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Kitcharao Petro Gazz Fuel 2307 5K November

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Tetsuya Park
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0% found this document useful (0 votes)
65 views1 page

Kitcharao Petro Gazz Fuel 2307 5K November

Uploaded by

Tetsuya Park
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Republic of the Philippines

For BIR BCS/ Department of Finance


Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Creditable Tax
2307
January 2018 (ENCS)
Withheld at Source 2307 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
1 For the Period From 1 1 0 1 2 0 2 4 (MM/DD/YYYY) To 1 11 3 0 2 0 2 4 (MM/DD/YYYY)

Part I – Payee Information

2 Taxpayer Identification Number (TIN) 6 1 3 -4 6 9 -7 5 9 -0 0 0 0 0


3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
LULAB, GLENJOVIE GARONG
4 Registered Address 4A ZIP Code
MACALAYA 8405 PLACER SURIGAO DEL NORTE PHILIPPINES

5 Foreign Address, if applicable

Part II – Payor Information


6 Taxpayer Identification Number (TIN) 1 7 2 -7 9 4 - 8 4 8 - 0 0 0
7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
TABARA, MARIA LOURDES DE OCAMPO
8 Registered Address 8A ZIP Code
1113 MANAGUA ST., VISTA VERDE NORTH SUBD. BRGY. LAWANG BATO DIST 1. VALENZUELA CITY 1 4 4 7
Part III – Details of Monthly Income Payments and Taxes Withheld
AMOUNT OF INCOME PAYMENTS
Income Payments Subject to Expanded Tax Withheld for the
ATC 1st Month of the 2nd Month of the 3rd Month of the
Withholding Tax Total Quarter
Quarter Quarter Quarter
4,464.29 4,464.29 44.64

Total - 4,464.29 - 4,464.29 44.64


Money Payments Subject to Withholding of
Business Tax (Government & Private)

Total

We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true and
correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, we give our consent to
the processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

MARIA LOURDES D. TABARA


CHIEF FINANCE OFFICER
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:

GLENJOVIE G. LULAB
PROPRIETOR
Signature over Printed Name of Payee/Payee’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
*NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)

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