Annex D

Inventory List of Unused/Expired Principal and Supplementary Receipts & Invoices

As of < 12/ /2018>

Name of Taxpayer: __________________________

Business/Trade Name: __________________________

Taxpayer Identification Number (TIN): ______________________ Branch Code: 000

Business Address: _______________________________

ATP OCN: ______________________________ Date Issued: ________________________________

DESCRIPTION OF RECEIPTS/INVOICES

No. of Booklets No. of Serial Nos.

Sets No.of
Copies
Per
DESCRIPTION TYPE Loose Bound Booklet Per Set From To

______________________
(Signature over Printed Name of Taxpayer)

Received by:

_____________________________
(TSS Chief/Registration Section Chief)

Verified correct by:

________________________________
(Officer of the Day – Assessment Section)