Annex A

Republic of the Philippines

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE

(Name of Issuing Office)

TERMINATION LETTER

(Date)

(Name of Taxpayer)
(Taxpayer Identification Number)
(Address)

Dear Sir/Madam:

Please be informed that the report of investigation on your internal revenue tax
liabilities for taxable year . /period from to pursuant to Letter of
Authority/Tax Verification Notice No. dated as submitted by
Revenue Officer/s has been approved by this Office.

Our records show that you paid the following as deficiency tax/es upon the conclusion
of the audit of your returns:

Details of Payment
Tax Type Tax Due Surcharge Interest Total Date of
O R No. Reference
0 Payment

>

In view thereof, this case is now considered CLOSED and filed for future reference.

Very truly yours, /

COMMISSIONER OF INTERNAL REVENUE

By:

Regional Director/Assistant Commissioner

(Signature Over Printed Name)
BUREAU OF INTERNAL REVENUE
TFN TpJ 7 7 T O Tjh

L V?S
RECORDS MGT, DIVISION
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