Republic of the Philippines

Department of Finance
BUREAU OF INTERNAL REVENUE
Revenue Region No. 7
Revenue District Office No. 43
Pasig City

TRANSFER COMMITMENT FORM

I, ______________, ______________ of legal age, designated as _____________,

representing ________ with business located at _____________ do hereby voluntary depose and
say:

THAT audit/investigation of all pending and / or open cases, if any, identified in the
Bureau’s Integrated Tax System and other pending cases/applications from my previous/old
RDO shall be continued/ settled in my new RDO. It is, thus, requested that these cases be
forwarded to my new RDO for immediate appropriate action.

I HEREBY DECLARE UNDER PENALTIES OF PERJURY THAT THE FOREGOING

ATTESTATIONS ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.

___________________________
Name and Signature of Taxpayer

___________________________
Position / Designation

TIN: _____________

SUBSCRIBED AND SWORN to before me this ___ day of

__________________, 2021 at ______________, after affiant exhibited to
me his/her competent evidence of identity where his/her picture and
signature appear: _____________________________.

Doc No. _______; NOTARY PUBLIC

Page No. _______;
Book No. _______;
Series of 20___