Addressed to the CIR or

his duly authorized
representative

Taxable Period of
Assessment

Date of Receipt of
Assessment
Notice or Letter of
Demand

Amount and Kind of Tax

Involved and Assessment
Notice Number
  

Itemized
Statement of the
Finding to which
the taxpayer
does not agree

 
 Statements of
facts of law,
rules and
jurisprudence on
which the protest
is based

 
 Nature of the Request
whether
reconsideration or
reinvestigation

Name of the taxpayer

and address for the
past three (3) years

 
 Documentary
evidence to
support its protest