Tax Form Z
e-Tcc
ELECTRONIC INCOME TAX CLEARANCE CERTIFICATE
| Issued Date: @@CertificateDate@@ |
|
| Expiration Date: 31 - December - |
| Tax Revenue RIN: | @@RIN@@ |
| TIN: | @@TIN@@ |
| TAX OFFICE: | @@Station@@ |
EIRS TCC @@senty@@
This is to certify that:
@@Title@@ @@FirstName@@ @@LastName@@ (@@BusinessName@@)
of @@Address@@ has settled his/her income tax
assessments for past three year (i.e. , , )
2. Details of his/her assessments are as follows:
| Total Assessable Income | @@3rdAssessableTaxIncome@@ | @@2ndAssessableTaxIncome@@ | @@1stAssessableTaxIncome@@ |
| Tax Paid | @@3rdTaxPaid@@ | @@2ndTaxPaid@@ | @@1stTaxPaid@@ |
| No. and Date Of Tax Receipt Issued | @@3rdreciptanddate@@ | @@2ndreciptanddate@@ | @@1streciptanddate@@ |
3. Source of Income @@IncomeSource@@
Signature
Officer In Charge Tax Office
Signature
CounterSigning Officer
Signature
Chairman
@@CertificateNumber@@-@@SerialNumber@@