Republic of the Philippines                      April 2018 Version
Department of Finance
                                                 BUREAU OF INTERNAL REVENUE
                                                           Quezon City                                      Annex C.2
                                   SWORN APPLICATION FOR TAX CLEARANCE
            (To be accomplished by the Authorized Representative of the Foreign Corporation/Individual Securing Tax
                                                Clearance for Bidding Purposes)
    I, ________________________ with Philippine Taxpayer Identification Number (T.I.N.)______________,
_(Nationality)_, of    legal     age,    married/single,    permanently      residing    at__________________
_______________________________________________ with Contact No. _______________, and Email Address
________________________ , after having been duly sworn to in accordance with the law hereby depose and state:
    1.     That, I ______(Name of the Authorized Representative of the Authorized Principal Officer of the Foreign
           Corporation or of the Foreign Individual)_____________________________________________ with
           business address at _______________________________________________________________, with
           Telephone/Cellular      Phone       No.       ______________________and             email        address
           _______________________________;
    2.     That, the company entering into public bidding is duly recognized and existing under and by virtue of the
           Laws         of       its        country        of        origin,       with        Office        located
           at_____________________________________________________________________;
    3.     That, the undersigned is the Authorized Representative of the Authorized Principal Officer of the Foreign
           Corporation or of the Foreign Individual permitted through a Special Power of Attorney to accomplish this
           sworn application for the issuance of Tax Clearance (for Bidding Purposes), a pre-requisite for entering into
           any contract with the Government Agency as prescribed under EXECUTIVE ORDER NO. 398, as
           implemented by RR No. 3-2005, as amended;
    4.    That, the following documents attached to this Sworn Application are all authentic and hereto attached in
          compliance with existing policies:
         ______ a. Confirmation Receipt of payment of Certification fee (P100.00)or other proof of payment;
         ______ b. Two (2) pieces loose documentary stamp tax worth P30.00 each;
         ______ c. Copy of TIN Registration (BIR Form No. 1904);
         ______ d. Unexpired and certified true copy of Non-Registration Certificate issued by Department of Trade
                    and Industry (DTI) of the Philippines for Foreign Individual;
         ______ e. Unexpired and certified true copy of Non-Registration Certificate issued by Securities and Exchange
                    Commission (SEC) for Non-Resident Foreign Corporation;
         ______ f. Special Power of Attorney (SPA) of the Authorized Representative in the Philippines authenticated
                   by the Philippine Consul in the country where the business of the foreign corporation/individual is
                   located as authorized by the Board of Directors or governing body of the Foreign Corporation or by
                   the Foreign Individual;
         ______ g. Authorization letter originally signed by the Authorized Representative with photocopies of valid
                    Identification Cards (Company ID and any government issued ID) both the Authorized
                    Officer/Representative and his authorized personnel to specifically file the application and claim the
                    issued Tax Clearance Certificate for Bidding Purposes; and
         ______ h. Original unexpired previously issued Tax Clearance Certificate for Bidding Purposes, if applicable.
    5.     And that, to the best of my knowledge and belief, the aforesaid company has satisfied with the prescribed
           criteria for the issuance of Tax Clearance.
                                                           ______________________________________________
                                                           Signature over Printed Name of the Authorized Representative
              SUBSCRIBED AND SWORN to before me this _____ day of _________________________, 20___ in
_______________________________. Applicant exhibited to me his/her valid and current Government Issued
Identification Card ___________________________with ID No. _________________.
    Doc. No. __________
    Page No. __________
    Book No. _________
    Series of __________                                                     ________________________________
                                                                                         Notary Public
    -.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
    !               Affix                   !
    !              P30.00                    !
    ! Documentary Stamp Tax !
    !-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-!
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