WAIVER OF BANK SECRECY LAW - BIR FORMAT

WAIVER OF BANK SECRECY RIGHT

In accordance with the provisions of Section 6(F) of the National Internal Revenue Code, as amended (NIRC). I hereby voluntarily depose and say that

1. I have a pending internal revenue case described as follows:

(INSERT A TABLE FOR BASIC DEFICIENCY TAX, SURCHARGE, INTEREST AND PENALTY AMOUNTS)

2. I am requesting for a compromise settlement due to my financial incapacity to pay the assessed tax

3. I have no bank deposit account with any bank as date of this disposition 

4. I waive my privilege under R.A. 1405 re: secrecy of bank deposits and accordingly hereby authorize the Commissioner of Internal Revenue or the Commissioner’s duly authorized representative to inquire into my bank deposit account with any bank purposes of determining the veracity of my deposition and qualification for compromise settlement, pursuant to the provisions of Section 204, NIRC.

5. I accept the condition that the compromise settlement forged between me and the Bureau of Internal Revenue maybe nullified by the Commissioner or by his/her duly authorized representative in the event the said inquiry results in finding that I in fact have bank deposits of sufficient amount to cover payment of the said tax assessed.

6. I agree to waive my right to prescription concerning the said tax assessment during the pendency of my application for compromise agreement or within 180 days from receipt hereof, whichever comes first.

7. I DECLARE UNDER PENALTIES OF PERJURY THAT THE FOREGOING REPRESENTATIONS ARE TRUE AND CORRECT AND THAT THE WAIVER OF RIGHTS ARE GIVEN VOLUNTARILY AND KNOWINGLY, IN ACCORDANCE WITH THE PROVISIONS OF THE NATIONAL INTERNAL REVENUE CODE, AS AMENDED.

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Date-executed                        Taxpayer

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Call 921 6107

Text 0922 801 0922