S1905 Registration Update Sheet
For Account Enrollment in Online Registration and Update System
Department of Finance
BUREAU OF INTERNAL REVENUE
AUGUST 2022 For Updating of Records Required in Taxpayer Registration System
Print the information that will be updated, supported by documents and sign the declaration. All information is required.
TAXPAYER INFORMATION
1 TIN Branch Code 2 RDO CODE DLN For BIR Use Only
CDOE
332 - 513 - 177 - 0000 104
3 BIRTH/INCORPORATION DATE
2 REGISTERED NAME (For individuals, Last Name, First Name Suffix, Middle Name) MM/DD/YYYY
Flores, Richel Rotaquio
CONTACT INFORMATION 4 TAXPAYER’S DESIGNATED OFFICIAL EMAIL ADDRESS 5 MOBILE OR TELEPHONE NO.
floresrichel94@[Link] 09533964535
The designated email address should be of the taxpayer’s official email address. This shall be used in serving BIR orders, notices, letters
and other processes/communications to the taxpayers. The designated e-mail address shall be the official e-mail address of the registered
individual or non-individual taxpayers and not the e-mail address of the authorized representative or tax agent.
UNIT/RM/FLR/BLDG NAME LT/BLK/PH/HOUSE NO./STREET NAME LT/BLK/PH/HOUSE NO./STREET NAME
TOWN/DISTRICT 6 BARANGAY 7 MUNICIPALITY/CITY 8 PROVINCE 9 ZIPCODE
Del Monte Veruela Agusan Del Sur 8509
THIS PORTION SHALL BE ACCOMPLISHED BY INDIVIDUALS ONLY
10 PLACE OF BIRTH
PLACE OF BIRTH
Del Monte,Veruela, Agusan Del Sur
11 FATHER’S FULL NAME 12 MOTHER’S FULL MAIDEN NAME
PARENTS NAME
Inocencio D. Flores Lucinda B. Rotaquio
13 SPOUSE’S TIN Branch Code 14 SPOUSE’S FULL NAME
SPOUSE’S INFORMATION
(If married)
- - - 00000
SPOUSE’S EMPLOYER’ 15 SPOUSE EMPLOYER’S TIN Branch Code 16 SPOUSE EMPLOYER‘S REGISTERED NAME
INFORMATION
(If employed) - - -
TAXPAYER EMPLOYER’S 17 EMPLOYER’S TIN Branch Code 18 EMPLOYER’S REGISTERED NAME
INFORMATION
(If employed) - - -
AUTHORIZED REPRESENTATIVE / CONTACT PERSON (For Non-individual)
19 TIN Branch Code 20 POSITION/TITLE
AUTHORIZED REPRESENTATIVE OR
CONTACT PERSON INFORMATION
- - - 00000
21 FULL NAME
DECLARATION
I declare, under the penalties of perjury, that this application has been made in good faith, verified Stamp of BIR Receiving Office
by me and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of and Date of Receipt
the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Further, I give my consent to the processing of my information as contemplated under the *Data
Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
22 SIGNATURE OVER PRINTED NAME 23 DATE
RICHEL R. FLORES
11/19/2024
TAXPAYER/AUTHORIZED REPRESENTATIVE
You may submit this sheet via email to the Revenue SCAN ME CHECKLIST OF REQUIREMENTS (scanned or photocopy)
District Office (RDO) where you are registered. For 1. Government ID of the taxpayer, if individual;
individuals, sender via email application should match or Birth Certificate;
with item 4 above if not transacting with a 2. Marriage Certificate;
representative. You may scan the QR Code for the 3. If transacting through a representative:
contact information and email address of the RDOs. SPA or Board Resolution/Secretary’s Certificate; and
Government ID of the signatory and representative.
