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Annex F

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ANNEX “F”

BIR FORM NO.__________


Republic of the Philippines
Department of Finance
BUREAU OF INTERNAL REVENUE
Revenue Region No. ___
Revenue District Office No. ___
__________________________

NOTICE OF CANCELLATION OF AVAILMENT OF


THE OPTION TO PAY THE TAX
THROUGH THE WITHHOLDING PROCESS

Date __________________

Name of Taxpayer ______________________________________________________

Address _______________________________________________________________

Taxpayer Identification Number __________________________________________

Class of Profession or Calling/Business _____________________________________

CERTIFICATION

This is to certify that in accordance with the REVENUE REGULATIONS


NO.____, I have availed of the “Option To Pay The Tax Through The Withholding
Process”; that, I am hereby cancelling and withdrawing my said NOTICE OF
AVAILMENT TO PAY THE TAX THROUGH THE WITHHOLDING
PROCESS effective ___________________, 200__; and that, I have executed this
Declaration under penalty of perjury, pursuant to the provisions of Section 267,
National Internal Revenue Code of 1997.

____________________________
Taxpayer’s Name and Signature

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