Annex “D”
Republic of the Philippines
DEPARTMENT OF FINANCE
BUREAU OF INTERNAL REVENUE
Revenue Region No. ______
Revenue District Office No. ______
No. (RR-RDO-YY-MM-XXX)
CERTIFICATE OF AVAILMENT
OF THE ESTATE TAX AMNESTY
This is to certify that the Estate of _____________________________________________
(name of taxpayer)
with Taxpayer Identification Number ______________________ has availed of the Estate Tax
Amnesty pursuant to the provisions of Republic Act No. 11213, as implemented by Revenue
Regulations No. __________, and paid the amount of ___________________________
(Php ______________ ) on _____________.
(date)
This certification is issued on the basis of the documents submitted and the facts
represented by the heirs/executor/administrator of the estate.
By issuing this Certification, the BIR does not however, guarantee the correctness and
validity of the settlement/partition of the estate, and issues on ownership, preterition, etc. which
must be addressed to Courts for proper determination thereof.
Issued this ____ day of _____________, ____.
REVENUE DISTRICT OFFICER
(Signature over Printed Name)