Republic of the Philippines

For BIR BCS/ Department of Finance

Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 935 - 746 - 280 - 001

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
TUGO'S BROTHERS GENERAL MERCHANDISING
4 Registered Address 4A ZIP Code
MAHARLIKA ROAD, MALASIN, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 14,490.00 646.88

Total 646.88

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 SCHEDULES OF ALPHANUMERIC TAX CODES
ATC
Nature of Income Payment
Individual Corporate
Income Tax
Fringe Benefit
1 In General, for Citizen, Resident Alien and Non-Resident Alien Engaged in Trade or Business Within the Philippines WF360
2 Non-Resident Alien Not Engaged in Trade or Business Within the Philippines WF330
Interest/Yield from Bank Deposits/Deposit Substitutes/Government Securities
3 Savings Deposit WI161 WC161
4 Time Deposit WI161 WC161
5 Government Securities WI162 WC162
6 Deposit Substitutes/Others WI163 WC163
7 Pre-terminated Long-Term Deposits/Investment
Less than three (3) years WI440 WC440
Three (3) years to less than four (4) years WI441
Four (4) years to less than five (5) years WI442
8 Foreign Currency Deposit WI170 WC170
9 On Amounts Withdrawn from Decedent’s Deposit Account WI165
Interest/Yield from Bank Deposits/Deposit Substitutes/Government Securities
10 Interest on foreign loans payable to Non-Resident Foreign Corporations (NRFCs) WC180
11 Interest and other income payments on foreign currency transactions/loans payable to Offshore Banking Units (OBUs) WC190
12 Interest and other income payments on foreign currency transactions/loans payable to Foreign Currency Deposit Unit (FCDUs) WC191
13 Cash dividend payment by domestic corporation to citizens and resident aliens/NRFCs WI202 WC212
14 Property dividend payment by domestic corporation to citizens and resident aliens/NRFCs WI203 WC213
15 Cash dividend payment by domestic corporation to NRFCs whose countries allowed tax deemed paid credit (subject to tax sparing rule) WC222
16 Property dividend payment by domestic corporation to NRFCs whose countries allowed tax deemed paid credit (subject to tax sparing rule) WC223
17 Cash dividend payment by domestic corporation to Non-resident Alien engage in Trade or Business within the Philippines (NRAETB) WI224
18 Property dividend payment by domestic corporation to NRAETB WI225
19 Share of NRAETB in the distributable net income after tax of a partnership (except General Professional Partnership) of which he is a partner,
or share in the net income after tax of an association, joint account or a joint venture taxable as a corporation of which he is a member or a WI226
co-venturer
20 On other payments to NRFCs WC230
21 Distributive share of individual partners in a taxable partnership, association, joint account or joint venture or consortium WI240
22 All kinds of royalty payments to citizens, residents aliens and NRAETB (other than WI380 and WI341), domestic and resident foreign
WI250 WC250
corporations
23 On prizes exceeding P10,000 and other winnings paid to individuals WI260
24 Branch profit remittances by all corporations except PEZA/SBMA/CDA registered WC280
25 On the gross rentals, lease and charter fees derived by non-resident owner or lessor of foreign vessels WC290
26 On the gross rentals, charters and other fees derived by non-resident lessor or aircraft, machineries and equipment WC300
27 On payments to oil exploration service contractors/sub-contractors WI310 WC310
28 Payments to non-resident alien not engage in trade or business within the Philippines (NRANETB) except on sale of shares in domestic
WI330
corporation and real property
29 On payments to non-resident individual/foreign corporate cinematographic film owners, lessors or distributors WI340 WC340
30 Royalties paid to NRAETB on cinematographic films and similar works WI341
31 Final tax on interest or other payments upon tax-free covenant bonds, mortgages, deeds of trust or other obligations under Sec. 57C of the
WI350
National Internal Revenue Code of 1997, as amended
32 Royalties paid to citizens, resident aliens and NRAETB on books, other literary works and musical compositions WI380
33 On interest payments to taxpayers enjoying preferential tax rates (i.e. PEZA Registered Enterprises) WC390
34 Informers Cash Reward to individuals/juridical persons WI410 WC410
35 Income Payments on Capital Gains Tax on sale/exchange or other disposition of Real Property - Individual WI450
36 Income Payments on Capital Gains Tax on the sale/exchange or other disposition of Land and Building - Corporate WC450
37 Cash or property dividend paid by a Real Estate Investment Trust (REIT) WI700 WIC700
For Business Tax
38 VAT Withholding on Purchase of Goods WV010
39 VAT Withholding on Purchase of Services WV020
40 VAT Withholding on Purchases of Goods (with waiver of privilege to claim input tax credit) (final) WV014
41 VAT Withholding on Purchases of Services (with waiver of privilege to claim input tax credit) (final) WV024
42 Persons Exempt from VAT under Section 109BB (Section 116 applies) WB084
43 Tax on Winnings and Prizes (Sec. 126) (double/forecast/quinella/trifecta bets) – Gov’t. Withholding Agent (4%) WB191
44 Tax on Winnings and Prizes on horse races/owners of winning racehorses (Sec. 126)–Gov’t. Withholding Agent (10%) WB192
45 Tax on Winnings and Prizes (Sec. 126) (double/forecast/quinella/trifecta bets) – Private Withholding Agent (4%) WB193
46 Tax on Winnings and Prizes on horse races/owners of winning racehorses (Sec. 126)–Private Withholding Agent (10%) WB194
47 VAT Withholding from non-residents (Government Withholding Agent) WV040
48 VAT Withholding from non-residents (Private Withholding Agent) WV050
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 257 - 965 - 146 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JMJ CAR ACCESSORIES
4 Registered Address 4A ZIP Code
MAHARLIKA ROAD, MALASIN, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 4,645.00 139.35

Total 139.35

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 008 - 870 - 208 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JOLLY CARS CORPORATION
4 Registered Address 4A ZIP Code
MAHARLIKA ROAD, STO. TOMAS, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 18,725.00 835.94

Total 835.94

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 29 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 253 - 977 - 505 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
FELISA C. OCAMPO TIRE SALES & SERVICES
4 Registered Address 4A ZIP Code
134 MAHARLIKA ROAD, ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 18,320.00 549.60

Total 549.60

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
ESCUDERO'S HOME DÉCOR AND CURTAIN MAKER
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 4,100.00 123.00

Total 123.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 717 - 149 - 089 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
CHLOE'S ART PRINTING HOUSE
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 1,400.00 42.00

Total 42.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
M.T.C. ELECTRONICS CELLPHONE TRADING & SERVICES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 13,800.00 414.00

Total 414.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 216 - 156 - 371 - 010

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
TARLAC MAC ENTERPRISES, INC.
4 Registered Address 4A ZIP Code
MAHARLIKA HIGHWAY, ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 2,880.00 128.57

Total 128.57

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 261 - 909 - 378 - 005

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
PC SQUARE COMPUTER SHOP
4 Registered Address 4A ZIP Code
MAHARLIKA HIGHWAY, ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 406.79 18.16

Total 18.16

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 135 - 102 - 841 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
ONDIVILLA'S GOWN & BARONG RENTALS & CATERING SERVICES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 9,000.00 270.00

Total 270.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2021 (MM/DD/YYYY) To 01 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 419 - 684 - 601 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
FUSION EVENTS CENTRAL
4 Registered Address 4A ZIP Code
639 QUEZON STREET, BRGY. PAG-ASA, TALAVERA, NUEVA ECIJA
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 126,000.00 3,780.00

Total 3,780.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 102 - 841 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
LIEZEL'S CATERING SERVICES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 25,800.00 774.00

Total 774.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 168 - 000 - 747 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
TALLARA'S SCHOOL & OFFICE SUPPLIES AND GENERAL MERCHANDISE
4 Registered Address 4A ZIP Code
IGNACIO BLDG., MAHARLIKA ROAD, BRGY. RAFAEL RUEDA, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 10,300.00 309.00

Total 309.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 29 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 303 - 812 - 367 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
HIGHRES ADVERTISING
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 4,500.00 135.00

Total 135.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2021 (MM/DD/YYYY) To 01 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 260 - 010 - 099 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
FAJARDO'S GRAPHICS ARTS
4 Registered Address 4A ZIP Code
335 PAMBUAN, GAPAN CITY, NUEVA ECIJA
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 14,625.00 438.75

Total 438.75

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 09 01 2020 (MM/DD/YYYY) To 09 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 002 - 857 - 329 - 009

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
PANDAYAN BOOKSHOP, INC.
4 Registered Address 4A ZIP Code
MAHARLIKA ROAD, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 2,446.00 109.20

Total 109.20

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 03 01 2020 (MM/DD/YYYY) To 03 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 252 - 743 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SAN JOSE LUMBER & HARDWARE, INC.
4 Registered Address 4A ZIP Code
RIZAL STREET, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 1,020.00 45.54

Total 45.54

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 29 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DARAVISO PRINT HOUSE
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 24,180.00 725.40

Total 725.40

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 492 - 444 - 434 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JMC ENTERPRISE
4 Registered Address 4A ZIP Code
DEL PILAR ST., BRGY. F.E. MARCOS, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 60,000.00 1,800.00

Total 1,800.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 220 - 007 - 344 - 001

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
EENA'S WATER REFILLING STATION
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 12,800.00 384.00

Total 384.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 185 - 473 - 170 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
BM CABANES TRADING AND CONSTRUCTION
4 Registered Address 4A ZIP Code
#15 ZONE II, TUMANA, BRGY. PALESTINA, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 49,622.28 2,215.28

Total 2,215.28

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
F.C. MARTINEZ CONSTRUCTION
4 Registered Address 4A ZIP Code
#24 RIZAL STREET, BRGY. CALAOCAN, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 1,059,222.93 47,286.74

Total 47,286.74

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 009 - 005 - 377 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
AMENN HOTEL, INC.
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 1,400.00 62.50

Total 62.50

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
ADROIT CONSTRUCTION
4 Registered Address 4A ZIP Code
SATURNO AVENUE, BRGY. SIBUT, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 1,425,154.19 63,622.95

Total 63,622.95

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 318 - 651 - 887 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SPYGUARD SECURITY & INVESTIGATION AGENCY
4 Registered Address 4A ZIP Code
TALEN'S BLDG., BONIFACIO STREET, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1 , SAN JOSE CITY, NUEVA ECIJA
ST 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 15,300.00 459.00

Total 459.00

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.
Date Signed (MM/DD/YYYY)
SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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
(MM/DD/YYYY)
 Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 009 - 527 - 259 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JNY T & T INC.
4 Registered Address 4A ZIP Code
GENERAL TINIO EXT., VIJANDRE DISTRICT, CABANATUAN CITY, NUEVA ECIJA 3100
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 542,640.00 24,225.00

Total 24,225.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 174 - 802 - 028 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
AQUA ARTS ROBOTICS AND I.T. SOLUTIONS
4 Registered Address 4A ZIP Code
ROSEVILLE HEIGHTS SUBDIVISION, STO. TOMAS, SAN JOSE CITY 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 51,245.00 1,537.35

Total 1,537.35

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 154 - 507 - 640 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
C.T. IGNACIO GENERAL MERCHANDISE
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 2,615.00 116.74

Total 116.74

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 154 - 507 - 640 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
C.T. IGNACIO PHARMACY
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 7,635.80 340.88

Total 340.88

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2019 (MM/DD/YYYY) To 12 31 2019 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 306 - 242 - 991 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
KC CATERING SERVICES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 49,500.00 1,485.00

Total 1,485.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 420 - 287 - 359 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
RAQ RIVERA TRADING, DESIGN & CONSTRUCTION
4 Registered Address 4A ZIP Code
A.O. PASCUAL STREET, BRGY. R. EUGENIO, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 2,500.00 111.61

Total 111.61

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 03 01 2020 (MM/DD/YYYY) To 03 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
3M DRUG MART CO.
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 1200
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 1,400.00 62.50

Total 62.50

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 29 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 488 - 793 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
PLDT, INC.
4 Registered Address 4A ZIP Code
RAMON COJUANGCO BLDG., MAKATI AVENUE, MAKATI CITY, PHILIPPINES 1200
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 11,340.58 506.28

Total 506.28

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 238 - 895 - 432 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
M.C. SANTOS ENTERPRISES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 40,000.00 1,785.71

Total 1,785.71

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 240 - 045 - 357 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
BOENG ENTERPRISES
4 Registered Address 4A ZIP Code
044 PACO ROMAN EXTENSION, CABANATUAN CITY 3100
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 41,200.00 1,236.00

Total 1,236.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2020 (MM/DD/YYYY) To 01 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 432 - 668 - 516 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
NEOHOME FURNITURE
4 Registered Address 4A ZIP Code
SUMACAB ESTE, CABANATUAN CITY
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 22,079.00 985.67

Total 985.67

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2021 (MM/DD/YYYY) To 01 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 209 - 426 - 941 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
PLANET CABLE, INC.
4 Registered Address 4A ZIP Code
VISTAMALL DAANG HARI, MOLINO IV, BACOOR CAVITE 4102
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 340.00 15.18

Total 15.18

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 121 - 528 - 171 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
A.S.A GAS STATION
4 Registered Address 4A ZIP Code
RIZAL STREET, F.E. MARCOS, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 1,488.24 66.44

Total 66.44

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2020 (MM/DD/YYYY) To 01 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 360 - 191 - 032

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SILICON VALLEY COMPUTER GROUP PHILS. INC.
4 Registered Address 4A ZIP Code
SM CITY CABANATUAN, CONCEPCION, MAHARLIKA HI-WAY, NUEVA ECIJA
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 26,900.00 1,200.89

Total 1,200.89

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 07 01 2020 (MM/DD/YYYY) To 07 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 360 - 196 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
INNOVE COMMUNICATIONS INC.
4 Registered Address 4A ZIP Code
32ND STREET CORNER 7TH AVENUE, BONIFACIO GLOBAL CITY, TAGUIG, PHILIPPINES 1634
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 1,158.79 51.73

Total 51.73

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2020 (MM/DD/YYYY) To 01 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 232 - 233 - 641 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JGR DESIGN & CONSTRUCTION
4 Registered Address 4A ZIP Code
187 SAN ROQUE STREET, BRGY. ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 389,118.89 17,371.38

Total 17,371.38

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 132 - 681 - 635 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
EURO-CARE PRODUCTS, PHILS
4 Registered Address 4A ZIP Code
SAN NICOLAS GAPAN NUEVA ECIJA 3105
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 789,662.50 35,252.79

Total 35,252.79

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 232 - 156 - 616 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

F.E.M. BATTERY SHOP AND GENERAL MERCHANDISE

4 Registered Address 4A ZIP Code
R. RUEDA SR. SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 37,360.00 1,120.80

Total 1,120.80

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 06 01 2020 (MM/DD/YYYY) To 06 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 120 - 078 - 990 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

RMT FARM PARTS SUPPLY

4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 6,950.00 310.27

Total 310.27

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 04 01 2020 (MM/DD/YYYY) To 04 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 130 - 203 - 253 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SOL'S CATERING SERVICES
4 Registered Address 4A ZIP Code
230 BAYANIHAN, GAPAN, NUEVA ECIJA 3105
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 49,500.00 1,485.00

Total 1,485.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 489 - 296 - 424 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

JESUSA TRADING
4 Registered Address 4A ZIP Code
ZONE 6 STO. TOMAS, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 46,900.00 1,407.00

Total 1,407.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 08 01 2020 (MM/DD/YYYY) To 08 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 768 - 480 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
GLOBE TELECOM, INC.
4 Registered Address 4A ZIP Code
32ND STREET CORNER 7TH AVENUE, BONIFACIO GLOBAL CITY, TAGUIG, PHILIPPINES 1634
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 2,345.93 104.73

Total 104.73

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 412 - 065 - 145 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
2710 TRADING
4 Registered Address 4A ZIP Code
BRGY. COJUANGCO, STA. ROSA, NUEVA ECIJA 3101
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 192,030.00 8,572.77

Total 8,572.77

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 000 - 412 - 893 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
PHILIPPINE DUPLICATORS, INC.
4 Registered Address 4A ZIP Code
CCC BLDG. KM. 14 WEST SERVICE ROAD, EDISON AVE. BRGY. MERVILLE, PARANAQUE 1700
CITY
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 30,402.40 1,357.25

Total 1,357.25

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
RAYVEN BLINDS TRADING
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 18,300.00 816.96

Total 816.96

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 002 - 332 - 000 - 025

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
COPYLANDIA OFFICE SYSTEMS CORPORATION
4 Registered Address 4A ZIP Code
G/F INSULAR LIFE BLDG., RIZAL ST., MATADERO, CABANATUAN CITY, NUEVA ECIJA 3100
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 34,375.00 1,534.60

Total 1,534.60

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 176 - 749 - 946 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SANCHEZ HARDWARE
4 Registered Address 4A ZIP Code
BONIFACIO ST., BRGY. RAFAEL RUEDA, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 4,566.00 203.84

Total 203.84

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 009 - 989 - 236 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
JERICOPIM PUBLISHING HOUSE, INC.
4 Registered Address 4A ZIP Code
PUROK 6, BRGY. SAPANG, JAEN, NUEVA ECIJA 3109
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 888,925.18 39,684.16

Total 39,684.16

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 721 - 443 - 635 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
WIL'S REFRIGERATION & AIRCON REPAIR SERVICES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 29,200.00 876.00

Total 876.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 209 - 499 - 495 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEL-AM FURNITURE HAUS
4 Registered Address 4A ZIP Code
MAHARLIKA HIGHWAY, R. RUEDA, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 17,999.00 539.97

Total 539.97

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 11 01 2020 (MM/DD/YYYY) To 11 30 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 173 - 699 - 153 - 002

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

ROCKS CAR SERVICES/MOTECH

4 Registered Address 4A ZIP Code

BRGY. MALASIN, SAN JOSE CITY, NUEVA ECIJA 3121

5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 4,460.00 133.80

Total 133.80

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 481 - 269 - 305 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

KULOT REFRIGERATION AND CAR AIRCON SERVICES

4 Registered Address 4A ZIP Code

SAN JOSE CITY, NUEVA ECIJA 3121

5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 12,600.00 378.00

Total 378.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 219 - 384 - 409 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
EC COMPUTER TRADING
4 Registered Address 4A ZIP Code
BRGY. SAN ISIDRO, LUPAO, NUEVA ECIJA 3122
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 136,999.00 4,109.97

Total 4,109.97

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 762 - 673 - 009 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
RDF SCHOOL AND OFFICE SUPPLIES TRADING
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 6,500.00 195.00

Total 195.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
GREENWALL CONSTRUCTION
4 Registered Address 4A ZIP Code
BLDG B. MALASIN, STO. DOMINGO, NUEVA ECIJA 3133
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 830,563.63 37,078.73

Total 37,078.73

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2020 (MM/DD/YYYY) To 02 28 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 259 - 497 - 880 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
M. DE GUZMAN GLASSWARE & GENERAL MERCHANDISE
4 Registered Address 4A ZIP Code
BRGY. ABAR 2ND, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 11,520.00 345.60

Total 345.60

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 008 - 432 - 397 - 019

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

S AND J CALEON MARKETING INC.

4 Registered Address 4A ZIP Code
BRGY. ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 99,925.00 4,460.94

Total 4,460.94

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 240 - 934 - 932 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
F.C. ANDRES PHARMACY
4 Registered Address 4A ZIP Code
PUBLIC MARKET, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 4,850.00 145.50

Total 145.50

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 246 - 558 - 388 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
R. PRANILLA BUILDERS
4 Registered Address 4A ZIP Code
STA. ROMANA SUBD., ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 653,349.86 29,167.40

Total 29,167.40

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2020 (MM/DD/YYYY) To 12 31 2020 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
C n C MOTOR PARTS
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 3,590.00 107.70

Total 107.70

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 12 01 2021 (MM/DD/YYYY) To 12 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 009 - 462 - 203 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
AERAKA CONSTRUCTION & SUPPLY CORP
4 Registered Address 4A ZIP Code
ZONE 1 MAHARLIKA HIGHWAY, BRGY. ABAR 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 453,310.00 20,237.05

Total 20,237.05

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2021 (MM/DD/YYYY) To 01 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
CHAI'S KAP AND KEYK SYAP
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 4,200.00 126.00

Total 126.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 01 01 2021 (MM/DD/YYYY) To 01 31 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 004 - 015 - 607 - 023

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
ADDESSA CORPORATION
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 14,000.00 625.00

Total 625.00

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
AGRI PLAS TRADING
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 243,270.00 10,860.27

Total 10,860.27

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
GRAPHICOM ENTERPRISES
4 Registered Address 4A ZIP Code
SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

GOODS 1,440.00 43.20

Total 43.20

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) 743 - 846 - 477 - 000

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
EFREN-LOYO MOTORCYCLE PARTS AND ACCESSORIES SHOP
4 Registered Address 4A ZIP Code
ZONE 4, BRGY MALASIN, SAN JOSE CITY, NUEVA ECIJA 3121
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 3,590.00 107.70

Total 107.70

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.
 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)
 Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Final Tax
2306
January 2018 (ENCS)
Withheld at Source 2306 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 02 01 2021 (MM/DD/YYYY) To 02 28 2021 (MM/DD/YYYY)

Part I – Income Recipient/Payee Information

2 Taxpayer Identification Number (TIN) - - -

3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
LFS PRINTING PRESS
4 Registered Address 4A ZIP Code
PUROK 4, GEN TINIO EXT, VUJANDRE DIST, CABANATUAN CITY, NUEVA ECIJA 3100
5 Foreign Address, if applicable 5A ICR No. (For Alien Payee Only)

Part II – Withholding Agent/Payor Information

6 Taxpayer Identification Number (TIN) 437 - 792 - 638 - 000

7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
DEPED SAN JOSE CITY
8 Registered Address 8A ZIP Code
STO. NINO 1ST, SAN JOSE CITY, NUEVA ECIJA 3121
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

SERVICES 257,664.00 11,502.86

Total 11,502.86

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.

Date Signed (MM/DD/YYYY)

SUNSHINE B. BUCCAT ACCOUNTANT III 432-851-414-000

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:
Date Signed (MM/DD/YYYY)

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1600 which have been filed with the Bureau of Internal
Revenue.

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)
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage Tax/Value-Added Tax Returns (BIR Form 2551Q/2550M/Q), since I
have only one payor from whom I earn our income; that, in accordance with RR 14-2003, I have availed of the Optional Registration under the 3% Final Percentage Tax
Withholding/12% Final VAT Withholding in lieu of the 3% Percentage Tax/12% VAT in order to be entitled to the privileges accorded by the Substituted Percentage Tax
Return/Substituted VAT Return System prescribed in the aforesaid Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3% Final
Percentage Tax/12% Final VAT from myr sale of goods and/or services.

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)