REPUBLIC OF THE PHILIPPINES

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE

APPLICATION FORM FOR VAT ZERO RATE

(Pursuant to Secs. 106(A) & 108 (B), (NIRC)

TO BE ACCOMPLISHED BY THE APPLICANT

1. Name of Applicant/Supplier 2. Application No. (To be filled-up by BIR)

2022 -
2. Business Trade Name 4. TIN

5. Address, Contact Person and Telephone No. 6. Effective Date of VAT Registration

7. Transaction Applied for Zero-Rate:

Sale of Goods Sale of Services Mixed Sales

Name and Address of Purchaser TIN Effective Date of Description of Goods/Services
Registration

Note: Indicate the words "Nothing Follows" after the last entry. Should the space provided is inadequate, fill up another Application for Zero-Rate.
Under Penalties of Perjury. I declare that the contents of this application, including the accompanying documents and statements are true,
correct and complete to the best of my knowledge and belief.

STAMP OF RECEIVING OFFICE

Date Filed Signature of Applicant over printed name

Position/Title
TIN:

TO BE ACCOMPLISHED BY THE BIR

8. Covering Law or International Agreement as basis of Zero Rating: 9. AITEID Approved/ Disapproved
Control No.
RR 16-2005; NIRC Sec. 106(A)(2) and/or 108(B)(3);
2022 -
Action Taken:

Condition:

LILIA CATRIS GUILLERMO

Commissioner of Internal Revenue

By:
MONSERRAT VENUS A. AXALAN
Chief
Audit Information, Tax Exemption and
Incentives Division
 CHECKLIST
OF
REQUIREMENTS FOR VAT ZERO-RATING
(Pursuant to NIRC Sections 106(A)(2) & 108 (B) (3); RR 16-05 )

For VAT-Registered Applicant-Supplier of IRRI/ADB/WHO

DATE
DOCUMENTS
SUBMITTED
Application Form for VAT Zero-Rate (to be accomplished in 4 copies)
Clear Copy of the following:
1. Certificate of Registration, BIR Form No. 2303 (for Applicant/Supplier).
Certified True Copy of the following:
2. BIR VAT Ruling issued to purchaser w/ regards to VAT exemption.
3. Submit any of the following:
1. For Supplier of Services, photo copy of Service Agreement or Contract;
2. For Supplier of Goods, photocopy of Purchase Order (PO)

Notes:
1. Application forms shall be properly filled up without erasures. All 4 copies must contain the signature of
the authorized officer.

Name of Contact Person: ______________________

Position: ___________________________________
Contact No.: ________________________________
E-mail Address: ______________________________