Annex “I.3” Annex “I.

3”
CHECKLIST OF DOCUMENTARY REQUIREMENTS CHECKLIST OF DOCUMENTARY REQUIREMENTS
QF-TCC-04-04-2023.00 BIR Copy QF-TCC-04-04-2023.00 Taxpayer Copy
CDR CDR
TCC04 TCC04
REVISED JUL2023 BUREAU OF INTERNAL REVISED JUL2023 BUREAU OF INTERNAL
REVENUE REVENUE

APPLICATION OF TAX CLEARANCE FOR GENERAL PURPOSES APPLICATION OF TAX CLEARANCE FOR GENERAL PURPOSES

IMPORTANT: IMPORTANT:
1. Processing of transaction commences only upon submission of complete 1. Processing of transaction commences only upon submission of complete
documents. INCOMPLETE REQUIREMENTS SHALL NOT BE PROCESSED documents. INCOMPLETE REQUIREMENTS SHALL NOT BE PROCESSED
AND THE RELATED DOCUMENTS WILL BE RETURNED TO TAXPAYER- AND THE RELATED DOCUMENTS WILL BE RETURNED TO TAXPAYER-
APPLICANT. APPLICANT.
2. Mark “ü” for submitted documents and “X” for lacking documents 2. Mark “ü” for submitted documents and “X” for lacking documents

INDIVIDUAL TAXPAYER INDIVIDUAL TAXPAYER

1. One (1) original copy of DELINQUENCY VERIFICATION REPORT (DVR) 1. One (1) original copy of DELINQUENCY VERIFICATION REPORT (DVR)
issued by the RDO; issued by the RDO;
2. One (1) original copy of duly accomplished and NOTARIZED SWORN 2. One (1) original copy of duly accomplished and NOTARIZED SWORN
APPLICATION FOR TAX CLEARANCE - GENERAL PURPOSES "ANNEX APPLICATION FOR TAX CLEARANCE - GENERAL PURPOSES "ANNEX
J.5"(To be accomplished by Individual Taxpayer Securing Tax Clearance J.5"(To be accomplished by Individual Taxpayer Securing Tax Clearance
for General Purposes), with attached documentary stamp worth P30.00; for General Purposes), with attached documentary stamp worth P30.00
3. One (1) original copy of valid and properly accomplished authorization 3. One (1) original copy of valid and properly accomplished authorization
letter authorizing the representative to transact (file and claim) on behalf letter authorizing the representative to transact (file and claim) on behalf
the taxpayer-applicant; the taxpayer-applicant;
4. One (1) photocopy of any valid government issued lD with three (3) 4. One (1) photocopy of any valid government issued lD with three (3)

specimen signatures of the applicant and the authorized representative; specimen signatures of the applicant and the authorized representative;
5. One (1) photocopy of proof of payment for CERTIFICATION FEE worth 5. One (1) photocopy of proof of payment for CERTIFICATION FEE worth
P100.00; and P100.00; and
6. One (1) loose documentary stamp worth P30.00. 6. One (1) loose documentary stamp worth P30.00.

NON-INDIVIDUAL TAXPAYER NON-INDIVIDUAL TAXPAYER

1. One (1) original copy of DELINQUENCY VERIFICATION REPORT (DVR) 1. One (1) original copy of DELINQUENCY VERIFICATION REPORT (DVR)
issued by the RDO; issued by the RDO;
2. SWORN APPLICATION FOR TAX CLEARANCE – GENERAL PURPOSES 2. SWORN APPLICATION FOR TAX CLEARANCE – GENERAL PURPOSES
"ANNEX J.6" (To be accomplished by the Authorized Officer of Non- "ANNEX J.6" (To be accomplished by the Authorized Officer of Non-
Individual Taxpayer Securing Tax Clearance for General Purposes); with Individual Taxpayer Securing Tax Clearance for General Purposes); with
attached documentary stamp worth P30.00; attached documentary stamp worth P30.00;

3. One (1) original copy of Special Power of Attorney (SPA) accomplished 3. One (1) original copy of Special Power of Attorney (SPA) accomplished
by any one of the partners, or by any responsible and ranking officer of the by any one of the partners, or by any responsible and ranking officer of the
entity whose authority to act as such is contained in a Board Resolution, as entity whose authority to act as such is contained in a Board Resolution, as
shown by a Secretary’s Certificate of the minutes/contents of said Board shown by a Secretary’s Certificate of the minutes/contents of said Board
Resolution for corporations, cooperatives, Associations and other non- Resolution for corporations, cooperatives, Associations and other non-
individuals’ taxpayer-applicant; individuals’ taxpayer-applicant;

4. One (1) photocopy of any valid government issued lD with three (3) 4. One (1) photocopy of any valid government issued lD with three (3)

specimen signatures of the applicant and the authorized representative; specimen signatures of the applicant and the authorized representative;
5. One (1) photocopy of proof of payment for CERTIFICATION FEE worth 5. One (1) photocopy of proof of payment for CERTIFICATION FEE worth
P100.00; and P100.00; and
6. One (1) loose documentary stamp worth P30.00. 6. One (1) loose documentary stamp worth P30.00.

Submitted by: Submitted by:

(Signature over Printed Name of Taxpayer/ (Signature over Printed Name of Taxpayer/
Representative Date Representative Date

Received by: Received by:

(Signature over Printed Name of Evaluating (Signature over Printed Name of Taxpayer/
Officer) Date Representative Date

Return of Documents Return of Documents

Upon preliminary evaluation of the completeness of the application and its supporting Upon preliminary evaluation of the completeness of the application and its supporting
documents, the applicant has been informed of the identified lacking documentary documents, the applicant has been informed of the identified lacking documentary
requirement/s (marked “X”) above for completion or resubmission of application. requirement/s (marked “X”) above for completion or resubmission of application.

(Signature over Printed Name of Evaluating Officer) Return Date of Documents (Signature over Printed Name of Evaluating Officer) Return Date of Documents

Acknowledgment by the Taxpayer-Applicant Acknowledgment by the Taxpayer-Applicant

I ______________________________________________, of legal age, hereby acknowledge the I ______________________________________________, of legal age, hereby acknowledge the
identified lacking documentary requirement/s (marked “X”) and understand that identified lacking documentary requirement/s (marked “X”) and understand that
pursuant to the IRR of RA 11032 otherwise known as “Ease of Doing Business and pursuant to the IRR of RA 11032 otherwise known as “Ease of Doing Business and
Efficient Government Service Delivery Act of 2018”, the government office or agency Efficient Government Service Delivery Act of 2018”, the government office or agency
shall not process deficient or incomplete applications or requests. shall not process deficient or incomplete applications or requests.

(Signature over Printed Name of (Signature over Printed Name of

Taxpayer-Applicant/Authorized Representative) Date Taxpayer-Applicant/Authorized Representative) Date

Data Privacy Notice: Herein information is intended for Authorized Personnel only. Unauthorized Data Privacy Notice: Herein information is intended for Authorized Personnel only. Unauthorized
disclosure is punishable by laws, as mandated by R.A. 10173, also known as the Data Privacy Act of disclosure is punishable by laws, as mandated by R.A. 10173, also known as the Data Privacy Act of
2012, and Section 270 of the National Internal Revenue Code (NIRC) in handling/processing of BIR 2012, and Section 270 of the National Internal Revenue Code (NIRC) in handling/processing of BIR
data/information. data/information.