Professional Documents
Culture Documents
DLN:
BIR Form No.
Republika ng Pilipinas
Application for Tax
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas Credits / Refunds 1914
January 2001
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
Part I Background Information
1 Taxpayer 1 2 Home RDO Code 2
Identification No. 008 899 912 000 047
3 Taxpayer's Name 3
AC ENERGY DEVELOPMENT INC. (FORMERLY AC ENERGY DEVCO INC.)
4 Registered 4A
4TH FLOOR 6750 OFFICE TOWER 6750 AYALA AVENUE SAN LORENZO, NCR FOURTH
Address
4A
DISTRICT CITY OF MAKATI
1 2 2 6 7 3 0 6 3 0 0
Zip Code 4B Telephone Number 4C
8 Claim Amount 8
PhP21,946,918.00
I declare, under the penalties of perjury, that this application has been made in good faith, Stamp of Receiving Office
verified by me and to the best of my knowledge and belief, is true and correct, and that no and Date of Receipt
refund or tax credit involving the same tax has previously been claimed or received.