ANNEX “C1”

Sample layout of VAT and Non-VAT Official Receipt

MAG BUSINESS NAME

MARVIN CALAYAN, M.D. LO
VAT REG. TIN: 800-000-134-00000 GO NO. 000000500
610, 6F AGHAM HOSPITAL, QUEZON CITY
BUSINESS STYLE TEL. NO. 02 981-8888 OFFICIAL RECEIPT
DATE: 20___

CUSTOMER NAME: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES
(VAT INCLUSIVES)

LESS: 12% VAT

NET OF VAT/TOTAL
IN PAYMENT OF THE FOLLOWING SERVICE/ QTY UNIT PRICE AMOUNT ₱
TRANSACTION/DESCRIPTION LESS: SC/PWD DISC.

TOTAL DUE

LESS: WITHHOLDING

TOTAL AMOUNT DUE

VATABLE (V)
VAT EXEMPT (E)
ZERO-RATED (Z)
VAT (12%)
TOTAL

PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE:
[ ] CASH [ ] CHECK [ ] CREDIT
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22

PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
<FOR LOOSELEAF> 2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 CASHIER/AUTHORIZED PERSON

MAG BUSINESS NAME

MARVIN CALAYAN, M.D. LO
NON-VAT REG. TIN: 800-000-134-00000 GO NO. 000000500
610, 6F AGHAM HOSPITAL, QUEZON CITY
BUSINESS STYLE TEL. NO. 02 981-8888 OFFICIAL RECEIPT
DATE: 20___

CUSTOMER NAME: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES

LESS: SC/PWD DISC.

TOTAL DUE
IN PAYMENT OF THE FOLLOWING SERVICE/ QTY UNIT PRICE AMOUNT ₱
TRANSACTION/DESCRIPTION LESS: WITHHOLDING

TOTAL AMOUNT DUE

SALES SUBJ. TO PT
EXEMPT SALES

[ ] CASH [ ] CHECK [ ] CREDIT

CASHIER/AUTHORIZED PERSON
PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE:
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22 “THIS DOCUMENT IS NOT
PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
VALID FOR CLAIM OF
2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 INPUT TAXES”
ANNEX “C2”
<FOR LOOSELEAF>

Sample layout of VAT and Non-VAT Sales Invoice

JRC BUSINESS NAME

JRC CORPORATION LO
VAT REG. TIN: 800-000-134-00000 GO NO. 000000500
610, 6F JLHM BLDG. AGHAM RD, QUEZON CITY
BUSINESS STYLE TEL. NO. 02 981-8888
 SALES INVOICE
DATE: 20___

SOLD TO: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES
(VAT INCLUSIVES)

LESS: 12% VAT

NET OF VAT/TOTAL

LESS: SC/PWD DISC.

QTY ARTICLES/DESCRIPTION UNIT PRICE AMOUNT ₱ TOTAL DUE

LESS: WITHHOLDING

TOTAL AMOUNT DUE

VATABLE (V)
VAT EXEMPT (E)
ZERO-RATED (Z)
VAT (12%)
TOTAL

PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE: [ ] CASH [ ] CHECK [ ] CREDIT
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22

PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
<FOR LOOSELEAF> 2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 CASHIER/AUTHORIZED PERSON

JRC BUSINESS NAME

JRC CORPORATION LO
NON-VAT REG. TIN: 800-000-134-00000
610, 6F JLHM BLDG. AGHAM RD, QUEZON CITY
GO NO. 000000500
BUSINESS STYLE TEL. NO. 02 981-8888 SALES INVOICE
DATE: 20___

SOLD TO: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES

LESS: SC/PWD DISC.

TOTAL DUE
QTY ARTICLE/DESCRIPTION UNIT PRICE AMOUNT ₱
LESS: WITHHOLDING

TOTAL AMOUNT DUE

SALES SUBJ. TO PT
EXEMPT SALES

[ ] CASH [ ] CHECK [ ] CREDIT

CASHIER/AUTHORIZED PERSON
PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE:
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22 “THIS DOCUMENT IS NOT
PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
VALID FOR CLAIM OF
<FOR LOOSELEAF> 2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 INPUT TAXES”
ANNEX “C3”
Sample layout of Exempt Official Receipt/Sales Invoice

DEBBIE S. GIBSON
NON-VAT REG. TIN: 800-000-134-00000 LO
610, 6F LCCV BLDG., AGHAM, QUEZON CITY
BUSINESS STYLE TEL. NO. 02 981-8888
GO NO. 000000500
OFFICIAL RECEIPT
(EXEMPT)
 CUSTOMER NAME: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES

LESS: DISC.

TOTAL AMOUNT DUE

IN PAYMENT OF THE FOLLOWING SERVICE/ QTY UNIT PRICE AMOUNT ₱

TRANSACTION/DESCRIPTION

[ ] CASH [ ] CHECK [ ] CREDIT

CASHIER/AUTHORIZED PERSON
PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE:
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22 “THIS DOCUMENT IS NOT
PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
VALID FOR CLAIM OF
<FOR LOOSELEAF> 2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 INPUT TAXES”

ESM BUSINESS NAME

ELENITA R. MEDINA, SOLE PROPRIETOR LO
NON-VAT REG. TIN: 800-000-134-00000
610, 6F MAC BLDG. AGHAM RD, QUEZON CITY
GO NO. 000000500
BUSINESS STYLE TEL. NO. 02 981-8888 SALES INVOICE
DATE: 20___ (EXEMPT)

SOLD TO: TIN: ADDRESS:

BUSINESS STYLE OSCA/PWD NO. SIGNATURE

TOTAL SALES

LESS: DISCOUNT

TOTAL AMOUNT DUE

QTY ARTICLE/DESCRIPTION UNIT PRICE AMOUNT ₱

[ ] CASH [ ] CHECK [ ] CREDIT

CASHIER/AUTHORIZED PERSON
PRINTER’S NAME: TIN: ADDRESS: PRINTER’S ACCREDITATION NO. DATE ISSUED: EXPIRY DATE:
SAM PRINTING SERVICES, INC. 123-456-789-00000 BGY. 123, QUEZON CITY 001MP20180000000003 08-01-17 08-01-22 “THIS DOCUMENT IS NOT
PTU NO. BOX/BKLT. NO. SETS: COPIES PER SET: SERIAL NO. BIR ATP NO. DATE ISSUED:
VALID FOR CLAIM OF
<FOR LOOSELEAF> 2 BKLTS. 100 3x 000000001 - 000000500 3AU000805222 03-31-18 INPUT TAXES”