CERTIFIED GROSS SALES/GROSS RECEIPTS
Taxable Year 2017
Period Covered
January
Php ______________________
February
Php ______________________
March
Php ______________________
April
Php ______________________
May
Php ______________________
June
Php ______________________
July
Php ______________________
August
Php ______________________
September
Php ______________________
October
Php ______________________
November
Php ______________________
December
Php ______________________
Certified True & Correct
Certified True & Correct
___________________________
Accountant
(Printed name over signature)
___________________________
Owner/Proprietor
(Printed name over signature)
Subscribed and sworn to before me this _____ day of __________________________, 20____,
affiant(s) exhibited to me his/her/their CTC Nos. ___________________ and __________________,
issued at ___________________ on ___________________.
NOTARY PUBLIC
Doc. No. ________;
Page No. ________;
Book No. ________;
Series of 20______.