Application For Authority To Print Receipts and Invoices: Kawanihan NG Rentas Internas

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To be filled up by the BIR

DLN:
BIR Form No.

1906

Application for Authority to Print


Receipts and Invoices

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

March 2013 (ENCS)

Fill in applicable spaces. Mark all appropriate boxes with an "X".


2 ATP APPLIED FOR

1 TAXPAYER'S TIN

Head Office

3 RDO CODE
Branch Office

4 TAXPAYER'S
NAME
(Last Name,

First Name,

Middle Name, if Individual)

Mother's Maiden Name

(Registered Name, if non-individual)


5 TRADE NAME
6 BUSINESS
ADDRESS
Indicate applicable
head or branch
office address;

7 ZIP CODE

8 CONTACT
NUMBER

9 E-MAIL ADDRESS

10 PRINTER'S
TIN

11 PRINTER'S
NAME

12 PRINTER'S
ACCREDITATION
NUMBER
14 PRINTER'S
BUSINESS
ADDRESS
15 CONTACT
NUMBER
17 TYPE/NATURE OF
APPLICATION

13 DATE OF
ACCREDITATION

16 E-MAIL ADDRESS
Bound

Loose Leaf

18 DESCRIPTION OF RECEIPTS AND INVOICES

Others

(ATTACH ADDITIONAL SHEET/S IF NECESSARY)

A For Principal Receipts and Invoices


DESCRIPTION

TYPE
NON-VAT

NO. OF BOXES/BOOKLETS

VAT

TYPE
NON-VAT

NO. OF BOXES/BOOKLETS

VAT

LOOSE

BOUND

NO. OF SETS PER

NO. OF COPIES

BOX/BOOKLET

PER SET

NO. OF SETS PER

NO. OF COPIES

BOX/BOOKLET

PER SET

SERIAL NO.
START
END

B For Supplementary Receipts and Invoices


DESCRIPTION

LOOSE

BOUND

19 DECLARATION
I declare, under the penalties of perjury, that this application 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.

SERIAL NO.
START
END

Stamp of BIR Receiving Office


and Date of Receipt

Date of Release of Authority to Print


TAXPAYER/AUTHORIZED AGENT
(Signature over Printed Name)
ATTACHMENTS:
For New Taxpayers:
- Original Printer's Job Order
- Original copy of sample layout/template of OR/SI/CI
- Photocopy of Loose-leaf Permit, if applicable

TITLE/POSITION OF SIGNATORY

For Old Taxpayers:


- Original Printer's Job Order
- Original copy of sample layout/template of OR/SI/CI
- Photocopy of previous Authority to Print Receipts and Invoices,
if not available, the last series of the printed OR/SI/CI.
- Photocopy of Loose-leaf Permit, if applicable.

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.

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