ANNEX "A"

REPORT ON AVAILMENT OF ESTATE TAX AMNESTY UNDER REVENUE REGULATIONS NO. 6-2019
Revenue Region__________
Revenue District Office ___________
For the Month of _____________, _______

NET TAXABLE
SEQ. CA RESIDENCE AT THE TIME OF DATE OF GROSS ESTATE ESTATE FOR AMOUNT DATE NAME OF REVENUE NAME OF GROUP
NAME OF DECEDENT TIN
NO. NO. DEATH DEATH (Item 18 of ETAR) AMNESTY PAID PAID OFFICER SUPERVISOR
(Item 26 of ETAR)

TOTAL

I attest to the truthfulness and veracity of the information contained herein.

(Signature Over Printed Name)

Revenue District Officer
 Annex "B"
CONSOLIDATED REPORT ON AVAILMENT OF ESTATE TAX AMNESTY UNDER REVENUE REGULATIONS NO. 6-2019
Revenue Region__________
For the Month of _____________, _______

NET TAXABLE
NAME OF
DATE OF GROSS ESTATE ESTATE FOR NAME OF REVENUE
RDO NO. SEQ. NO. CA NO. NAME OF DECEDENT TIN AMOUNT PAID DATE PAID GROUP
DEATH (Item 18 of ETAR) AMNESTY OFFICER
SUPERVISOR
(Item 26 of ETAR)

TOTAL

I attest to the truthfulness and veracity of the information contained herein.

(Signature Over Printed Name)

Regional Director