(To be filled up the BIR)

DLN: PSIC:

Republika ng Pilipinas
Improved Voluntary Assessment BIR Form No.
Kagawaran ng Pananalapi
Program
Kawanihan ng Rentas Internas
Payment Form
0615
October 2006

Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 Date Filed and Paid (MM / DD / YYYY) 2 Return From 3 No of Sheets 4 ATC
Period To Attached
MC 032
(mm/dd/yyyy)

5 Tax Type Code Tax Type Description BCS No./Item No. (To be filled up by the BIR)

Part I Background Information

6 Taxpayer Identification No. 7 RDO Code 8 Taxpayer Classification 9 Line of Business/Occupation

I N

10 Taxpayer's (Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)
Name

11 Business/Trade 12 Telephone
Name Number

13 Registered 14 Zip Code

Address

15 Manner of Payment

SPF-(Improved Voluntary Assessment Program)

16 Type of Payment
Installment Full Payment
Partial Payment, No. of Installment _____ Others (Specify) ___________________________
Final Payment

Part II Computation of Tax

16 IVAP Payable and Paid (including tax due per regular return, if no return yet was filed in the covered year) 16

This is to acknowledge our participation to the Improved Voluntary Assessment Program. In this regard, Stamp of
I declare, under the pains of perjury, that the above information are verified by me, and to the best of my Receiving Office/AAB
knowledge and belief are true and correct. and Date of Receipt
(RO's Signature/

President/Vice President/Principal Officer/Accredited Tax Title/Position of Signatory TIN of Signatory Bank Teller's Initial)
Agent/Authorized Representative/Taxpayer
(Signature Over Printed Name)

Tax Agent Acc. No./Atty's Roll No. (if applicable) Date of Issuance Date of Expiry

Part III Details of Payment

Particulars Drawee Bank/Agency Number MM DD YYY Amount

17B 17C 17D
17 Cash/Bank17A
Debit Memo
18 Check 18A 18B 18C 18D

19 Others 19A 19B 19C 19D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
 TAX TYPE
Code Description Code Description Code Description
XA EXCISE-ALCOHOL PRODUCTS DN DONOR'S TAX WC WITHHOLDING TAX-COMPENSATION
XP EXCISE-PETROLEUM PRODUCTS VT VALUE-ADDED TAX WE WITHHOLDING TAX-EXPANDED
XM EXCISE-MINERAL PRODUCTS PT PERCENTAGE TAX-QUARTERLY WF WITHHOLDING TAX-FINAL
XG EXCISE-AUTOMOBILES & NON ESSENTIALS PM PERCENTAGE TAX - MONTHLY WG WITHHOLDING TAX - VAT AND OTHER
XT EXCISE-TOBACCO PRODUCTS ST PERCENTAGE TAX - STOCKS PERCENTAGE TAXES
XF TOBACCO INSPECTION AND SO PERCENTAGE TAX - STOCKS (IPO) WO WITHHOLDING TAX-OTHERS (ONE-TIME
MONITORING FEES SL PERCENTAGE TAX - SPECIAL LAWS TRANSACTION NOT SUBJECT TO
IT INCOME TAX DS DOCUMENTARY STAMP TAX REGULAR CAPITAL GAINS TAX)
IE IMPROPERLY ACCUMULATED EARNINGS TAX DO DOCUMENTARY STAMP TAX-ONETT WR WITHHOLDING TAX - FRINGE BENEFITS
CG CAPITAL GAINS TAX-REAL PROPERTY AP ACCRUED PENALTIES WW WITHHOLDING TAX - PERCENTAGE TAX
(FINAL WITHHOLDING) WB WITHHOLDING TAX FINAL (ON INTEREST ON WINNINGS AND PRIZES
CS CAPITAL GAINS TAX - STOCKS PAID ON DEPOSIT AND YIELD ON DEPOSIT
ES ESTATE TAX SUBSTITUTES/TRUST/ETC.)
 BIR Form 0615-IVAP Payment Form
Guidelines and Instructions
Who Shall Use This Form
Any person, natural or juridical, including estates and trusts, liable to pay any internal revenue taxes covering the taxable year ending
December 31, 2005 and fiscal year ending on any day not later than June 30, 2006 and all prior years, availing the Improved Voluntary
Assessment Program under Revenue Regulations No. 18-2006 shall use this form.

When and Where to File and Pay

This form shall be filed in triplicate copies and tax shall be paid with any Authorized Agent Bank (AAB) under the jurisdiction of the
Revenue District Office/Large Taxpayers Service/Large Taxpayers District Office where the head office of the taxpayer is registered or required
to be registered and file the return. In places where there are no AABs, this form shall be filed and the tax shall be paid to the Revenue Collection
Officer or duly Authorized City or Municipal Treasurer of the Revenue District Office where the taxpayer is registered or required to be
registered and file the return. The Revenue Collection Officer or duly Authorized City or Municipal Treasurer shall issue a Revenue Official
Receipt (ROR) therefor.
Where this form is filed with an AAB, the 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 shall stamp mark this form with the word “Received” and also
machine validate it as proof of receipt of the IVAP payment of the taxpayer. 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 form for taxpayers paying under the bank debit system.

Installment Payment
When the IVAP amount is more than Five Million Pesos (P5M), the taxpayer may elect to pay the tax in three (3) equal installments
provided that all installment payments shall be made on or before December 29, 2006 unless extended by the Commissioner.
If any installment is not paid on or before the date fixed for its payment, the whole amount of tax unpaid becomes due and payable or
else, the IVAP application shall be denied and payment invalidated as IVAP payment.
A taxpayer may request in writing for an extension for installment payment of IVAP on the ground of financial incapacity. Such
request must be filed with and approved by the concerned Regional Director/Officer-In-Charge, Large Taxpayer Service together with the
following:
a. Taxpayer must submit a list of banks in which he/it maintains bank deposits/accounts;
b. Taxpayer must execute a waiver of bank secrecy of deposits thereby authorizing the BIR to inquire into the bank accounts of the
taxpayer in order to verify his claim of financial incapacity;
c. Taxpayer must submit a written undertaking to pay the IVAP installments within a period not exceeding six (6) months from date of
filing his/its IVAP application; and
d. Taxpayer must put up a bond corresponding to the installment payments to be made if the tax case is prescribing within six (6) months
from the date of filing the IVAP application.
NOTE:
1. This form shall cover tax liabilities for one (1) taxable year or taxable one time transaction for one taxable period.
2. This form shall be accomplished per tax type.
3. The applicable tax type codes description for Item No. 5 shall be taken from the schedule above.
4. If there is no return filed in the covered year, the regular return shall still be accomplished and a copy be attached to this form upon
submission to the pertinent BIR office. The total payment therefore shall be the tax due per return plus the IVAP amount.