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(To be filled up the BIR)
DLN:	PSIC	PSOC:

	Payment Form	BIR Form No.
		BIR Form No.
Republika ng Pilipinas	Under Tax Compliance Verification 0613
Kagawaran ng Pananalapi	Under Tax Compliance Verification 0613

Kawanihan ng Rentas Internas

Drive/Tax Mapping	December 2004

Fill in all applicable spaces. Mark all appropriate boxes with an "X"

1 Date (MM/DD/YYYY)

2 Date of Mapping (MM/DD/YYYY)

3 No. of Sheets Attached

4Tax Type

5ATC

FP 200

6RDO Code

Part I

B a c k g r o u n d

I n f o r m a t i o n

Taxpayer Identification No.

8 Taxpayer Classification

9 Line of Business/Occupation

Taxpayer's

(Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)

Telephone Number

Name

Registered

Zip Code

Address

14 Manner of Payment

Type of Payment

Installment

PENALTIES - TAX COMPLIANCE

VERIFICATION

DRIVE

No. of

Installment

Partial

Payment

Full

Payment

16 Remarks

Registration Requirements

Invoicing Requirements

Bookkeeping Requirements

Others (Specify) _____________________________

Part II

C o m p u t a t i o n

17 Total Amount of Penalties Payable

For Voluntary Payment

APPROVED BY:

I/W

e de

clare, under the penalties of perjury, that this document has been made in good

faith,

verified by

me/us, and to the best of my knowledge and belief, is true and corre

ct, purs

uant

to the provis

ions of the

National Internal Revenue Code, as amended, and the regulations issued under autho

rity t

here

of.

President/Vice President/Principal Officer/Accredited Tax

Treasurer/Assistant Treasurer

Agent/Authorized Representative/Taxpayer

(Signature over printed name)

Title/Position of Signatory

Signature Over Printed Name

TIN of Accredited Tax Agent (if applicable)

Tax Agent Accreditation No. (If applicable)

of Head of Office

Part III

D e t a i l s

of P a y m e n t

Particulars

Drawee Bank/Agency

Number

YYYY

Amount

Stamp of Receiving

Office and

20 Cash/Bank20A

20B

20C

20D

Debit Memo

Date of Receipt

21 Check 21A

21B

21C

21D

22 Others 22A

22B

22C

22D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)


Taxpayer Classification:	I - Individual	N - Non-Individual

		VIOLATION LISTS	Apprehesion Slip		AMOUNT
		VIOLATION LISTS	Date	Number	AMOUNT
			Date	Number
A.	REGISTRATION REQUIREMENTS
A1.	Failure to Register
A2.	Failure to Pay Annual Registration Fee
A3.	No Certificate of Registration displayed
A4.	Failure to display the poster "Notice to the Public" to demand receipts/invoices
B.	INVOICING REQUIREMENTS
B1.	Failure to issue receipts/invoices
B2.	Refusal to issue receipts/invoices
B3.	Duplicate Copy of the receipts/invoices is blank but the accomplished original is detached
B4.	Possession or use of unregistered receipts/invoices
B5.	Incomplete information in the receipts/invoices
B6.	Use of unregistered Cash Register Machine (CRM) and/or Point of Sales Machine
	(POS) or similar devices in lieu of invoices or receipts.
	B6.1 Use of Computerized Accounting System (CAS) and/or components
		thereof, without permit.
	B6.2 Failure to inform enhancement/modification/changes in previously issued
		permit to use CAS and/or components thereof.
	B6.3 Use of POS machine in training mode in their sales transactions.
B7.	Failure to register CRM as cash depository only
B8.	Cash depository CRM is used for issuing sales receipts/invoices
B9.	Failure to attach or paste original sticker in the machine authorizing the use of the
	CRM/POS or similar device
B10.	Failure to attach or paste original sticker in the machine authorizing the use of the
	CRM for cash depository only
B11.	Failure to display permit issued by the RDO (for CRM/POS or similar devices)
B12.	Failure to provide CRM with two (2) roller tapes
B13.	Failure to notify the Revenue District Office prior to the transfer of
	CRM/POS or similar device to other business location
	B13.1	Failure to notify the RDO in resetting the accumulated grand total sales of
		CRM/POS machines
	B13.2	Failure to notify RDO that the CRM/POS is defective and has been
		pulled out for repair.
B14.	Use of CRM/POS or similar device in a place other than specified in the permit
C.	BOOKKEEPING REQUIREMENTS
C1.	Failure to register Books of Accounts/Cash Register Machine's sales books
C2.	Failure to keep Books of Accounts at the place of business
C3.	Failure to make entries in the registered Books of Accounts
D.	OTHERS (refer to Section 275 of NIRC)

GUIDELINES AND INSTRUCTIONS

Who Shall File

Every taxpayer shall use this form, in triplicate, to pay penalties for the violation listed above.

Authorized Representative and Accredited Tax Agent filing in behalf of the taxpayer shall also use this form to pay the penalties listed above in behalf of the taxpayer.

How to Accomplish the Form

Indicate the amount of penalty for each violation listed in the prescribed letter from the concerned BIR Office.

When and Where to File and Pay

This form shall be accomplished everytime a penalty is due.

This form shall be filed and the penalties shall be paid with any Authorized Agent Bank (AAB) under the jurisdiction of the Revenue District Office where the taxpayer is required to register. In places where there are no AABs, this form shall be filed and the penalties shall be paid directly with the Revenue Collection Officer or duly Authorized City or Municipal Treasurer of the Revenue District Office where the taxpayer is required to register, who shall issue Revenue Official Receipt (BIR Form No. 2524) therefor.

Where the return is filed with an AAB, taxpayer must accomplish and submit BIR- prescribed deposit slip, which the bank teller shall machine validate as evidence that payment was received by the AAB. The AAB receiving the tax return shall stamp mark the word “Received” on the return and also machine validate the return as proof of filing the return and payment of the tax by the taxpayer, respectively. The machine validation shall reflect the date of payment, amount paid and transactions code, the name of the bank, branch code, teller’s code and teller’s initial. Bank debit memo number and date should be indicated in the return for taxpayers paying under the bank debit system.

Notes

∙The following violations are not qualified for compromise penalties:

a.If the amount of the transaction stated in the taxpayer’s copy is understated versus the amount per copy of the invoice issued to the purchaser; and

b.Possession or use of double or multiple sets of receipts or invoices.

∙For Annual Registration fee, use BIR Form 0605 as required by law.

∙All background information must be properly filled-up.

∙The last 3 digits of the 12-digit TIN refer to the branch code.

Attachments

§All returns filed by an authorized representative must attach authorization letter.

§All returns filed by an accredited tax agent on behalf of a taxpayer shall bear the following information:

A.For CPAs and others (individual practitioners and members of GPPs); a.1 Taxpayer Identification Number (TIN); and

a.2 Certificate of Accreditation Number, Date of Issuance, and Date of Expiry.

B.For members of the Philippine Bar (individual practitioners, members of GPPs);

b.1 Taxpayer Identification Number (TIN); and

b.2 Attorney’s Roll number or Accreditation Number, if any.

ENCS

Question	Answer
Form Name	0613 Bir Form
Form Length	3 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	45 sec
Other names	bir 0619 e form download, 0619e bir form, 0619 e bir form, 0619 e bir form download pdf

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