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Rmo 29-2014 Annex A

This document contains a request for certification on any outstanding tax liabilities of a taxpayer from the relevant tax office. It provides the taxpayer's name, tax identification number, and address. The tax office is asked to indicate on the form if the taxpayer has any outstanding tax liabilities or is a stop-filer, and to provide details of the tax assessment periods, amounts due, and any partial payments made. The certification is valid for one month from the date of issue.

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55 views1 page

Rmo 29-2014 Annex A

This document contains a request for certification on any outstanding tax liabilities of a taxpayer from the relevant tax office. It provides the taxpayer's name, tax identification number, and address. The tax office is asked to indicate on the form if the taxpayer has any outstanding tax liabilities or is a stop-filer, and to provide details of the tax assessment periods, amounts due, and any partial payments made. The certification is valid for one month from the date of issue.

Uploaded by

teekeisee
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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ANNEX A

REQUEST FOR CERTIFICATION ON OUTSTANDING TAX LIABILITY/IES OF TAXPAYER

________________________
(Date)
MEMORANDUM FOR:

________________________________________
( Head/Designation)
________________________________________
(Name of Issuing Office)

In connection with the application for (specify the nature of the application (e.g., payment of tax refund,
bidding, utilization, revalidation and cash conversion of Tax Credit Certificates, etc.) of the taxpayer herein
below, this Office respectfully requests for information if the said taxpayer has outstanding internal
revenue tax liability/ies and/or Stop-filer Cases based on the records of your Office.

Name of Taxpayer : _________________________________________________________


T.I.N. : _________________________________________________________
Address : _________________________________________________________

Your usual prompt action on this matter is highly appreciated.

____________________________________
(Head/Designation)
(Name of Requesting Office)
--------------------------------------------------------------------------------------------------------------------------------------------
(To be filled-up by the issuing office)

CERTIFICATION ON OUTSTANDING TAX LIABILITY/IES OF TAXPAYER

This is to certify that the above-named taxpayer has the following record/s as of __________________:

1. Outstanding Tax Liability/ies

Partial Payment, If Transferred out


Taxable Total Amount ( indicate in this
Assessment Date Tax if any, and Net
Period/ Due and column name of office,
No. Issued Type Amount Due &
Year Demandable date of & reason for
Demandable transfer)

(Use Additional Sheet, If Necessary)


2. Stop-Filer Cases

Form Type Return Period No. of Cases Remarks

(Use Additional Sheet, If Necessary)

Issued this ________ day of ____________________, 201___.


Note: This Certification shall be valid for only one (1) month.

________________________________________
(Head/Designation)
( Name of Issuing Office)

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