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    BIR Form 0616 Amnesty Tax Payment Form PDF

    Uploaded by

    Leichelle Bautista
    This document is an Amnesty Tax Payment Form to be filed with the Bureau of Internal Revenue (BIR) pursuant to Republic Act No. 9399. It provides instructions for taxpayers operating within Special Economic Zones and Freeports to avail of a one-time amnesty on certain tax and duty liabilities. The form collects background information on the taxpayer and requires computation of the amnesty tax due, which is a fixed amount of 25,000 pesos. It must be filed in triplicate and paid within 6 months from the effectivity of RA 9399 either at an Authorized Agent Bank or Revenue District Office, who will provide a receipt.

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    BIR Form 0616 Amnesty Tax Payment Form PDF

    Uploaded by

    Leichelle Bautista
    121 views1 page
    This document is an Amnesty Tax Payment Form to be filed with the Bureau of Internal Revenue (BIR) pursuant to Republic Act No. 9399. It provides instructions for taxpayers operating within Special Economic Zones and Freeports to avail of a one-time amnesty on certain tax and duty liabilities. The form collects background information on the taxpayer and requires computation of the amnesty tax due, which is a fixed amount of 25,000 pesos. It must be filed in triplicate and paid within 6 months from the effectivity of RA 9399 either at an Authorized Agent Bank or Revenue District Office, who will provide a receipt.

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    BIR Form 0616 Amnesty Tax Payment Form.pdf

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    This document is an Amnesty Tax Payment Form to be filed with the Bureau of Internal Revenue (BIR) pursuant to Republic Act No. 9399. It provides instructions for taxpayers operating within Special Economic Zones and Freeports to avail of a one-time amnesty on certain tax and duty liabilities. The form collects background information on the taxpayer and requires computation of the amnesty tax due, which is a fixed amount of 25,000 pesos. It must be filed in triplicate and paid within 6 months from the effectivity of RA 9399 either at an Authorized Agent Bank or Revenue District Office, who will provide a receipt.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    121 views1 page

    BIR Form 0616 Amnesty Tax Payment Form PDF

    Uploaded by

    Leichelle Bautista
    This document is an Amnesty Tax Payment Form to be filed with the Bureau of Internal Revenue (BIR) pursuant to Republic Act No. 9399. It provides instructions for taxpayers operating within Special Economic Zones and Freeports to avail of a one-time amnesty on certain tax and duty liabilities. The form collects background information on the taxpayer and requires computation of the amnesty tax due, which is a fixed amount of 25,000 pesos. It must be filed in triplicate and paid within 6 months from the effectivity of RA 9399 either at an Authorized Agent Bank or Revenue District Office, who will provide a receipt.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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    (To be filled up the BIR) DLN: PSIC: PSOC:

    Republika ng Pilipinas Amnesty Tax BIR Form No.

    0616
    Kagawaran ng Pananalapi
    Kawanihan ng Rentas Internas
    Payment Form
    Pursuant to Republic Act No. 9399 April 2007(ENCS)

    Fill in all applicable spaces. Mark all appropriate boxes with an "X"

    1 Year/Period Covered 2 Date of Filing 3 Tax Type 4 ATC 5 No. of Sheets


    (MM/DD/YYY) (MM/DD/YYYY ) Attached
    MC MC 290

    6 BCS No./Item No. (To be filled up by the BIR)

    Part I Background Information


    7 Taxpayer Identification No. 8 RDO Code 9 Taxpayer Classification 10 Line of Business

    I N
    11 Taxpayer's 12 Telephone Number
    Name
    (Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)
    13 Business/
    Trade Name
    14 Registered 15 Zip Code
    Address

    Part II Computation of Amnesty Tax

    16 Amount Due 16A

    17 Add: Fines, Penalties & Interest (if applicable) 17A

    18 Total Amount Payable (Sum of Items 16A & 17A) 18A

    19
    I declare, under the penalties of perjury, that this document has been made in good faith, verified by me, Stamp of Receiving Office/
    and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National AAB and Date of Receipt
    Internal Revenue Code of 1997, as amended, in relation to Republic Act no. 9399, and the regulations issued (RO's Signature/Bank Teller's Initial)
    under authority thereof.

    President/Vice
    Signature over
    President/Principal
    Printed Name ofOfficer/
    TaxpayerAccredited
    /Authorized Representative
    Title/Position of Signatory TIN of Signatory
    Tax 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 D e t a i l s of P a y m e n t

    Particulars Drawee Bank/Agency Number MM DD YYYY Amount


    20 Cash/ 20A 20B 20C 20D
    Bank Debit Memo

    21 Check 21A 21B 17C 21C 21D

    22 Others 22A 22B 22C 22D

    19C
    GUIDELINES AND INSTRUCTIONS
    Who Shall File
    This form is to be accomplished by taxpayer who availed of the One-Time Amnesty on certain tax and duty liabilities, inclusive of fees, fines, penalties, interests and other
    additions thereto, incurred by certain business enterprises operating within the Special Economic Zones and Freeports pursuant to Republic Act No. 9399.

    When and Where to File and Pay


    This form shall be filed in triplicate copies and tax shall be paid with any Authorized Agent Banks (AAB) under the jurisdiction of the Revenue District Officer (RDO)/
    Large Taxpayers Service (LTS)/ Large Taxpayers District Office (LTDO) that has jurisdiction over the taxpayer. In the absence of an AAB, payment may be made with the
    Revenue Collection Officer/Deputized Treasurer of the RDO that has jurisdiction over the taxpayer. The Revenue Collection Officer/Deputized 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 a proof of receipt of the 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.

    Computation of the Amnesty Tax


    Amnesty tax to be paid is twenty-five thousand pesos (P25,000.00).

    Note:
    This form shall be filed and be paid within six (6) months from the effectivity of Republic Act No. 9399.

    Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

    Taxpayer Classification: I - Individual N - Non-Individual

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