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BIR Form No.

Republika ng Pilipinas
Certificate of Creditable
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source
2307
September 2005 (ENCS)

1 For the Period 07 01 19 09 30 19


From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
008 115 916 000
Identification Number
3 Payee's Name Tellus Security Agency Inc
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address CM Recto Ave Brgy 304 Zone 029 STA Cruz Manila 4A Zip Code

5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer
009 283 13800 0
Identification Number 0
7 Payor's Name CHEC CONSTRUCTION (PHILS.) CORP
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address NATIONAL ROAD KISIKIS ALCALA PANGASINAN 8A Zip Code 2 4 2 5

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
24,168.71 24,168.71 483.37
24,168.71 24,168.71 483.37

Total 48,337.41 48,337.41 966.75


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 me, and to the best of my knowledge and belief, is true and corr
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
ANTONIO M. PABAYO III 120-838-103 CORP. SECRETARY
Payor/Payor's Authorized Representative/Accredited Tax Agen TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

Payee/Payee's Authorized Representative/Accredited Tax Age TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

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