IN PAYMENT OF: NAME OF COMPANY

COMPANY ADDRESS
PARTICULARS AMOUNT
VAT REG. TIN: XXX-XXX-XXX

OFFICIAL RECEIPT No.:

(Type of industry)

Date:_______ 20,____

Received from ___________________________________________________

TOTAL SALES
___________________________ with TIN _____________________________
Add: VAT
and address at __________________________________________ engaged in
Less: Withholding Tax the business style of _____________________________________, the sum of
Amount Due Pesos ___________________________________ (P ___________________ )
in full/partial payment for ___________________________________________
Vatable Sales

VAT-Exempt

VAT Zero Rated Sales Check No. __________________

VAT Amount Bank: Authorized Signature

Cash
Accreditation No.:
Form of Payment
Accreditation Date:
❏ Cash ❏ Payment

BIR ATP. No.:

Date issued: Valid until: *THIS OFFICIAL RECEIPT SHALL BE VALID FOR FIVE (5) YEARS FROM THE DATE OF ATP*
Non-VAT Reg. TIN: