Republic of the Philippines September 2023 Version
Department of Finance
BUREAU OF INTERNAL REVENUE
Quezon City
ANNEX “J.2”
AMENDED
QF-TCC-06-01-2023.01
SWORN APPLICATION FOR TAX CLEARANCE
(To be accomplished by Individual Taxpayer Securing Tax Clearance for Bidding Purposes)
I, _________________________________________________, Filipino/_____________(indicate nationality
for non-Filipino citizenship), of legal age, single/married to_____________________________________, permanently
residing at _____________________________________________________________ with Taxpayer Identification
Number (TIN) __________________________________, after having been duly sworn in accordance with law hereby
depose and state:
1. That I am the Owner/Proprietor/Proprietress of _____________________________________________________
with business address at
_________________________________________________________________________,
with Telephone/Cellular Phone No. ______________________ and email address
___________________________;
2. That my business trade name has been duly registered with the Department of Trade and Industry on
_____________________________ under DTI Registration Certificate No.
_________________________________;
3. That I registered my business with BIR under Certificate of Registration No. ______________________ issued at
Revenue District Office/LTDO No. _____________ on _________________________________________________;
4. That, I am securing/applying for TAX CLEARANCE (for Bidding Purposes), a pre-requisite for entering into any
contract with the Government Agencies as required under Executive Order No. 398, and implemented by RR No.
3-2005, as amended;
5. That, the following documentary requirements in relation to the aforesaid application are all authentic and hereto
attached in compliance with the existing policies.
_____ a. Tax Compliance Verification Certificate issued by ______________________on ________;
_____ b. One (1) piece of loose documentary stamp tax worth P30.00;
_____ c. Confirmation Receipt of Electronic payment of certification fee worth Php 100.00 or other proof of
payment;
Note: Mandatory payment of Cert. Fee thru eFPS for renewal applicants (RMO No. 46-2018)
_____ d. One (1) original copy of valid and properly accomplished Special Power of Attorney (SPA) signed by the
applicant, applicable only to applications through an authorized representative;
_____ e. One (1) photocopy of each valid identification cards (any government issued ID) with three (3) specimen
signatures of the applicant and the authorized representative; and
_____ f. Original unexpired previously issued Tax Clearance Certificate for Bidding Purposes, if applicable.
6. And that, to the best of my knowledge and belief, I have satisfied the prescribed criteria for the issuance of Tax
Clearance.
__________________________________________
Signature over Printed Name of Applicant
SUBSCRIBED AND SWORN to before me this __________ day of ____________________________, ___ in
_______________________________. Applicant exhibited to me his/her valid and current Government Issued
Identification Card ___________________________with ID No. _________________.
Doc. No. __________
Page No. __________
Book No. _________
________________________________________
Series of __________ Notary Public
-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.
! Affix !
! P30.00 !
! Documentary Stamp Tax !
!-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-.-!
Data Privacy Notice: Herein information is intended for Authorized Personnel only.
