1904-January-2018-ENCS-final_copy
1904-January-2018-ENCS-final_copy
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Part I Taxpayer Information
5 Taxpayer Type
E.O. 98 (Filipino Citizen) One-Time Transaction Foreign National Passive Income Earner Only
E.O. 98 (Foreign National) Non-Resident Foreign Corporation
10
11 Local/Registered Address
Unit/Room/Floor/Building No. Building Name/Tower
Subdivision/Village/Zone Barangay
Town/District Municipality/City
13 Date of Birth/Organization 14 Contact Number 15 Date of Arrival in the Philippines 16 Municipality Code
(MM/DD/YYYY) (Phone/Mobile No.) (MM/DD/YYYY) (To be filled-up by BIR)
/ / / /
17 18
_____________________________________________ ________________________
TAXPAYER/AUTHORIZED REPRESENTATIVE Title/Position of Signatory
(Signature over Printed Name)
*Note: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)