Republic of the Philippines
ANNEX “A”
DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE
This is to certify that _____________________________________________________
of ___________________________________________________________________________
with Taxpayer Identification Number ______________________ has availed the provisions
of _______________________________________, and the application/s for the compromise
settlement of deficiency ______________________________________________________
tax/es amounting to ____________________________________________________________
(P_____________________) under Assessment No/s. _________________________________
dated ______________________ covering taxable year/period ______________ has/have
been approved by the _______________________________________________________.
Issued this __________ day of __________________________, ________
Commissioner of Internal Revenue
By:
CAC 2017 00000000