“ANNEX A”

CAP VAT NO. ________

REPUBLIKA NG PILIPINAS
KAGAWARAN NG PANANALAPI
KAWANIHAN NG RENTAS INTERNAS
Revenue Region No. _____
Revenue District No. _____

CERTIFICATE OF ADVANCE PAYMENT OF VAT/ 3% PERCENTAGE TAX

(Authorizing the transport of forest products & planted species)

________________________________________________________________________
Name of Owner/ Transporter of Forest and Planted Timber Products TIN:

________________________________________________________________________
Address:
________________________________________________________________________

Payor has made the advance payment of VAT / 3% Percentage Tax in the amount

of _______________________(P_________) for the transport of __________________

(no. of cubic meters)

of __________________________________________________. Accordingly, transport

(name of specie)

of forest and planted timber products described above under Certificate of Timber

Origin No. _________________ dated ___________________ is hereby authorized.

Particulars Drawee Bank Number Date Amount

Cash
Check
BIR Form 0605
Official Receipt

Name of AAB _______________________

Name of RCO/DMT _______________________
Date of Payment _______________________

________________________ ________________________
Name of Authorized Revenue Officer Signature

________________________ ________________________
Position/Title Date

Original copy : Taxpayer

Duplicate copy : File copy of issuing RDO
Triplicate copy : Copy for Authorized Revenue Officer