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Annex C

1. The document is an application for a tax clearance from the Bureau of Internal Revenue of the Philippines. It must be completed by individual taxpayers seeking tax clearance for bidding purposes. 2. The applicant must provide their personal details and information about their business including the business address, contact details, date of business registration with DTI, and BIR registration details. 3. The applicant confirms they are applying for a Tax Clearance, which is required under Executive Order No. 398 for entering into contracts with government agencies. They must provide supporting documents including a Tax Compliance Verification Sheet and documentary stamp taxes.

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478 views1 page

Annex C

1. The document is an application for a tax clearance from the Bureau of Internal Revenue of the Philippines. It must be completed by individual taxpayers seeking tax clearance for bidding purposes. 2. The applicant must provide their personal details and information about their business including the business address, contact details, date of business registration with DTI, and BIR registration details. 3. The applicant confirms they are applying for a Tax Clearance, which is required under Executive Order No. 398 for entering into contracts with government agencies. They must provide supporting documents including a Tax Compliance Verification Sheet and documentary stamp taxes.

Uploaded by

Aileen Teo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as DOCX, PDF, TXT or read online on Scribd
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Republic of the Philippines April 2018 Version

Department of Finance
BUREAU OF INTERNAL REVENUE
Quezon City ANNEX C

SWORN APPLICATION FOR TAX CLEARANCE


(To be accomplished by Individual Taxpayer Securing Tax Clearance for Bidding Purposes)

I, ________________________________________, Filipino/_____________(indicate nationality for non-


Filipino citizenship), of legal age, single/married to_____________________________________, permanently residing at
_____________________________________________________________ with Taxpayer Identification Number (TIN)
__________________________________, after having been duly sworn in accordance with law hereby depose and state:

1. That I am the Owner/Proprietor/Proprietress of


_____________________________________________________withbusiness address at
_________________________________________________________________________,
with Telephone/Cellular Phone No.______________________and email address ___________________________;

2. That my business trade name has been duly registered with the Department of Trade and Industry on
_____________________________underDTI Registration Certificate No. _________________________________;

3. That I registered my business with BIR under Certificate of Registration No.______________________issued at


Revenue District Office/LTDO No. _____________ on _________________________________________________;

4.That, I am securing/applying for TAX CLEARANCE (for Bidding Purposes), a pre-requisite forentering into any
contract with the Government Agencies as required under Executive Order No. 398, andimplemented by RR No. 3-
2005, as amended;

5. That, the followingdocumentary requirementsin relation to the aforesaid application are all authenticand hereto
attached in compliance with the existing policies.

_____ a. Tax Compliance Verification Sheetissued by ______________________on ________;


_____ b.Two (2) pieces of loose documentary stamp tax worth P30.00 each;
_____ c. Confirmation Receipt of Electronic payment ofcertification fee worth Php 100.00 or other proof of payment;
_____ d. Valid and properly accomplished authorization letter with photocopies of any government
issuedI.D.showing
thepicture and signatureof the applicant and the authorizedrepresentative; and
_____ e. Original unexpired Tax Clearance Certificate for Bidding Purposes (if applicable).

6. And that, to the best of my knowledge and belief, I have satisfied the prescribed criteria for the issuance of Tax
Clearance.

__________________________________________
Signature over Printed Name of Applicant

SUBSCRIBED AND SWORN to before me this __________ day of ____________________________, ___ in


_______________________________. Applicant exhibited to me his/her valid and current Government Issued
Identification Card ___________________________with ID No. _________________.

Doc. No. __________


Page No. __________
Book No. _________
________________________________________
Series of __________ Notary Public
-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
! Affix !
! P30.00 !
! Documentary Stamp Tax !
!-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-!

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