REPUBLIC OF THE PHILIPPINES ANNEX “J”

DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE

TRANSMITTAL FORM BIR’s Copy

Type of Returns : 1604-CF 1604-E For the Year: ___________
List of Regular Suppliers Initial
by Top 10,000 Private Corp. 1st sem. July 31
2ND sem Jan 31 ff year
Transmittal Number : _____________________ TIN: _____ - _____ - _____ -_____
Name of Withholding Agent : _______________________________________________
Address : _______________________________________________________________
Name of Contact Person/WA’s Representative:__________________ Tel. No.:__________
No. of Diskettes Submitted: ________
Received by: _______________ Office: ____________________
------ For returned diskette (to be resubmitted within 1 week) ------- Stamp
Labelling Virus found of
Date returned: _____________ Date resubmitted: _____________ Receiving Office

---------------------------------------------------------------------------------- Date: __________

Uploaded Date of uploading: _______________
Not uploaded Reason: _______________________
 -----------------------------------------------------------------------------------------------------
REPUBLIC OF THE PHILIPPINES
DEPARTMENT OF FINANCE ANNEX “J”
BUREAU OF INTERNAL REVENUE

TRANSMITTAL FORM Taxpayer’s Copy

Type of Returns : 1604-CF 1604-E For the Year: ___________
List of Regular Suppliers Initial
by Top 10,000 Private Corp. 1st sem. July 31
2ND sem Jan 31 ff year
Transmittal Number : _____________________ TIN: _____ - _____ - _____ -_____
Name of Withholding Agent : _____________________________________________
Address : _______________________________________________________________
Name of Contact Person/WA’s Representative:__________________ Tel. No.:__________
No. of Diskettes Submitted: ________
Received by: _______________ Office: ____________________

------ For returned diskette (to be resubmitted within 1 week) ------- Stamp
Labelling Virus found of
Date returned: _____________ Date resubmitted: _____________ Receiving Office
---------------------------------------------------------------------------------- Date: __________
Uploaded Date of uploading: _______________
Not uploaded Reason: _______________________