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7/21/2019 BIR RMO 12-2013 Workaround for ATPs Annex D List of Unused-Expired ORsSIsCIs

  Annex
D

Inventory List of Unused/Expired Principal and Supplementary Receipts & Invoices


As of < / / >

Name of Taxpayer: _________________________________________________________________

Business/Trade Name: _________________________________________________________________

Taxpayer Identification Number (TIN): _________________________ Branch Code: _____________

Business Address: _________________________________________________________________

ATP OCN: ______________________________ Date Issued: ________________________________

DESCRIPTION OF RECEIPTS/INVOICES

No. of Booklets No. of Serial Nos.


Sets No. of
Copies
Per
DESCRIPTION TYPE Loose Bound Booklet  Per Set  From To

 ____________________________
(Signature over Printed Name of Taxpayer)

Received by:

 _____________________________
(TSS Chief/Registration Section Chief)

Verified correct by:

 ________________________________
(Officer of the Day  – Assessment Section)

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