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 ___________________________________________________

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

Less: Withholding Tax

Check No. __________________
Amount Due
Bank: Authorized Signature
Cash
Accreditation No.:
Vatable Sales Accreditation Date:

VAT-Exempt

VAT Zero Rated Sales

 VAT Amount

Form of Payment

❏ 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: