8/10/2019 0605(july 1999)

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Who Shall FileEvery taxpayer shall use this form, in triplicate, to

pay taxes and fees which do not require the use of a taxreturn such as second installment payment for income tax,deficiency tax, delinquency tax, registration fees,

penalties, advance payments, deposits, installment payments, etc.

When and Where to File and PayThis form shall be accomplished:1. Everytime a tax payment or penalty is due or

an advance payment is to be made;. !pon receipt of a demand letter"assessment

notice and"or collection letter from the #$%; and&. !pon payment of annual registration fee for

new business and for renewals on or before'anuary &1 of every year.

This form shall be filed and the tax shall be paidwith any (uthori)ed (gent #an* +((# under the

-urisdiction of the %evenue istrict /ffice where thetaxpayer is required to register"conducting

business"producing articles sub-ect to excise tax"havingtaxable transactions. $n places where there are no

((#s, this form shall be filed and the tax shall be paiddirectly with the %evenue 0ollection /fficer or duly(uthori)ed 0ity or unicipal Treasurer of the %evenue

istrict /ffice where the taxpayer is required toregister"conducting business"producing articles sub-ect toexcise tax"having taxable transactions, who shallissue %evenue /fficial %eceipt +#$% 2orm 3o. 4 5therefor.

6here the return is filed with an ((#, the lower portion of the return must be properly machine7validatedand stamped by the (uthori)ed (gent #an* to serve as thereceipt of payment. The machine validation shall reflectthe date of payment, amount paid and transaction code,

and the stamp mar* shall show the name of the ban*, branch code, teller8s name and teller8s initial. The ((#shall also issue an official receipt or ban* debit advice or credit document, whichever is applicable, as additional

proof of payment.

/ne set of form shall be filled7up for each *indof tax and for each taxable period.

Note:(ll bac*ground information must be properlyfilled7up.2or voluntary payment of taxes, #$% 2orm 9 94shall be signed by the taxpayer or his authori)edrepresentative.2or payment of deficiency taxes at the %evenue

istrict /ffice level and other investigatingoffices prior to the issuance of PreliminaryAssessment Notice (PAN)/Final AssessmentNotice (FAN), #$% 2orm 9 94 shall be approvedand signed by the %evenue istrict /fficer +% / or ead of the investigating offices.2or payment of deficiency taxes with issuedPreliminary Assessment Notice/FinalAssessment Notice, #$% 2orm 9 94 shall besigned by the taxpayer or his authori)edrepresentative.The last & digits of the 1 7digit T$3 refers to the

branch code.Attachments2or erox copy of the return +$T% "%eminder ?etter in case of payment of second installment on income tax.

2or =ayment of eficiency Taxes from (udit"elinquent (ccounts

1. uly approved Tax ebit emo, if applicable;

. =reliminary (ssessment 3otice +=(3 "2inal (ssessment 3otice +2(3 8 ?etter of

emand;&. =ost %eporting 3otice, if applicable;5. 0ollection letter of elinquent" (ccounts

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