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Application Form
HLURB Application form for the availment of creditable withholding tax
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Series of 200____
Annex ____
APPLICATION FORM FOR THE AVAILMENT OF CREDITABLE WITHHOLDING TAX
(Pursuant to Sec. 2.57.2(J) of Revenue Regulations No. 2-98
as reiterated by Regional Circular No. 3-2000)
To The Regional Director:
Pursuant to Section 2.57.2(J) of Revenue Regulations No. 2-98, please consider this as an
application for the availment of creditable withholding tax for the following lots:
Registered
Owner/
Developer
Lot No./
Condo. Unit
Name of
Subd./
Condo
Project
TCT/ CCT/
Psd No.
Location
Certificate of
Registration
No.
License to
Sell No.
1.
2.
3.
4.
5.
* Specify the block no./ lot no. or the unit no. and floor level.
Very truly yours,
___________________________
Registered Owner/Developer
Address
Tel. No.
Subscribed and Sworn to before me this _____________ day of 20___, Affiant
exhibiting his/her Residence Certificate No. ________________ issued at
____________________ on ____________________.
Doc. No.
Page No.
Book No.
Series of ___________
Notary Public
