To be filled up by BIR

DLN:

R epubli ka ng Pilip inas Ka gaw aran ng Pan analap i

Kaw anihan ng R entas Internas

R eplac emen t C opy of C ertificat e o f Re gistration / Re placem en t C o py o f TIN C ard/ Ce ssation o f Re gistration / C an cellation o f T IN / Oth er Upd ate o f R eg istra tion In forma tio n

Application for Registration Information U pdate

1905
Jan uary 2 000 (EN CS )

BIR Form N o.

Fill in applicable spaces. Mark all appropriate boxes with an "X".
Part I
1 3 TAXPAYER INFORMATION TAXPAYER IDENTIFICATION NUMBER 2 RDO Code (TIN) TAXPAYER'S NAME (Last Name, First Name, Middle Name, if individual/ Registered Name, if non-individual)

PART II

REASON FOR REGISTRATION INFORMATION UPDATE G Change in Tax Type Details H Change in Trade Name I Update of Books of Accounts J Change in Accounting Period K Others (Specify)

4 4A

B Replacement of Lost/ Damaged A Replacement / Cancellation of Outbound Correspondence TIN Card 1 Certificate of Registration C Cessation of Registration 2 Authority to Print Receipts and Invoices 3 Tax Clearance Certificate for D Cancellation of TIN Transfer of Property(ies) (TCL 2) / Certificate E Change in Registered Address Authorizing Registration (CAR) 4 Tax Clearance Certificate for 4 F Change in Registered Activities Tax Liabilities (TCL 1) 5 Others DETAILS OF REGISTRATION INFORMATION UPDATE REPLACEMENT / CANCELLATION OF OUTBOUND CORRESPONDENCE 1 CERTIFICATE OF REGISTRATION 1. Cancellation due to closure of a business a 1. Correction of registration information b Nature of correction 2 AUTHORITY TO PRINT RECEIPTS AND INVOICES 2. Change of printer as requested by the taxpayer a 2. Correction of registration information in the Authority to Print b Nature of correction OLD BIR PERMIT No./ OCN (To be filled up by BIR)

1. Lost Certificate of Registration c

2. Lost Authority To Print c

3 TAX CLEARANCE CERTIFICATE FOR TRANSFER OF PROPERTY(IES) (TCL 2)/CERTIFICATE AUTHORIZING REGISTRATION (CAR) 3. Correction of information a Nature of correction 3. Lost certificate (CAR/ TCL2) b CAR No./ OLD OCN (To be filled up by BIR) 4 TAX CLEARANCE CERTIFICATE FOR TAX LIABILITIES (TCL 1) 4. Correction of information a Nature of correction 4. Lost certificate b 5 OTHERS (Specify) 4B 4C REPLACEMENT OF LOST/ DAMAGED TIN CARD Lost TIN Card CESSATION OF REGISTRATION 1 Permanent closure of business (head office) of an individual Others (Specify) 2 EFFECTIVE DATE OF CESSATION CANCELLATION OF TIN 1 Death 2 Dissolution of corporation / partnership 3 Permanent closure of a branch 4 Multiple TIN / Invalid TIN EFFECTIVE DATE OF CANCELLATION CHANGE IN REGISTERED ADDRESS TRANSFER OF HOME RDO NEW REGISTERED ADDRESS ZIP CODE 5 Failure to start / commence business (For non-individual) 6 As a result of merger or consolidation 7 Others (Specify) Damaged TIN Card

4D

4E

From Old RDO MUNICIPALITY CODE
(To be filled up by the BIR)

To New RDO TELEPHONE NUMBER

TRANSFER WITHIN SAME RDO NEW REGISTERED ADDRESS MUNICIPALITY CODE ZIP CODE
(To be filled up by the BIR)

TELEPHONE NUMBER

verified by me. Letter request for cessation of registration 2. Change in Tax Type Details . bankruptcy declaration) 3. Existing BIR Certificate of Registration (for surrender) 5. New Application Form 1906. Inventory list of unused invoices and receipts 6. Proof of payment of Certification Fee and Documentary Stamp Tax . Affidavit of Loss. Cessation of Registration 1. and to the best of my knowledge and belief. Original Certificate of Registration 2. Cancellation of TIN INDIVIDUAL 1. Latest Mayor's Permit 6.to be submitted before the issuance of the new Tax Clearance Certificate B. if lost b. Change in Registered Address 1. OF PAGES 4J CHANGE IN ACCOUNTING PERIOD (Applicable to non-individuals) From Calendar Period to Fiscal Period From Fiscal Period to Calendar Period From One Fiscal Period to Another Fiscal Period 4K OTHER CHANGES (Specify Details) Start Date of Old Period Start Date of New Period 5 EFFECTIVE DATE OF THE CHANGES DECLARATION I declare. Original Authority to Print Receipts and Invoices b. if any Additional requirements for taxpayers engaged in trade or business or exercise of Profession 4. Dissolution Papers (board resolution. Proof of payment of Certification Fee and Documentary Stamp Tax . 1905 (ENCS) . Inventory list of unused invoices and receipts 4. pursuant to the provisions of the National Internal Revenue Code. Replacement of Certificate of Registration a. Amended SEC Registration/ DTI Certificate 2. Existing BIR Certificate of Registration (for surrender) 3.Page 2 4F CHANGE IN REGISTERED ACTIVITIES OLD LINE OF BUSINESS NEW LINE OF BUSINESS EFFECTIVE DATE OF CHANGE 4G CHANGE IN REGISTERED NAME/ TRADE NAME NEW OLD 4H CHANGE IN TAX TYPE DETAILS CANCELLED TAX TYPE(S) Registered Name Trade Name ADDED (NEW) TAX TYPE(S) (To be filled up by BIR) ATC (To be filled up by BIR) 4I EFFECTIVE DATE OF CHANGE UPDATE OF BOOKS OF ACCOUNTS PSIC TYPE OF BOOKS TO BE REGISTERED PSOC QUANTITY (To be filled up by BIR) To be filled up by BIR) ( VOLUME NO. Inventory list of unused invoices and receipts 4. TABUSO Taxpayer/Authorized Agent (Signature over Printed Name) Finance Director Title/Position of Signatory (To be filled up by BIR) Attachments complete? Yes No Date of Release of TIN COR Books NOTE: Attach additional sheets. Unused invoices and receipts for cancellation NON-INDIVIDUAL 1. is true and correct. as amended. if applicable E.Original Certificate of Registration G. and the regulations issued under authority thereof. Affidavit of Loss. if applicable D. Affidavit of Loss.Photocopy of the first page of the previously approved books J. if lost c. Stamp of Receiving Office and Date of Receipt JEAN B. Update of Books of Accounts . if applicable 3. SEC issued Certificate of the Filing of the Articles of Merger/Consolidation. Old TIN Card (if replacement is due to damaged card) C. under the penalties of perjury. Unused invoices and receipts for cancellation 5. BIR written approval of the change 2. Change in Registered Activities . if necessary ATTACHMENTS: A. Same requirements as in Cancellation of TIN.Original Certificate of Registration I. Sketch of place of production (if taxpayer is subject to Excise Tax) F. Replacement of Lost/ Damaged TIN Card 1. Unused invoices and receipts for cancellation 5. Death Certificate 2. Replacement of Tax Clearance Certificate for Tax Liabilities a.to be submitted before the issuance of the new Certificate of Registration 2. Change in Accounting Period 1. Estate Tax Return 3. FROM TO NO. Existing BIR Certificate of Registration 6. for replacement b. Latest DTI Certificate/ SEC Registration 5. Photocopy of short period return filed .1. Inventory list of unused invoices/ receipts 3. Old Certificate of Registration. Change in Registered Name/ Trade Name 1. if lost 2. Original Certificate of Registration H. Unused invoices and receipts for re-stamping 4. that this application has been made in good faith. Proof of payment of existing liabilities 7. Notice of Dissolution of Business 2. Replacement/Cancellation of Authority to Print Receipts and Invoices a.BIR Form No. Proof of payment of existing liabilities.

RANSFER OF PROPERTY(IES) (TCL 2)/CERTIFICATE AUTHORIZING REGISTRATION (CAR) .Application for gistration Information Update 1905 Jan uary 2 000 (EN CS ) BIR Form N o.

. SEC issued Certificate of the Filing of the Articles of Merger/Consolidation.7.