Date

RDO MARIA THELMA F. PULHIN

Revenue District Officer, RDO 018 – Olongapo City
BIR, Rizal Ave. West Bajac Bajac Olongapo City

Madam RDO:

In accordance with the Revenue Regulation No, 3-2005, EO#398 and Revenue
Memorandum Order No. 10-2006, RR#10-2012, RR#10-2014, RR#1-2012 and/or RR 10-
2007prescribing the implementation of Electronic Filling and Payment System (EFPS), I would
like to inform your good Office of my company’s intention to enroll in the Electronic Filing
and Payment System (EFPS).
The purpose of enrolment is (check whichever is appropriate):
Our company is a Licensed Local contractor or is participating in public bidding
Our company is identified as a TAMP Taxpayer.
Our company has a complete Computerized Accounting System.
Our company is an Accredited/Prospective Importer.
Our organization is a National Government Agency/Corporation
Our company has a paid- up Capital of P10M and above
Our company enjoys Fiscal Incentives.
Our company would like to volunteer to utilize the EFPS

I also intend to enroll in the electronic payment system of EFPS- Accredited Agent
Bank (pls. state the bank) _________________________ immediately or within a week after
‘On-line enrolment’, and Activation by the BIR-TSS Chief. I am submitting herewith copies
of DTI Certificate; Updated/Latest Certificate of Registration (COR-BIR Form 2303); and/or
BIR Form 1905 (Taxpayer Registration Update form) to include Tax Form/s ____ in my tax
return compliance. I am also authorizing Mr./Ms.______________________ to undertake the
EFPS transactions.

Hereunder is the company’s basic registration information:

TIN: ____________
Registered (Business/Trade) Name: _________________
Proprietor’s Birth date: ________________________
Business Address: ___________________________
Business Contact Number: _____________________

Your action on the matter is highly appreciated.

Very truly yours,

________________________
Proprietor/Owner