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1904-January-2018-ENCS-final_copy

This document is an application form for registration with the Bureau of Internal Revenue (BIR) in the Philippines, specifically for one-time taxpayers and individuals registering under Executive Order 98. It requires various personal and contact information, including taxpayer type, address, and purpose for obtaining a Tax Identification Number (TIN). The form must be filled out in capital letters using black ink and submitted to the BIR for processing.

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leorevilla2020
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0% found this document useful (0 votes)
25 views1 page

1904-January-2018-ENCS-final_copy

This document is an application form for registration with the Bureau of Internal Revenue (BIR) in the Philippines, specifically for one-time taxpayers and individuals registering under Executive Order 98. It requires various personal and contact information, including taxpayer type, address, and purpose for obtaining a Tax Identification Number (TIN). The form must be filled out in capital letters using black ink and submitted to the BIR for processing.

Uploaded by

leorevilla2020
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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(To be filled out by BIR) DLN: _______________________

Republic of the Philippines


Department of Finance
APPLICATION FOR REGISTRATION BIR Form No.
Bureau of Internal Revenue

For One-Time Taxpayer and Person Registering under E.O. 98


Enter all required information in CAPITAL LETTERS using BLACK ink. Mark all applicable
1904
January 2018 (ENCS)
(Securing a TIN to be able to transact with any government office)
1 PhilSys Number (PSN) 2 Taxpayer Identification Number (TIN) 3 Date of Registration 4 RDO Code
(If Applicable) (MM/DD/YYYY)

- - -
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

One-Time Transaction Filipino Citizen Non-Resident Foreign Partnership


6 Foreign TIN (if any) 7 Country of Residence

10

11 Local/Registered Address
Unit/Room/Floor/Building No. Building Name/Tower

Lot/Block/Phase/House No. Street Name

Subdivision/Village/Zone Barangay

Town/District Municipality/City

Province ZIP Code

12 Principal Foreign Address (indicate complete foreign address)

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

19 Gender 20 Email Address


Male Female
Part II Transaction Details
21 Purpose of TIN Application
A Dealings with Banks B Dealings with Government Agencies C Tax Treaty Relief
Part III Withholding Agent/Accredited Tax Agent Information
22 Taxpayer Identification Number (TIN) - - - 23 RDO Code
24

25 Registered Address (Sub-street, Building/Street, Barangay, City/Municipality, Province)

25A ZIP Code


26 Contact Number (Phone/Mobile No.) 27 Email Address

28 Declaration Stamp of BIR Receiving Office


and Date of Receipt

_____________________________________________ ________________________
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)

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