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
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
Sales Capacity Reset Counter
(Code) **Condition of
(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?
(Signature over Printed Name) Distributor/Dealer/Vendor
(Signature over Printed Name) Yes No ...
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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.
- Spring '11