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Tax Form

This document is an application for a tax clearance certificate submitted to the Bureau of Internal Revenue Region 7 in Quezon City, Philippines. The applicant provides their name, TIN number, address and employment details. They state that they have faithfully paid all taxes for the last [number] of years. Required documents including documentary stamps, certification fee, request letter, authorization, annual registration fee, verification slip, and income tax returns for the past two years must be attached. The applicant signs to verify the details, and a notary public will also sign to certify the applicant.

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Chriestal Soriano
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253 views1 page

Tax Form

This document is an application for a tax clearance certificate submitted to the Bureau of Internal Revenue Region 7 in Quezon City, Philippines. The applicant provides their name, TIN number, address and employment details. They state that they have faithfully paid all taxes for the last [number] of years. Required documents including documentary stamps, certification fee, request letter, authorization, annual registration fee, verification slip, and income tax returns for the past two years must be attached. The applicant signs to verify the details, and a notary public will also sign to certify the applicant.

Uploaded by

Chriestal Soriano
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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Republic of the Philippines

Department of Finance
BUREAU OF INTERNAL REVENUE
REGION NO. 7
Quezon City

APPLICATION FOR TAX CLEARANCE


(Individual)

I, _________________________________ with Tax Identification Number (TIN) ______________


Filipino, Of Legal age, married/single, permanently residing at ___________________________________
_______________________ presently connected with ________________as ______________________
_____________ after having been duly sworn to in accordance with law hereby depose and state:

1. That __________________________________with T.I.N. _____________________ is a


corporation/company duly recognized and existing under and by virtue of the Laws of the Philippines with
Office located at _______________________________________________

2. That _______________________ is registered with BIR under Certificate of Registration No.


_____________________ issued at __________________________________________

3. That for the last ____________ year, it has been engaged in the Business
as___________________________________ and has consistently and faithfully paid all taxes, fees and
imports due from it;

4. That this affidavit is being submitted in order to secure a Tax Clearance Certificate for
entering into any contract with the Government/Private Agency requiring the same under Executive
Order No. 398 as implemented by RR NO. 3-2005.

5. PURPOSE: ______________________________________________________________

ATTACHED THE FOLLOWING REQUIREMENTS:

a) Documentary Stamp (2 pieces, do not affix) (P15.00 each) P30.00


b) Certification Fee (P100.00)
c) Request Letter
d) Authorization of Representatives
e) Annual Registration Fee 2009
f) Verification Slip-from Revenue District Office
g) Income Tax Returns for two (2) years (Xerox copy only)

______________________________
Signature of Application/Affiant

SUBSCRIBED AND SWORN to before me this ________ day of ________ 201_ in


______________________________ applicant exhibit to me his/her Community Tax Certificate
No.___________________ issued at ___________________on ________________________.

Doc. No. ________


Page No. ________
Book No, ________ ___________________
Series No. of _______ Notary Public

Affix
P15.00
Documentary Stamps Tax

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