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Get Sworn Application for Tax Clearance (Non-Individual Taxpayers) 2016

Republic of the Philippines Quezon City Department of Finance BUREAU OF INTERNAL REVENUE JULY 2016 VERSION SWORN APPLICATION FOR TAX CLEARANCE To be accomplished by the Authorized Officer of Non-Individual Taxpayer I with Taxpayer Identification Number T. I. N* Filipino of legal age married/single permanently residing Email Address after having been duly sworn to in accordance with law hereby depose and state That the undersigned is the Authorized Officer of the aforesaid corporation/company to accomplish this sworn application for the issuance of Tax Clearance a pre-requisite for entering into any contract with the Government Agency as prescribed under EXECUTIVE ORDER NO. 398 as implemented by RR No* 3-2005 as amended That name of the non-individual taxpayer-applicant with Taxpayer Identification Number TIN is a corporation/company duly recognized and existing under and by virtue of the Laws of the Philippines with Office located at That it is registered with BIR under Certificate Registration No* at Revenue District Office No*on That the following documents attached to this Sworn Application are all authentic a* b. c* Delinquency Verification Certificate issued by on Two 2 pieces loose documentary stamp tax worth P15. 00 each and Confirmation Receipt of the electronic payment of certification fee. And that to the best of my knowledge the aforesaid company has satisfied with the prescribed criteria for the issuance of Tax Clearance. Signature over Printed Name of Authorized Officer SUBSCRIBED AND SWORN to before me this day of 20 Doc* No* Page No* Book No* Series of -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. -. Affix P15. 00 Documentary Stamp Tax Notary Public. I. N* Filipino of legal age married/single permanently residing Email Address after having been duly sworn to in accordance with law hereby depose and state That the undersigned is the Authorized Officer of the aforesaid corporation/company to accomplish this sworn application for the issuance of Tax Clearance a pre-requisite for entering into any contract with the Government Agency as prescribed under EXECUTIVE ORDER NO. 398 as implemented by RR No* 3-2005 as amended That name of the non-individual taxpayer-applicant with Taxpayer Identification Number TIN is a corporation/company duly recognized and existing under and by virtue of the Laws of the Philippines with Office located at That it is registered with BIR under Certificate Registration No* at Revenue District Office No*on That the following documents attached to this Sworn Application are all authentic a* b. 398 as implemented by RR No* 3-2005 as amended That name of the non-individual taxpayer-applicant with Taxpayer Identification Number TIN is a corporation/company duly recognized and existing under and by virtue of the Laws of the Philippines with Office located at That it is registered with BIR under Certificate Registration No* at Revenue District Office No*on That the following documents attached to this Sworn Application are all authentic a* b. c* Delinquency Verification Certificate issued by on Two 2 pieces loose documentary stamp tax worth P15. .

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