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Agreement Form
Agreement Form
DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE
Revenue District Office No. 75
Zarraga, Iloilo
A G R E E M E N T FO R M
The results of the verification of All Internal Revenue Tax liabilities of SEASHAPS MARKETING,
INC for the taxable year 2018 conducted by Revenue Officer Marian Claire C. Sangcada under Group
Supervisor Kristine Joy S. Alparaque pursuant to electronic Letter of Authority No. 075-2020-00000104
dated August 7, 2020 were satisfactorily explained to me.
Hereunder are the unpaid balances of the tax deficiency findings that
Domari L.T.Moreno
I, Raymond Gomez is amenable and agreeable as to its validity:
I understand that the report of verification submitted by the Revenue Officers is subject to review
and approval by higher authorities which may result in further changes in the amount of my tax liability
and will be recomputed if not paid on the date stated above.
Domari L. Moreno
_____________________________________
Signature over printed name of Taxpayer
or his/her authorized representative
ACKNOWLEDGEMENT
(Republic of the Philippines)
(____________________) S.S.
WITNESS MY HAND AND SEAL at the place and on the date first above written.
NOTARY PUBLIC