Analysis of Capital Structure Form
Analysis of Capital Structure Form
Analysis of Capital Structure Form
I.
II.
APPLICATION
III.
Verification
P_______________
(
)
----------------------------P_______________
P________________
P________________
( _________________)
(__________________)
---------------------------------
(__________________)
___________________
The abovementioned data are true and correct and that all the requirements for stock dividend
declaration under Section 43 of Corporation Code of the Philippines have been complied with.
_____________________
Treasurer
SUBSCRIBED AND SWORN to before me this __________________ at _________________
affiant exhibited to me his/her Community Tax Certificate No. _______________ issued on
__________________ at ________________ and SSS/TIN/Passport/Drivers Lic. No. _______________
known to me and to me known to be the same person who executed the foregoing instrument.
Doc. No. ______;
Page No. ______;
Book No. _____;
Series of ______.