Annex D Template 2024

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Annex D

RMO 12-2013
INVENTORY LIST OF UNUSED/EXPIRED PRINCIPAL & SUPPLEMENTARY RECEIPTS & INVOICES

As of ___________________________________.

Name of Taxpayer:_________________________________________________________________________

Business/Trade Name:______________________________________________________________________

Taxpayer Identification No. (TIN):____________________________ Branch Code:_______________________

Business Address:_________________________________________________________________________

ATP OCN: _____________________________________________ Date Issued: _______________________

DESCRIPTION OF RECEIPTS/INVOICES
No. of Booklets No. of Serial Nos.
No. of Sets
Description Type Copies per
Loose Bound per Booklet From To
Set

Received by:

_____________________________________ _________________________________
TSS Chief/Registration Section Taxpayer’s Signature Over Printed Name

Verified correct by:

____________________________________

Officer of the Day-Assessment Section

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