20992NAP Payment Form Re
20992NAP Payment Form Re
20992NAP Payment Form Re
DLN:
Republika ng Pilipinas
Payment Form BIR Form No.
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
For No Audit Program 0605-101
APRIL 2005
(NAP)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 Date ( MM / DD / YYYY ) 2 For the Calendar Fiscal 3 Tax Type 4 RDO Code 5 ATC
Year Ended
( MM/YYYY)
10 Taxpayers (Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals) 11 Telephone No.
Name
Part II Computation
This is to acknowledge that as part of our participation in the Bureau of Internal Revenue's and Date of Receipt
No Audit Program (NAP), the private sector is making an additional voluntary payment in
the amount specified in this form.
It is understood that such additional payment is voluntarily made to meet the
growth ratio and ratio required for a taxpayer to be considered compliant with the
requirement of this program.
It is likewise, agreed that, no claims for refund or tax credit nor will the amount be deducted
from taxable income will be made in the future covering said additional voluntary payment.
I declare, under the penalties of perjury, that this document has been made in good
faith, verified by me, and to the best of my knowledge and belief, is true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and
the regulations issued under authority thereof.
15
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)