Professional Documents
Culture Documents
7 Registered Address (Indicate complete address. If branch, indicate the branch address. If the registered address is different from the current address, go to the RDO to update registered address by using BIR Form No. 1905))
7A ZIP Code
8 Contact Number (Landline/Cellphone No.) 9 Email Address
10 Place of Production
Region Province City
11 Place of Removal
Region Province City
12 Are you availing of tax relief under Special Law or 12A If yes, specify
International Tax Treaty? Yes No
Part II – Manner of Payment
13 Payment on Actual Removal 14 Prepayment/Advance Deposit
15 Other Similar Schemes (specify)
Part III – Payments and Application
16 Excise Tax Due (from Part V – Schedule 1C) ●
19 Less: Payment on Returns Previously Filed for the Same Period, if amended return ●
21B Interest ●
21C Compromise ●
23C Total Payment Made Today (Sum of Items 23A and 23B) ●
Signature over Printed Name of Taxpayer/Authorized Representative/Tax Agent Signature over Printed Name of President/Vice President/Authorized Officer or
(Indicate Title/Designation and TIN) Representative/Tax Agent (Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
Part IV – Details of Payment
Particulars Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
25 Cash/Bank Debit Memo ●
26 Check ●
28 Others (specify)
●
Machine Validation/Revenue Official Receipt Details (if not filed with an Authorized Agent Bank) Stamp of Receiving Office/AAB and Date of Receipt
(RO’s Signature/Bank Teller’s Initial)
*NOTE: Please read the BIR Data Privacy Policy found in the BIR website (www.bir.gov.ph)
BIR Form No.
Part V - Schedules
Schedule 1A – Summary of Removals and Excise Tax Due on Automobiles Chargeable Against Payment
Total Selling Price/
Number of Units Basic
Types of Net Manufacturer’s/ Market Value
ATC Tax Rate Excise Tax
Automobiles Importer's Price Bracket Exempt/ Exempt/
Taxable Taxable Due
Underbond Underbond
XG021 Up to P600,000 4%
XG022 Passenger Over P600,000 to P1,000,000 10%
XG023 Car Over P1,000,000 to P4,000,000 20%
XG024 Over P4,000,000 50%
XG031 Up to P600,000 4%
XG032 Utility Over P600,000 to P1,000,000 10%
XG033 Vehicles Over P1,000,000 to P4,000,000 20%
XG034 Over P4,000,000 50%
XG055 Pick-Ups Exempt
XG041 Up to P600,000 4%
XG042 Passenger Over P600,000 to P1,000,000 10%
XG043 Vans Over P1,000,000 to P4,000,000 20%
XG044 Over P4,000,000 50%
50% of the applicable
XG065 Up to P600,000 excise tax rate*
50% of the applicable
XG071 Hybrid Over P600,000 to P1,000,000 excise tax rate*
Vehicles 50% of the applicable
XG072 Over P1,000,000 to P4,000,000 excise tax rate*
50% of the applicable
XG073 Over P4,000,000 excise tax rate*
XG068 Purely Electric Vehicles Exempt
XG061 Up to P600,000 4%
XG062 Over P600,000 to P1,000,000 10%
Others
XG063 Over P1,000,000 to P4,000,000 20%
XG064 Over P4,000,000 50%
Schedule 1B – Summary of Removals and Excise Tax Due on Non-Essential Goods Chargeable Against Payment
Total Selling Price/
Number of Units Basic
Market Value
ATC Name of Item/Product Tax Rate Excise Tax
Exempt/ Exempt/
Taxable Taxable Due
Underbond Underbond
Jewelries, Pearls, Precious and Semi-precious
XG100 20%
Stones, whether Real or Imitation
XG110 Perfumes and Toilet Waters 20%
XG120 Yachts and Other Vessels for Pleasure or Sports 20%
Others (specify)
XG___
XG___
Schedule 1C - TOTAL EXCISE TAX DUE – Automobiles and Non-Essential Goods (Sum of Schedule 1A and 1B) (To Part III, Item 16)