Republic of the Philippines

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE

ANNEX “C”
SN ______________

NOTICE OF DENIAL
Application for Compromise Settlement

______________________

__________________________
____________________________________
_________________________________
TIN: ________________________

Gentlemen/Sir/Madam:

This refers to the application(s)/offer(s) for compromise settlement of your

___________________________________ liabilities for the period/taxable year ____________
involving the total amount of _________________________________________________________
(P) __________________ on the ground of _____________________________________ pursuant
to the provisions of Section 204 of the National Internal Revenue Code of 1997, as amended, as
implemented under ___________________________________________.

Please be informed that after careful review and evaluation of your application, the same has
been disapproved by the ___________________________________________of this Bureau, due
to:
Reason:____________________________________________________________________
__________________________________________________________________________
_________________________________________________________________________

In view thereof, you are hereby requested to pay the amount of ________________________
_________________________________ (P_______________), net of
________________________
__________________________________(P________________) which was previously paid, plus all
the increments incident to the delinquency with any authorized agent bank within fifteen (15) days
from receipt hereof. Should you fail to do so, we will be constrained, much to our regret, to enforce the
collection thereof thru the administrative summary remedies provided by law without any further
notice.

For your information and guidance.

Very truly yours,

Commissioner of Internal Revenue