BR forms.3 - (To be filled up by BIR DLN CASE NO Republika...

Info iconThis preview shows page 1. Sign up to view the full content.

View Full Document Right Arrow Icon
This is the end of the preview. Sign up to access the rest of the document.

Unformatted text preview: (To be filled up by BIR) DLN: CASE NO. Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas ANNEX "B" Application for Permit to Use Cash Register Machine/ Point-of-Sale Machine BIR Form No. 1907 September 2002 (ENCS) Fill in applicable spaces. Mark all appropriate boxes with an "X". 1 PURPOSE OF A Cash Register Machine in Lieu of Sales Invoice / Receipt APPLICATION C Point-of-Sale Machine in lieu of Sales Invoice Receipts Stand alone Linked to Computerized Accounting System (CAS) Stand alone B Cash Register Machine as Cash Depository (For Internal Control Purposes) 2 TAXPAYER IDENTIFICATION NUMBER (TIN) 4 TAXPAYER'S NAME 5 BUSINESS/TRADE NAME 6 KIND/LINE OF BUSINESS 7 ADDRESS WHERE MACHINE WILL BE USED (ATTACH 8 MACHINE SUPPLIER'S TIN 9 MACHINE SUPPLIER'S NAME (ATTACH Linked to Computerized Accounting System (CAS) 3 RDO CODE (Last Name, First Name, Middle Name, if Individual/Registered Name, if Non-Individual) ADDITIONAL LIST, IF NECESSARY) (ATTACH ADDITIONAL LIST, IF NECESSARY) ADDITIONAL LIST, IF NECESSARY) (Last Name, First Name, Middle Name,if Individual/Registered Name, if Non-Individual) 10 SUPPLIER'S TRADE NAME (ATTACH ADDITIONAL LIST, IF NECESSARY) 12 DESCRIPTION OF THE MACHINE/S BRAND SERIAL NO. 11 SUPPLIER'S ADDRESS (ATTACH ADDITIONAL LIST, IF NECESSARY) (ATTACH ADDITIONAL SHEETS, IF NECESSARY) TYPE Electronic Mechanical MODEL Maximum Accumulating Sales Capacity Reset Counter Number *Function (Code) **Condition of the Machine (Code) ESSENTIAL FEATURES OF THE MACHINE: 1. Equipped with two (2) rollers for customer's receipt and audit roll. 2. The customers' receipts issued are consecutively numbered. 3. Every sale printed on the customer's receipt is reflected simultaneously on the audit roll. 4. Includes a reset counter which advances to "1" everytime the cash register is reset to zero. 5. The reset counter is non-resettable * FUNCTION CODE RA - Resettable Accumulating Grand Total NRA - Non-resettable Accumulating Grand Total ** CONDITION OF THE MACHINE CODE N - New SH - Second Hand 13 DECLARATION We declare,under the penalties of perjury,that this application has been made in good faith,verified by us, and to the best of our knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Stamp of Receiving Office and Date of Receipt Attachments complete? Applicant (Signature over Printed Name) Distributor/Dealer/Vendor (Signature over Printed Name) Yes No ...
View Full Document

This note was uploaded on 01/13/2012 for the course ECO 402 taught by Professor Rednimes during the Spring '11 term at Illinois State.

Ask a homework question - tutors are online