May 24, 2017
BIR Revenue District Office No. 24
JRC Bldg., Mc Arthur Highway,
Malinta, Valenzuela City
Madam/Sir:
       I, (Name), hereby authorize, __________________________, to act on my behalf
with regards to my application for Change of Registered Address. For security
purposes, I have attested below my own signature and the signature of the authorized
person.
I appreciate your assistance in this matter. Thank you.
Sincerely,
Name