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Diskette Acknowledgement Form - LAWPHiL

ANNEX A-1ate: _____To be filled out by taxpayerDate of Receipt: _____TIN: _____Taxpayer s Name/Registered Name: _____Taxpayer s Address: _____Contact Person: _____Telephone No.: _____ Cell No.: _____Fax No.: _____E-mail Address: _____Transaction Type Sales Local Purchases ImportationPeriod Covered: From _____ to _____,_____MM MM YYNumber of DiskettesNumber of Files * 1st Quarter _____ _____ 2nd Quarter _____ _____ 3rd Quarter _____ _____ 4th Quarter _____ _____* ONE TRANSACTION TYPE PER MONTH IS CONSIDERED ONE FILETo be filled out by BIRC ondition of the Diskette /s.

2 ANNEX A-4 Date: _____ _____ _____ _____ _____ Sir/Madam: Please be informed that after scanning and screening the submitted diskettes of

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