Annex G

CONFIRMATION CERTIFICATE

This is to certify that I/We, _____________________________ purchased

goods/services from_______________________ with business address at ____________
____________ and TIN ___________ for taxable year _____, as follows:

Quarter of Purchases Purchases

Purchase -Goods- -Services- Total Vatable Input VAT
(CY 200_) (Cash or (Payments) Purchases Claimed
Credit)
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Grand Total

It is further certified that I/we have claimed the input taxes (VAT) on the aforesaid
purchases, and that the original VAT invoices/receipts are part of our accounting records.

______________________________
Registered Name of Taxpayer
By:

________________________ __________________________
(Signature Over Printed Name) (Signature Over Printed Name)
Chief Accountant/Equivalent Chief Finance Officer/Equivalent

SUBSCRIBED AND SWORN to before me, this _____ day of ______________

200_, at _____________, affiants exhibiting to me their Community Tax Certificates, as
follows:

Name CTC Number Date of Issue Place of Issue

NOTARY PUBLIC
Doc. No. ______
Page No. ______
Book No. ______
Series of 200____
 Annex G-1

CONFIRMATION CERTIFICATE

This is to certify that I/We, _____________________________ sold

goods/services to__________________________ with business address at ____________
____________ and TIN ___________ for taxable year _____, as follows:

Quarter of Sales Sales

Sales -Goods- -Services- Total Vatable Output VAT
(CY 200_) (Cash or (Receipts) Sales
Credit)
1st Quarter
2nd Quarter
3rd Quarter
4th Quarter
Grand Total

It is further certified that I/we have declared the output taxes (VAT) on the
aforesaid sales, and that the original VAT invoices/receipts are part of our accounting
records.

______________________________
Registered Name of Taxpayer
By:

________________________ __________________________
(Signature Over Printed Name) (Signature Over Printed Name)
Chief Accountant/Equivalent Chief Finance Officer/Equivalent

SUBSCRIBED AND SWORN to before me, this _____ day of ______________

200_, at _____________, affiants exhibiting to me their Community Tax Certificates, as
follows:

Name CTC Number Date of Issue Place of Issue

NOTARY PUBLIC

Doc. No. ______

Page No. ______
Book No. ______
Series of 200____
 Annex H
Republika ng Pilipinas
Kagawaran ng Pananalapi APPLICATION FOR INSTALLMENT PAYMENT
Kawanihan ng Rentas Internas

Date ___________________

The Honorable Commissioner

Bureau of Internal Revenue
Quezon City

Sir:

I/ We acknowledge receipt of your LN No. ____________ dated _____________ informing me/us

of the discrepancy in our sales/purchases of P____________ for the ____ Qtr. TY_____.

As a result of the above discrepancy, our computed tax liabilities is as follows:

VAT Income Tax

Basic P P
Surcharge
Interest
Compromise

To t a l P P

I/We hereby request for installment payment of the aforesaid tax liabilities under the following
schedule:

Installment Amount Due Date

1st Installment P
2nd Installment
3rd Installment
4th Installment
5th Installment
6th Installment

Total P

I/We are made to understand that failure to pay any installment on or before the date fixed for its
payment, the same will be subject to adjustment in the interest .

SIGNATURE OVER PRINTED NAME OF TIN TAX AGENT

TP/TP AUTHORIZED REPRESENTATIVE

To be filled-up by BIR
Received by: ______________________________ Date Received: ___________________
Evaluated by: ______________________________ RDO No: ________________________

Recommending Approval:

________________________
Revenue District Officer

Approved/Disapproved:

Approved for ________ installments

Disapproved:
Reason for Disapproval________________________

___________________________________
Regional Director/ACIR-LTS
Date:_________________________
 Annex H-1
Republika ng Pilipinas
Kagawaran ng Pananalapi APPLICATION FOR INSTALLMENT PAYMENT
Kawanihan ng Rentas Internas

Date ___________________

The Honorable Commissioner

Bureau of Internal Revenue
Quezon City

Sir:

I/ We acknowledge receipt of your LN No. ____________ dated _____________ informing me/us

of the discrepancy in our sales/purchases of P____________ for the ____ Qtr. TY_____.

As a result of the above discrepancy, our computed tax liabilities is as follows:

VAT Income Tax

Basic P P
Surcharge
Interest
Compromise

To t a l P P

I/We hereby request for installment payment of the aforesaid tax liabilities under the following
schedule:

Installment Amount Due Date

1st Installment P
2nd Installment
3rd Installment
4th Installment
5th Installment
6th Installment

Total P

I/We are made to understand that failure to pay any installment on or before the date fixed for its
payment, the same will be subject to adjustment in interest..

SIGNATURE OVER PRINTED NAME OF TIN TAX AGENT

TP/TP AUTHORIZED REPRESENTATIVE

To be filled-up by BIR
Received by: ______________________________ Date Received: ___________________
Evaluated by: ______________________________ RDO No: ________________________

National Office

Head, Technical Working Group: ____________________________

DCIR Operations Group: ____________________________
DCIR Legal & Inspection Group: ____________________________

Approved/Disapproved:

Approved for ________ installments

Disapproved:
Reason for Disapproval________________________

___________________________________
 Commissioner of Internal Revenue
Date:______________________

Annex I

Reminder-Letter

Date______________

TIN______________
Name of Taxpayer____
Address___________

Sir/Madam:

This is to remind you that your____ installment in the amount of P_________as

embodied in your Application for Installment Payment dated _________,is due on or
before ___________.

In order to avoid the imposition of penalties incident to your non-payment of the same,
this Office is encouraging you to make the necessary payment on or before the above-
stated due date.

Please give this matter your preferential attention.

Very truly yours,

_________________________
Revenue District Officer