Annex D

Inventory List of Unused Official Receipts Under Revenue Regulations No. 7-2-024
As of < MM / DD / YYYY>

Name of Taxpayer: _________________________________________________________________

Business/Trade Name: _________________________________________________________________

Taxpayer Identification Number (TIN): _________________________ Branch Code: _____________

Business Address: _________________________________________________________________

ATP OCN: ______________________________ Date Issued: ________________________________

DESCRIPTION OF OFFICIAL RECEIPTS

No. of Booklets No. of Sets No. of Serial Nos.

Copies
Per
DESCRIPTION TYPE Loose Bound Booklet Per Set From To

NOTE: The approval of the conversion of unused Official Receipts as Invoice is not subject to the approval
of the Revenue District Office in accordance with the provisions of RR No. 7-2024.

____________________________
(Signature over Printed Name of Taxpayer)

Received by:

_____________________________
(TSS Chief/Registration Section Chief)

Verified correct by:

________________________________
(Officer of the Day – Assessment Section)