution of each member. Please acknowledge receipt thereof. Very truly yours,

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SIERRA MADRE FARMERS MULTI-PURPOSE COOPERATIVEVillaluz, Benito Soliven, Isabela

The Regional DirectorBureau of Internal RevenueCarig, Tuguegarao City, Cagayan Valley

Attn. : Chief, Legal Division

Sir :

Pursuant to Revenue Regulation 20-2001, we respectfully submit the following requirements for the issuance of a Certificate of Tax Exemption to SIERRA MADRE FARMERS MULTI-PURPOSE COOPERATIVE, to wit:

1. Certified true copy of Articles of Cooperation and By-Laws.2. Certified true copy of Certificate of Registration / Confirmation issued by CDA.3. Original copy of Certificate of Good Standing from the CDA.4. Latest financial statements duly audited by an independent CPA5. Certification under oath by the Chairperson / General Managera. The cooperative is transacting business with members only with both members and non-members.

b. Amount of accumulated general reserve fund and undivided net savings. c. At least 25% of the net surplus is retained to members in the form of interest on capital and a patronage refund.d. List of members and the share contribution of each member.

Please acknowledge receipt thereof.

Very truly yours,

SALVADOR C. RILLERA Chairman of the Board

SIERRA MADRE FARMERS MULTI-PURPOSE COOPERATIVEVillaluz, Benito Soliven, Isabela

AFFIDAVIT

I, SALVADOR C. RILLERA, of legal age and with postal address at Villaluz,Benito Soliven, Isabela after having been duly sworn to in accordance with law do hereby depose and say :

That I am the duly elected chairman of the SIERRA MADRE FARMERS MULTI-PURPOSE COOPERATIVE.;That as chairman I am aware of the operations of the above cooperation ;That the cooperative is transacting business with members onlywith both members and non-members

That the accumulated general reserve fund and net savings of the cooperation as of ________ is ________ .That at least 25% of the net surplus is retained to members in the form of interest on capital and/or patronage fund .That attached hereto is a list of members and their corresponding share capital contribution to the cooperative .That I am executing this affidavit to prove to the veracity of the above statements.

In witness whereof, I have hereunto set my hand this ist day of June 2015 at Benito Soliven, Isabela, Philippines.

__________________Affiant

SUBSCRIBED AND SWORN TO before me this ist day of June 2015 at ____________ , Philippines, affiant exhibiting to me his / her ID No.. ______ issued at _________ on ______________ .

NOTARY PUBLIC