Republic of the Philippines July 2020 Version
Department of Finance
BUREAU OF INTERNAL REVENUE
Quezon City ANNEX “C.1”
April 2018 VERSION
APPLICATION FOR TAX COMPLIANCE VERIFICATION CERTIFICATE
(To be accomplished by the Authorized Officer of Non-Individual Taxpayer
Securing Tax Compliance Verification Certificate for Tax Clearance-Bidding Purposes)
I, ________________________ with Taxpayer Identification Number (T.I.N.) ______________,
Filipino, of legal age, married/single, permanently residing at ___________________________________ with
Contact No. _______________, and Email Address ____________________, hereby depose and state:
1. That, _______________________________________________________________________________
(name of the non-individual taxpayer-applicant )
with Taxpayer Identification Number (TIN) ______________ is a corporation/company duly recognized
and existing under and by virtue of the Laws of the Philippines, with Office located at
___________________________________________________________________________________;
2. That, it is registered with BIR under Certificate of Registration No. _________________________ issued
at Revenue District Office No. _______________ on ____________________;
3. That, the undersigned is the Authorized Officer of the aforesaid corporation/company to accomplish this
sworn application for the issuance of Tax Compliance Verification Certificate (for Tax Clearance-Bidding
Purposes), a pre-requisite for entering into any contract with the Government Agency as prescribed under
EXECUTIVE ORDER NO. 398, as implemented by RR No. 3-2005, as amended;
4. That, the following documents attached to this Sworn Application are all authentic and hereto attached in
compliance with the existing policies:
_____ a. Proof of payment for Documentary Stamp Tax worth P30.00 for the Tax Compliance Verification Certificate;
_____ b. Confirmation Receipt of Electronic payment of certification fee worth Php 100.00 or other proof of
payment;
_____ c. Special Power of Attorney (SPA) accomplished 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 shown by a
Secretary’s Certificate of the minutes/contents of said Board Resolution for corporations, cooperatives,
Associations and other non-individuals’ taxpayer-applicant with one (1) photocopy of each valid
Identification Cards (Company ID and any government issued ID) with three (3) specimen signatures of the
applicant and the authorized representative;
5. And that, to the best of my knowledge and belief, the aforesaid company has satisfied with the prescribed
criteria for the issuance of Tax Clearance.
____________________________________________
Signature over Printed Name of Authorized Officer