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Annex C - RR 4-2019
Annex C - RR 4-2019
Annex C - RR 4-2019
+Td Type Codes: lT{ncome Tdi vT_Value Add.d Td; Ds-Docum€ntary Stamp Tax
*+Mun;;r ofpanial payments: Alp-Approv€d Inslallmont Plan; CSA- Compromis€ Seul€m€nt Application; APA- Abatemmt ofPeElry Applic.tion; PAp- pm"Fd' 'f
Auction€d l,rcpcny/ies; MBP- Minimum Bid Pri@ of ProPerties forfeited in favo. ofthe Sovernment far lack oI bidder
This Certification is issued for purposes oftaxpayer's intention to avail ofthe Tax Amnesty on Tax Delinquencies pursuant to
Republic Act No. 11213, as implemented by Revenue Regulations No.
this
-.
(Signature over Printed Name)
REVENUts DISTRICT OFFICER / CHIEF, PROSECUTION DIVISION
CHIEF" LEGAL DIVISION/ CHIEF, LITIGATION DIViSION
RDO No. _, / REVENUE REGICN NO.