Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas Application for Registration 1904January 2000 ( ENCS )
For One-time Taxpayer and Person Registering
under E.O. 98 (Securing a TIN to be able to transact New TIN to be issued, if applicable with any government office) (To be filled up by BIR)
Fill in all appropriate white spaces. Mark all appropriate boxes with an “X”. 1 Taxpayer Type One-Time Taxpayer 2 Classification Individual 3 Date of Registration
E.O. 98 Non-individual (To be filled up by BIR) (MM / DD / YYYY)
Part I Taxpayer Information
4 TIN 5 RDO Code 6 Sex Male
(For Taxpayer w/ existing TIN) (To be filled up by BIR) Female
7 Taxpayer's Name ( Last Name, First Name, Middle Name, if individual/Registered Name, if non-individual)
8 Civil Status 9 Spouse Information
Single/Widow/Widower/Legally Separated (No dependents) 9A Spouse Taxpayer Identification Number Head of the Family Single with qualified dependent Widow/Widower with qualified dependent 9B Spouse Name Legally separated with qualified dependent Benefactor of a qualified senior citizen (RA No. 7432) Married Last Name First Name Middle Name 10 Date of Birth / 11 Telephone Number 12 Municipality Code (To be filled up by BIR) Date of Organization (MM / DD / YYYY) 13 Local Address (Please indicate complete address) 14 Zip Code
15 Foreign Address (Please indicate complete address) 16 Zip Code
17 Contact Person/Accredited Tax Agent (if different from taxpayer) 18 Telephone Number
19 One -Time Transactions (To be filled up by one-time taxpayer only)
A Sale, Assignment and / or B Sale, Assignment and / or Disposal of Real C Sale, Assignment and / or Disposal of Real Disposal of Shares of Stocks Property(ies) classified as Capital Asset Property(ies) classified as Ordinary Asset D Donation of Properties E Transfer of Properties by Succession (Death) F Others (Specify) 20 Tax Types (Choose only the tax types that are applicable to you) FORM TYPE ATC (To be filled up by the BIR) (To be filled up by the BIR)
Withholding Tax Capital Gains Tax - Real Property Capital Gains Tax - Stocks Documentary Stamp Tax Donor's Tax Estate Tax Miscellaneous Tax (Specify) Non-Taxable (under EO 98) Others (Specify)
21 Declaration Stamp of Receiving Office
I declare, under the penalties of perjury, that this form has been made in good faith, verified by and Date of Receipt me and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Attachments complete? TAXPAYER/AUTHORIZED AGENT TITLE/POSITION OF SIGNATORY (To be filled up by BIR) (Signature over printed name) Yes No
ATTACHMENTS: (Photocopy only)
For Payor of Capital Gains Tax (Stock, Real Estate) For Payor of Final Tax on Winnings -Birth Certificate or any document showing name, address and birth date -Certification from awarding company/person of taxpayer applicant For Vehicle Registrants -Deed of Sale -Birth Certificate or any document showing name, address and birth date For Payor of Transfer Tax of the applicant Donor's Tax -Cash Invoice or Official Receipt or Deed of Sale -Birth Certificate or any document showing name, address and birth date For Other Applicants of the taxpayer (donor) -Birth Certificate or any document showing name, address and birth date -Deed of Donation of the applicant Estate Tax -Death Certificate
POSSESSION OF MORE THAN ONE TAXPAYER IDENTIFICATION NUMBER (TIN) IS CRIMINALLY PUNISHABLE PURSUANT TO THE PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE OF 1997, AS AMENDED.
