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BIR Abatement Form

This document is an application for abatement or cancellation of tax liabilities submitted to the Commissioner of Internal Revenue of the Philippines. It requests cancellation of a tax liability amounting to [amount] for the tax year [year] due to [reason checked]. It offers to pay [amount] as the basic tax due and [amount] in interest. The applicant declares the statement was made in good faith and is true to the best of their knowledge. Space is provided for the BIR to receive, process, review, and approve or disapprove the application.

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Jecky Delos Reyes
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406 views1 page

BIR Abatement Form

This document is an application for abatement or cancellation of tax liabilities submitted to the Commissioner of Internal Revenue of the Philippines. It requests cancellation of a tax liability amounting to [amount] for the tax year [year] due to [reason checked]. It offers to pay [amount] as the basic tax due and [amount] in interest. The applicant declares the statement was made in good faith and is true to the best of their knowledge. Space is provided for the BIR to receive, process, review, and approve or disapprove the application.

Uploaded by

Jecky Delos Reyes
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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“ANNEX A”

Republika ng Pilipinas Application for Abatement or Cancellation BIR Form No.


Kagawaran ng Pananalapi
of Tax, Penalties and/or Interest
Kawanihan ng Rentas Internas
Under Rev. Reg. No. __________ 2110
September 2001

________________________
(Date)

The Commissioner of Internal Revenue


BIR National Office Building
Diliman, Quezon City

Sir:
I/We hereby apply for the abatement/cancellation of my/our _________________________________________tax liability
(kind of tax/interest/surcharge/compromise penalties)
amounting to P________________________, for the taxable year ________________ arising from

Reasons: (Please check appropriate box)


¨ Filing of the return/payment of the tax is made at the wrong venue
¨ Mistake in payment of tax due to erroneous written official advice of a revenue officer
¨ Failure to file the return and pay the tax on time due to substantial losses from prolonged labor dispute, force
majeure, and legitimate business reverses
¨ Non-compliance due to difficult interpretation of the law
¨ Failure to file the return and pay the correct tax on time due to circumstances beyond taxpayer’s control
¨ Late payment of tax under meritorious circumstances
¨ Penalties imposed on assessment confirmed by lower court but appealed by the taxpayer to a higher court
¨ Penalties imposed on withholding tax assessment under meritorious circumstances
¨ Penalties imposed on delayed installment payment under meritorious circumstances
¨ Penalties imposed on assessment reduced after reinvestigation but taxpayer is still contesting reduced assessment
¨ Others (please specify) _______________________________________________
_______________________________________________

I offer to pay the amount of P____________________ as basic ____________________ tax due and P______________,
(kind of tax)
as interest, for the taxable year ______________.

I/We declare under the penalties of perjury, that this statement has been made in good faith, verified by me/us and to the
best of my/our knowledge and belief is a true, correct and complete declaration.

SIGNATURE OVER PRINTED NAME OF TIN TAX AGENT


TP/ TP AUTHORIZED REPRESENTATIVE

ADDRESS TAX AGENT ACCREDITATION NO.

To be filled-up by BIR

Received by: _______________________ Date Received: _____________________


Processed by: ______________________ RDO No.: _________________________
Reviewed by: ______________________ RR No. : __________________________

National Office
Head, Technical Working Committee: ________________________
DCIR – Operations Group : ________________________
DCIR - Legal & Inspection Group : ________________________

APPROVED/DISAPPROVED:
¨ Approved the amount of P__________________ representing abatement/cancellation of
¨ Basic Tax
¨ Surcharge
¨ Interest
¨ Compromise Penalty

¨ Disapproved
Reason for disapproval: ____________________________________________________________________

________________________________
Commissioner of Internal Revenue
Date:

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