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(Tate msupdy 8) > DLN INOTE: This form shall be weed in RDOs with eTIS-1 only] GRY Renutic ofthe Phippine Application for TOI D eo ee tome Registration Information 1905 — ” Upclate/Correction/Cancellation November 20%4 (ENCS) Til applicable spaces, Mark al approprate boxes witan = Part "TAXPAYER THFORNATION 1 Taxpayer enieaton ROO T coat Number CN Coe Nomber Taxpayers Nana advil) est ans) Tatras a ey ay — sane) (1 Rom naval, Repo are) ITT conten of Reaisraton (COR) [ooabarened T_leorrectoniGhangalupcate ot ELEY Asmerty to Port ATP) Rocogttvokes Closure fa business Roghtatn oration Tax Goarance Coren for Fax abies (TCL) Shang of ecrdd pier as (esse proceed to rnber 8 for 1] Taxpayer oneton Numba (IN) Car roquosod by he apayer Srpcatiecmange restrain E] Tax Clearance Cortes for Tranter of Proeryie ‘ner (ease spect) ‘nema (To12) Cerificate Authorizing Ragisraton (CAR) Otros tase specty) [ ar RToARaeN EOI REO RANE NTOCE Ll Registered Name Lo) trade Name Navas Name oa ev Te. cxaue wreasteneo aooness rranster to another RDO From To aa et la a ETTORE coo pane [| From Calendar Period to Fiscal Period ‘Start Date of New Poriod [| From Fiscal Period to Calendar Period From on Rec Pros Are ected iat Dt of 1 Perot [[1D. CHANGE/ADD REGISTERED ACTIVITY/LINE OF BUSINESS | Now Repre ci tectv Dats chaae Une ot Bess a TEE GNGERDD FACLITY NPEDETALS aac ean sis Tecaeary acinar rect To sae pp - aceotProaian BT — bus Temi Fesly Code it oct apt typ) SP ° Straeroce Re > Rea Poney er barssuntSalcejefae| Oban cay Wt © Worreee ee he F Oe | Shown file hey est Featy ToT — arian TIF GNGEADD NCENTIVE DeTALSREGSTEATON et kee Number of Yeas oO Legal Be sitcom pawcorm []—] cnt red erapaenawcor [CTI Etetvy Dao om Texecom moore CD I a) pe tone AT aa teses amwoorren EL La] Aen End ate poor) [J <, anceano rctpe Sera ssusrew0 Tax eSREREGSTER TaCTPE Facies [miner anr|ongemcr| | nentartees [wietermora | "mass TT phone Number [Mable Nureer __ []FexNumber emai Address (requirea) TE © GRANGEIUPOATE OF CONTACT PERSONAUTHORIZED REPRESENTATIVE estan) (Fist ae) se Nae) (su Psion TW age 2-8 Form No, 1005 (1s Gian elas tee Sa eons a nr) mw [7 Closure of BusinessICancolation of Registration TE} CANCELLATION OF TIN TE boar [E Asaresut of mergericonsoéation [E mtitadentcat Ty TE otras fesse pee) Fura to starioormence busines (Fo Ner-indviual Pemanant cure ota branch efectve Date i Dissolution of corperatontpantaship aawoorewn [Ils OE REGISTERCESSATION OF REGISTRATION Pomanent closure of business (had fc) of an india eco Oat of 2 thors ease spe gawoorwy fr Update of Books ot Accounts Type ValunS Date REGS | para Nomen Oa RG] pares Guontty [emt Ta—| -naunarrnn aascavern [> Other UpdateiCorection (ease spec dota) [Fro Tarpaver TLolrorain use ‘ffocve Date of hago sawcoorr Aeproves by: REVENUE DISTRICT OFFICER Dae fio Dectaraton ‘Samp of Rong Offco deca, under ne ponass of peur, that his application has boon made in good fath,verild by me, el Date of Reset and othe best af my kroaleige and batt, Ee and eae, pureant tothe provions of he Naot Internal Revenue Code, ab amended, and he regulations Issued under auton eeot, mat 7a ‘Gionature over Ped Name) ‘Documentary Requirements™ *ongeal Copa Cartel of Ragin, ecrant 2 Auman A) Recados Tar lerane Crficats For Tar ative (FEL) 5. Warlos Cette forehange tryna) 2, SEC Gwe chong of Copartohars) © chan ope Otte | changUpdete of Contet Person/utorzed Representative rato atta ey Sr erie Sach 8) ‘Treasure ofthe Comoran) mma at Socatradenbar arias Rhangein Registered NamelTede Name 2 Onpral crite ot Raparwion 2 Davalton Por ame renter, pantapcy dedier 18. Change in Registered Adress 5 arty stat saat mary ond econary eens 2 rey no nae ppl on spears 8: Sig OR Seep “livin frat commerce srs) 2 cesentnaf agit fori Noo wits busnes) 2. Exang BR Coren a Region Gor surerder) o Sgr eg ee «semen ay gee + cngelerier mere

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