"CITY OR MUNICIPALITY OF............................................ |
"PROVINCE OF................................................... | |
"Philippine Islands. | | |
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"................................................................................................................................................................................................................................................................................. | |
(Here insert name of treasurer elected by subscribers.) | |
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being duly sworn, deposes and says that on the ........................ day of...................................... anno Domini nineteen hundred and ........, he was duly elected by the subscribers named | |
in the foregoing articles of incorporation as treasurer of the corporation to act as such until his successor has been duly elected and qualified in accordance with the by-laws of the | |
corporation, and that as such treasurer he has been authorized by the subscribers to receive foi the corporation all subscriptions paid in by subscribers for the capital stock; that | |
............................................................pesos worth of stock has been actually subscribed and that of said subscription ...........................................................................................pesos, | |
(Here insert amount.) (Here insert amount.) | |
................................................................................................................................................................................................................................................................................... | |
(Or if property has been transferred in lieu of cash a description or the property | |
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and a statement of its fair valuation.) | |
................................................. has been actually transferred to him in trust and received by him for the benefit and to the credit of the corporation, and that at least twenty per centum of the | |
entire capital stock has been subscribed and at least twenty-five per centum hi the subscription has been actually paid to him (or that property described as | |
follows.......................................................................................................................................................................................................................................................................... | |
of the fail valuation of twenty-five per centum of the subscription has been actually transferred to him in trust and received by him) for the herewith and to the credit of the corporation. | |
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"Subscribed and sworn to before me this ........................................day of...............................................anno Domini nineteen hundred and ............... | |
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"........................................................................................................" | |