Republika ng Pilipinas
Kagarawan ng Pananalapi
Kawanihan ng Rentas Internas
OFFICIAL REGISTER BOOK
Petroleum Product - Imported
For the month of FEBRUARY 2025
Name of Company : PHIL-KOR KOREAN FOOD MART
Address of Depot / Terminal : C6 DIVERSION ROAD BACAO II GENERAL TRIAS CAVITE
Period Covered: NO TRANSACTIONS
TIN:
Tank No.
Opening DATE Product Name RECEIPTS Total Available REMOVALS Ending Remarks
Balance Name and ATRIG Number Batch No. / Name ATRIG Volume IEIRD Volume (as Actual Volume Variance * Excise Tax Proof of Payment Date of Payment Name and WC / O.R. Volume Removed Balance
Address of of Vessel found) Received (Gain/Loss) Payment (O.R. No.) address of Number
Supplier (per SGS Consignee
report)
* Variance = IEIRD volume. Less Actual Volume Received
I certify that the entries on this page contain a true and complete account and description of all products received, transfer and withdrawn in this Terminal/Depot for the period __________________________, pursuant to the
existing Revenue Rules and Regulations.
Prepared and Submitted by:
______________________________ ____________________________________________ ______________________________ ______________________________
Taxpayer's Representative Owner / Manager / Authorized Representative Revenue Officer On Premise Zone - In - Charge
(Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name) (Signature over Printed Name)