Republic of the Philippines
Department of Finance
BUREAU OF INTERNAL REVENUE
Revenue Regino No. 8 - Makati
Revenue District No. 052 ~ Parafiaque City
VERIFICATION SLIP.
Business Closure
Authority to Print Receipts/Invoice
Authority to Use Loose-Leaf
Request for Replacement of Cert of Reg,
Renewal of Books of Accounts
Application to Use Cash Reg. Machine
Application for Scholarship
Others
Name of Taxpayer
TIN
Request By
Se
ee ee
ee
CLIENT SUPPORT SECTION (2nd Floor):
Unpaid Registration Fee Years:
Unregistered Books Years:
Authority to Print Invoice/Official Receipts: OcN :
End-dated (Form Type)
Date Registration _ Boetee
SENEN A. MANALO
Chief, Client Support Section
COLLECTION SECTION ( 2nd Floor / 4th Floor):
DELIQUENT ACCOUNTS/DISHONORED CHECKS/ITS-GENERATED RECEIVABLE
DATE KIND OF TAX AMOUNT, DATE KIND OF TAX AMOUNT.
RETURNS COMPLIANCE
FORM TYPE REIMARKS DATE FORM TYPE REMARKS
VERIFIER
DATE LINDA L. MAGGAY
Chie, Collection Section
ASSESSMENT SECTION (5th Floor/3rd Floor):
LA Year/s Verified by :
TWN Year/s Verified by :
LN Year/s Verified by :
DORIS G. RIMANDO
‘Chidl, Acsaeexant Section