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DLN:
Republika ng Pilipinas
Kagawaran ng Pananalapi
1906
November 2005
TAXPAYER'S TIN
TAXPAYER'S NAME
RDO CODE
(Last Name, First Name, Middle Name, if individual/ Registered Name, if non-individual)
4
TRADE NAME
BUSINESS ADDRESS
6
7
PRINTER'S TIN
PRINTER'S NAME
(Last Name, First Name, Middle Name, if individual/ Registered Name, if non-individual)
PRINTER'S BUSINESS
ADDRESS
10 TYPE/NATURE OF
APPLICATION
Bound
ZIP CODE
Loose Leaf
(ATTACH ADDITIONAL SHEETS IF NECESSARY)
NO. OF BOXES/BOOKLETS
Loose
Bound
NO. OF PLY /
BOX/BOOKLET
12 DECLARATION
I declare, under the penalties of perjury, that this application has been made in good faith, verified by
START
SERIAL NO.
END
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.
(To be filled up by BIR)
Attachments complete?
Yes
No
Date of Release of Authority to Print
TAXPAYER/AUTHORIZED AGENT
(Signature over printed name)
ATTACHMENTS:
For New Taxpayers:
- Job order
- Final and clear sample of receipts and invoices (machine printed)
- Photocopy of the following:
TITLE/POSITION OF SIGNATORY
REMINDER:
Only the head office shall file the "Application for Authority to Print Receipts and Invoices (ATP)". One application should be filed and one permit should be issued
for every establishment (head office or each branch). The data that should appear in the ATP are the data pertaining to the establishment that will use the receipts/invoices.
1906
November 2005 (ENCS)
END
Attachments complete?
Annex A
DLN:
Republika ng Pilipinas
Kagawaran ng Pananalapi
1906
(March 2013)
RDO CODE
Branch Office
TAXPAYER'S
NAME
(Last Name,
First Name,
TRADE NAME
BUSINESS
ADDRESS
Indicate applicable
head or branch
office address;
CONTACT
NUMBER
10 PRINTER'S
TIN
12 PRINTER'S
E-MAIL ADDRESS
11 PRINTER'S
NAME
13 DATE OF
ACCREDITATION
ACCREDITATION
NUMBER
14 PRINTER'S
BUSINESS
ADDRESS
15 CONTACT
NUMBER
16
17 TYPE/NATURE OF
APPLICATION
E-MAIL ADDRESS
Bound
ZIP CODE
Loose Leaf
Others
TYPE
NON-VAT
NO. OF BOXES/BOOKLETS
VAT
TYPE
NON-VAT
NO. OF BOXES/BOOKLETS
VAT
Loose
Bound
NO. OF COPIES
BOX/BOOKLET
PER SET
NO. OF COPIES
BOX/BOOKLET
PER SET
SERIAL NO.
START
END
Loose
Bound
19 DECLARATION
I declare, under the penalties of perjury, that this application has been made in good faith, verified by
SERIAL NO.
START
END
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.
Date of Release of Authority to Print
TAXPAYER/AUTHORIZED AGENT
(Signature over printed name)
TITLE/POSITION OF SIGNATORY