Diskette Acknowledgement Form - LAWPHiL

1 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 SIGNATURE OVER PRINTED NAME DATE/TIME OF RESPONSIBLE OFFICERD iskette/s not yet checked _____ _____Checked/Re-checked Diskette /s _____ _____Number of Files _____ReplacementGood (GD)DefectiveReason:Unreadable/Inaccessi ble (DR)With irremovable virus (DV)Invalid file format (DF)Others, specify _____DEFECTIVE DISKETTES MUST BE REPLACED WITHIN FIVE (5) WORKING DAYS FROM THE DATE OF RETURN WITH THIS FORMS tatus: SIGNATURE OVER PRINTED NAMEDATE/TIME OF RESPONSIBLE OFFICER/TAXPAYER Transmitted/re-transmitted electronically to RDC_____ Not transmitted electronically _____ Returned to taxpayer _____Remarks:_____ Bureau of Internal RevenueControl No.

3 _____Revenue Region No. ___Revenue District Office No. __/Large Taxpayers Assistance Division/Large Taxpayers District OfficeDiskette Acknowledgement Form2 ANNEX A-4 Date: _____Sir/Madam:Please be informed that after scanning and screening the submitted diskettes ofSummary List of Sales and/or Purchases for the ____quarter ending _____, the diskettes werefound to be defective for the reason marked x as shown hereunder:Reason: Infected with virus(es) Not readable by the system With invalid format Specify _____It is therefore requested that a replacement be made within five (5) working daysfrom the date of return of your defective Diskette (s) in order to comply with Section 4 ofRevenue Regulations No.

4 8-2002. Very truly yours, _____ RDO/Division Chief, LTAD REPUBLIC OF THE PHILIPPINESDEPARTMENT OF FINANCEBUREAU OF INTERNAL REVENUE3 ANNEX A - 6 PRELIMINARY NOTICEDate: _____TIN _____Name of Taxpayer _____Address _____Sir/Madam:Please be informed that as a VAT taxpayer, you are required to submit a quarterlySummary List of Sales and Purchases in Diskette form within twenty-five (25) days after theend of each taxable quarter as prescribed under Revenue Regulations No.

5 8-2002. To date,the records of our office show that you have not filed the required list/replaced the defectivediskette for the _____quarter ending _____, as shown hereunder marked X: Summary List of Sales and Purchases Summary List of Sales only Summary List of Purchases onlyYou are therefore requested to submit the said summary list within five (5) workingdays from receipt of this notice and pay the necessary penalties for late filing. Should youstill fail to submit, we shall not hesitate to institute the necessary proceedings against truly yours,_____RDO/ Division ChiefREPUBLIC OF THE PHILIPPINESDEPARTMENT OF FINANCEBUREAU OF INTERNAL REVENUE4 ANNEX A-7 FINAL NOTICEDate: _____TIN _____Name of Taxpayer _____Address _____Sir/Madam.

6 The records of this office show that despite our Preliminary Notice dated_____ requesting submission of quarterly Summary List of Sales and/orPurchases for the _____ quarter ending _____, you still failed to comply. Please bereminded that your continuous failure to submit the same is punishable by administrativepenalty of one thousand pesos (P1, ) for each failure but not to exceed the aggregateamount of twenty-five thousand pesos (P25, )

7 For all such failures during a taxableyear, for willful neglect to file, keep or supply statement, list of information required on thedate prescribed and shall be paid upon notice and addition to the imposition of administrative penalty, willful failure by such personto supply correct information at the time or times as required, shall be subject to a criminalpenalty under relevant provisions of the Tax Code of 1997, upon conviction of the are therefore given a last chance to submit the required list marked X shownhereunder within five (5) working days from receipt of this notice: Summary List of Sales and Purchases Summary List of Sales only Summary List of Purchases onlyThis will serve as our FINAL truly yours,_____ RDO/Division ChiefREPUBLIC OF THE PHILIPPINESDEPARTMENT OF FINANCEBUREAU OF INTERNAL REVENUE