Affidavit On Accounting Records Form – Panamanian Legal Persons

De la Guardia, Neuman, Faraudo and Bermúdez

Affidavit On Accounting Records Form - Panamanian Legal Persons

GENERAL INFORMATION

The undersigned

of nationality

duly identified with identity card No. (write it on the field), hereby declare the following:

Identify Card No.

DECLARE UNDER OATH

Entity Name (Corporation/Foundation)

What fiscal period (year) are these accounting records from?

The accounting records will be kept at (complete physical address)

Name of the custodian of the accounting records. In the case of a legal person, please state the contact person’s name

Custodian’s telephone number:

Custodian’s e-mail address:

REQUIRED ATTACHMENTS

Financial Statements

Maximum file size: 10MB

Major Journal

Maximum file size: 10MB

Balance Sheet

Maximum file size: 10MB

Certified Public Accountant Certification

Maximum file size: 10MB

Any other – Specify

Maximum file size: 10MB

Specify (Optional)

TERMS AND CONDITIONS

I agree to notify De la Guardia, Neuman, Faraudo and Bermudez (DENFAB) of any change in the information provided in this document within fifteen (15) days of such change.

For the record, this Affidavit is signed on:

Date

DIGITAL SIGNATURE OF THE DECLARANT

Signature

Clear

(Please sign the same as on your personal identity card/passport)

Name

Date

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