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Form preview Bir form 2107 application for... To be filled up the BIR DLN PSIC PSOC Compromise Settlement Payment Form Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas BIR Form No. Pursuant to RR No. 7-2001 July 2001 Fill in all applicable spaces. Mark all appropriate boxes with an X For the Calendar Fiscal 1st Return Period MM / DD / YYYY 2nd 3rd No. of Sheets ATC BCS No./Item No. To be filled up by the BIR Tax Type Code Background Taxpayer Identification No. Taxpayer s M C 0 3 0 4th Information 10 RDO Code 11 Taxpayer Classification I Attached Part I Application Form No. Year Ended MM / YYYY Quarter 12 Line of Business/Occupation N Last Name First Name Middle Name for Individuals / Registered Name for Non-Individuals 14 Telephone Number Name 15 Registered Address 16 Zip Code 17 Manner of Payment SPF- Compromise Settlement Others Specify 18 Remarks Computation of Tax Doubtful Validity of Assessment Financial Incapacity Amount Payable APPROVED BY For Voluntary Payment Stamp of Receiving Office I declare under the penalties of perjury that this document has been made in good faith verified by 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. and Date of Receipt 20B 20A Signature over Printed Name of Taxpayer /Authorized Representative Title/Position of Signatory D e t a i l s of P a y m e n t Particulars Drawee Bank/Agency MM Number 21 Cash 22 Check DD YYY Amount 22A 22B 17C 22C Machine Validation/Revenue Official Receipt Details If not filed with the bank I - Individual N - Non-Individual 22D TAX Code IT CG CS ES DN VT PT ST SO SL DS XS XV XF Description INCOME TAX IMPROPERLY ACCUMULATED EARNINGS TAX CAPITAL GAINS TAX - Real Property ESTATE TAX DONOR S TAX VALUE-ADDED TAX PERCENTAGE TAX DOCUMENTARY STAMP TAX EXCISE - SPECIFIC TAX EXCISE TAX - AD VALOREM TOBACCO INSPECTION MONITORING FEES TYPE WB WC WE WF WG WO WR WW WITHHOLDING TAX-BANKS AND OTHER FINANCIAL INSTITUTIONS GAINS TAX ON WINNINGS AND PRIZES. To be filled up the BIR DLN PSIC PSOC Compromise Settlement Payment Form Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas BIR Form No* Pursuant to RR No* 7-2001 July 2001 Fill in all applicable spaces.

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