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Bir Routing Slip

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Republika ng Pilipinas

Bureau of Internal Revenue


RDO No. 79, Dumaguete City

ROUTING SLIP

TIN: Branch Code: RDO Code:


Name of Supplier:
Business Tradename:
Address:
Accreditation No.:

TIN: Branch Code: RDO Code:


Name of Taxpayer:
Business Tradename:
Address:

Name of Taxpayer
VERIFICATION: Date Verified: Verified by:
CLIENT SUPPORT SECTION:

Registered/Accredited Supplier

Registered Taxpayer/User

Not Registered

DOCUMENTS SUBMITTED AND DULY VERIFIED PER ITS/EACCREG SYSTEM

COR of Taxpayer/User

Sworn Statement “Annex A”

TYPE OF MACHINE APPLIED FOR:

Final Permit (to be used in lieu


Of Manual Receipts

Special Purpose Machine (Cash


Depository)

APPROVED

DISAPPROVED Revenue District Officer

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