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REQUEST FORM

TAX REFUND
Admin. In-Charge: ______________________ Date: ___________________
Full Name : _____________________________
TIN : _____________________________
Date Started : _____________________________

Company Assigned Position Period Covered


1. 1. 1.
In case of having other previous company assignment under Searchers & Staffers Corp. within the year,
kindly fill out the needed details below:
Company Assigned Position Period Covered
1. 1. 1.
2. 2. 2.
3. 3. 3.
Requested by:

_____________________________
**Please attach a copy of your valid ID. (Signature over Printed Name/Date)
------------------------------------------------------------------------------------------------------------------------------------------
Claim Stub for Tax Refund:
Name: ________________________________ Date: ___________________
Company Assigned: ______________________
Admin in-charge: ________________________
Contact No. (02) 896 6992 / 897 - 2751
------------------------------------------------------------------------------------------------------------------------------------------
REQUEST FORM
TAX REFUND
Admin. In-Charge: ______________________ Date: ___________________
Full Name : _____________________________
TIN : _____________________________
Date Started : _____________________________

Company Assigned Position Period Covered


1. 1. 1.
In case of having other previous company assignment under Searchers & Staffers Corp. within the year,
kindly fill out the needed details below:
Company Assigned Position Period Covered
1. 1. 1.
2. 2. 2.
3. 3. 3.
Requested by:

_____________________________
**Please attach a copy of your valid ID. (Signature over Printed Name/Date)
------------------------------------------------------------------------------------------------------------------------------------------
Claim Stub for Tax Refund:
Name: ________________________________ Date: ___________________
Company Assigned: ______________________
Admin in-charge: ________________________
Contact No. (02) 896 6992 / 897 - 2751
------------------------------------------------------------------------------------------------------------------------------------------

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