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Travel Tax DepartmentPRIVILEGE ADMINISTRATION DIVISION |
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| TIEZA Online Form 353 | Revised 2020 | ||||||||
APPLICATION FOR ONLINE TRAVEL TAX REFUND |
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AR Number |
ONREF-2020-0001 |
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| NAME OF PASSENGER | |||||||||
| PAYABLE TO (FOR MINOR/ QUALIFIED PAYEE) |
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| BANK ACCOUNT DETAILS | |||||||||
| ACCOUNT NAME | ACCOUNT NUMBER | BANK BRANCH | |||||||
| CONTACT NUMBER | EMAIL ADDRESS | ||||||||
| AIRLINE TICKET/ CONFIRMATION NUMBER | DATE ISSUED | ||||||||
| AMOUNT OF TRAVEL TAX | AMOUNT OF REFUND | ||||||||
| TIEZA OFFICIAL RECEIPT NO. | DATE OF PAYMENT | ||||||||
REASON FOR REFUND |
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| EXEMPTION | REDUCED RATE | NON-COVERAGE | |||||||
| UNUSED TICKET | DOUBLE PAYMENT | OTHERS | |||||||
| NOTES: | |||||||||
| > Applications for travel tax refunds should be filed within two (2) years from the date of payment. | |||||||||
| > Travel tax collected on ticket must be remitted to TIEZA before proceeding with the refund. | |||||||||
| > By accomplishing this form, Passenger certify that the above-mentioned information are true and correct and that the travel tax collected on the above-mentioned ticket has not been previously refunded. | |||||||||
| PROCESSING OF ONLINE REFUND APPLICATION | |||||||||
| PROCESS | DATE | POINT PERSON | REMARKS | ||||||
| Receipt/Evaluation of Application | |||||||||
| Review/Recommendation for Payment | |||||||||
| Print/ Collate of Documents | |||||||||
| Verification of Travel Tax Collection | |||||||||
| Preparation of Disbursement Voucher | |||||||||
| Certification for Payment | |||||||||
| Transmittal of Voucher to Accounting Division | |||||||||