BIR Form No. 0605
BIR Form No. 0605
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1 For the 3 Quarter Clear Quarter 4 Due Date 5 No. of Sheets Attached 6ATC
Calendar Fiscal (MM/DD/YYYY)
2 Year
Ended 12 - December 2021 1st 2nd 3rd 4th 0 MC200
(MM/YYYY)
13 Taxpayer's Name(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 14 Telephone Number
ROSE, ROGER RAGAS 2811204
Self-Assessment Installment
tax clearance
Part
Computation of Tax
II
19 Basic Tax/Deposit/Advance Payment 19 100.00
21 100.00
21 Total Amount Payable(Sum of Items 19 & 20D)
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2 of 2 11/28/2021, 3:53 PM