Professional Documents
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Bir Tax 2022
Bir Tax 2022
MONTH Year
CLASSIFICATION Amount
GOODS 14,630.00
NON-VAT 14,630.00
SERVICES -
NON-VAT
HONORARIUM -
NON-VAT
AGRICULTURAL
INPUTS -
NON-VAT
14,630.00
RO1-SDOIN-OSDS-ACC-F125-02-00
Effectivity Date: May 27, 2020
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* * * * *
Address Zipcode
Laoag City
Laoag City
F. R. Castro Ave., Brgy. 16, Laoag City, Ilocos Norte
Felimaria Bldg., JP Rizal St. cor D. Samonte St., Brgy. 18, Laoag City
Level 2 Robinsons Expansion, National Highway, Brgy. 1, San Nicolas, Ilocos Norte
Brgy. 1 San Francisco, San Nicolas, Ilocos Norte
SMART Tower, 6799 Ayala Ave., Makati City
12/F Rufino Pacific 6784 Ayala Avenue, Makati City
SMART Tower, 6799 Ayala Ave., Makati City
Unit 3, GF Building, Gomez St. Caunayan, Batac City
Total - - - - -
Money Payments Subject to Withholding of Business
Tax (Government & Private)
Total - - - - -
We declare, under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true and correct
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, we give our consent to the processing of
our information as comtemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
IMELDA C. ILAY
JOJIT ANTONIETO R. PAREDES
JOJIT ANTONIETO R. PAREDES
VENCHITO F. GALARIO
CESARIA A. VISITACION
DOMINGA A. RASAY
EDWINA C. REGINALDO
FERDINAND M. BUMAGAT
JESUSA G. LAENO
JESUSA G. LAENO
AGNES A. SAGAYADORO
MIAFRECELLE P. CADIZ
JHONEL C. TANGONAN
ROGELIO V. BAXA, JR.
BERNARD M. PAGALING
BERNARD M. PAGALING
BERNARD M. PAGALING
ALLAN G. PUZON
ALLAN G. PUZON
MARIBEL S. PASCUA
MARIBEL S. PASCUA
CELSO M. LAGOC
CELSO M. LAGOC
AMANTE T. ACUNA
AMANTE T. ACUNA
JULIAN F. VICENTE, JR.
JULIAN F. VICENTE, JR.
RYAN A. DULIG
RYAN A. DULIG
RYAN JAY R. PAGAT
RYAN JAY R. PAGAT
IMELDA S. DE LOS SANTOS
RODOLFO M. MARIANO
AMIEL DEXTER B. SARMIENTO
AMIEL DEXTER B. SARMIENTO
AMIEL DEXTER B. SARMIENTO
LOUIEGENE G. MANAYAN
MARIBELLE M. GONZALES
MARIBELLE M. GONZALES
RODOLFO M. MARIANO
WILLIAM A. ALCON
LOVELLA T. BANIAGA
WILLIAM A. ALCON
BENEDICT VALENTE P. MEDINA
BENEDICT VALENTE P. MEDINA
NOVIE R. BUMANGLAG
NOVIE R. BUMANGLAG
FEDELINA P. NICOLAS
JOSE CRISOSTOMO A. RAMONES
JOSE CRISOSTOMO A. RAMONES
JOSE CRISOSTOMO A. RAMONES
JHONY C. AZADA
JHONY C. AZADA
JHONY C. AZADA
DIANA S. MACALOS
DIANA S. MACALOS
EDUARDO H. GALLA
FREDIL FIDEL S. DUQUE
MARITES C. FLORES
MARITES C. FLORES
MARITES C. FLORES
JEANNE R. GAMIAO
CLARIZEL P. VALIENTE
ELPIDIO A. ACOSTA
ELMER R. AYLAR
MADELYNE M. PASOL
MADELYNE M. PASOL
REMEDIOS P. DE LA CRUZ
GLORIA C. NOTARTE
GLORIA C. NOTARTE
LARRY JORGE S. VILORIA
JOSEFINA T. DELA CRUZ
JOSEFINA T. DELA CRUZ
EVANGELINE L. GULLA
EMILY M. DELA CRUZ
GINA L. FACTOR
JOVY M. NICOLAS
MELANIO P. TOMAS
MELANIO P. TOMAS
LINDA D. LAZARO
GLICERIA D. CAYABAN
MARIA ASUNCION L. PASCUA
ERMELITO S. BUMANGLAG
ERMELITO S. BUMANGLAG
GARRY M. DUBLA
GARRY M. DUBLA
GARRY M. DUBLA
GARRY M. DUBLA
MARCELA G. CORDOVA
MARCELA G. CORDOVA
MARISALYN M. BUENO
MARISALYN M. BUENO
MARISALYN M. BUENO
EDNA R. AGBAYANI
ANALYN M. AGBAYANI
JESUSA F. GATCHALIAN
JESUSA F. GATCHALIAN
DENNIS E. CABADING
NESTOR G. PACARIEM
NESTOR G. PACARIEM
NESTOR G. PACARIEM
ANGELINA A. PERALTA
ANGELINA A. PERALTA
ANGELINA A. PERALTA
BARBARA C. JAMES
ANGELITA F. GAOIRAN
EDWIN C. MALICAD
BEVERLY P. MARTINEZ
MANUEL M. JAMES
IMELDA B. BUENO
NANCY T. LAGUTAN
ROGELIO Q. BARRIENTOS
ZENAIDA R. EDRA
LEONILA C. AGBAYANI
ADRIALINE C. PASCUA
LYDIA J. AQUINO
LYDIA J. AQUINO
MADELYN A. BALITON
MARIA CRISTINA A. DEL CASTILLO
REGINO GLENN B. COLOBONG
MELECIO R. DELOS SANTOS JR.
MIRALUZ G. DANCEL
ROSMARIE Z. FERMIN
ROSMARIE Z. FERMIN
ZENAIDA M. FERRERAS
CIRILO JR. R. DELOS SANTOS
CIRILO JR. R. DELOS SANTOS
FERDINAND B. CAOILE
FERDINAND B. CAOILE
DAISY A. VIDAD
DAISY A. VIDAD
MARIGANE A. TUNAC
JULIE ANN C. MENDOZA
MIRIAM C. RAMIL
ZALDY C. TAGALA
ZALDY C. TAGALA
CHRISTOPHER R. AGBAYANI
CHRISTOPHER R. AGBAYANI
CHRISTOPHER R. AGBAYANI
CHRISTOPHER R. AGBAYANI
FREDERICK C. CAMACHO
FREDERICK C. CAMACHO
EDGAR M. AGBAYANI
EDGAR M. AGBAYANI
ALMA JANE C. CALARAMO
JENNY P. DIZA
ALMA JANE C. CALARAMO
EVELYN G. PASCUA
JOYCE B. DIZA
JOYCE B. DIZA
PATROCINO S. ABAD III
EVANGELINE S. TACANG
EVANGELINE S. TACANG
JINA M. ABAD
FRANCISCO P. UDAUNDO
DIEGO ROMEO V. MARCELINO
DIEGO ROMEO V. MARCELINO
MARILOU P. PASALO
MARILOU P. PASALO
DENNIS CHRISTOPHER C. SALVADOR
DENNIS CHRISTOPHER C. SALVADOR
MARIE ANTOINETTE G. PARADO
MARIE ANTOINETTE G. PARADO
ALEXIS C. NAVARRO
ALEXIS C. NAVARRO
NELIA B. REYES
NELIA B. REYES
ALEX D. BENIGNO
ALEX D. BENIGNO
NANCY C. PADILLA
NANCY C. PADILLA
PACIANO E. CID
PACIANO E. CID
JESSE JUAN Y. VILLALUZ
JESSE JUAN Y. VILLALUZ
JANNET M. MARCO
JANNET M. MARCO
MANNY S. PAGADUAN
MANNY S. PAGADUAN
MANNY S. PAGADUAN
JANICE DE BELEN A. VILLANUEVA
JANICE DE BELEN A. VILLANUEVA
MAE ROSE R. AGOO
CHARIEZE LEI F. AGUINALDO
CHARIEZE LEI F. AGUINALDO
MARIA TERESITA L. QUEJADO
MARIA TERESITA L. QUEJADO
MARIA TERESITA L. QUEJADO
LAURENTINO S. RAVELO, JR.
LAURENTINO S. RAVELO, JR.
KAREN JANE A. YANOS
KAREN JANE A. YANOS
ALMA S. BAUTISTA
ARISTEDES A. ACOBA
LILIA TACIANA S. PASCUAL
LILIA TACIANA S. PASCUAL
NESTOR M. RIMALOS
JOJIT ANTONIETO R. PAREDES
PEDESTRELYN AURORA R. ACOBA
STEPHEN V. PASTOR
ERIC B. AGUILAR
NARCISA BIBIAN M. DOMINGO
NARCISA BIBIAN M. DOMINGO
JOVELYN M. OXIMAS
JOSE G. RAMOS JR.
VIRGIE B. RABAGO
JERRY JR. L. CRISOLOGO
MARILOU P. GARALDE
RAYMOND T. DALO
ROLANDO M. LAGPACAN
GLORITA M. PASCUA
IMELDA S. DE LOS SANTOS
KAISER LUIS U. MAGNO JR.
MA. CONCEPCION B. JUNIO
MAXIMA O. ROSQUETA
NORALYNN L. AGUSTIN
NORALYNN L. AGUSTIN
ROMUALDO F. PASCUA
ROWENA C. RAMOS
FRANCIS M. JOSE
MARITES D. CORRALES
KAREN G. AMMASI
KAREN G. AMMASI
GRACE D. CABACUNGAN
GRACE D. CABACUNGAN
RICARTE G. LACISTE
RICARTE G. LACISTE
SHERWIN T. DANCEL
SHERWIN T. DANCEL
SHERWIN T. DANCEL
ROCKY M. BALLESTEROS
ROCKY M. BALLESTEROS
DENEY U. RUIZ
DENEY U. RUIZ
DENEY U. RUIZ
DENEY U. RUIZ
JOJO B. LEAÑO
ARNEL C. SABUCO, JR.
ARNEL C. SABUCO, JR.
ARNEL C. SABUCO, JR.
LIZA IRENE A. LUTAP
BENIGNO B. BAAY
BENIGNO B. BAAY
BENIGNO B. BAAY
JENIFFER V. TAGALA
FLORDELIZA C. DOMINGO
FLORDELIZA C. DOMINGO
JHON REY A. ABAGA
JHON REY A. ABAGA
TERESITA S. MALANA
TERESITA S. MALANA
EDDIE T. CURAMMENG
EMILY S. CALDITERA
EMILY S. CALDITERA
JOE ANN G. PASION
JOE ANN G. PASION
JACOBINO M. GALZOTE JR.
MARISA C. VALDEZ
LORELYN M. CORTEZ
RICHARD C. RIVERAL
ANA P. MOLINES
ANA P. MOLINES
ANNIFLOR B. SAGUCIO
ARNEL P. CALLANGA
VANESSA B. AGUINALDO
BLESILDA CONSTANCIA C. RAGASA
DELIA B. PAGURAYAN
DELIA B. PAGURAYAN
DONALYN T. ASUNCION
DONALYN T. ASUNCION
DONALYN T. ASUNCION
MARGIE M. ALUPAY
MARILYN A. TUMALIP
MARILYN A. TUMALIP
MARILYN A. TUMALIP
MARYLIN C. AGGABAO
SYLVIA A. CALIPJO
SYLVIA A. CALIPJO
DEMETRIO T. UBAY
NOBLEZA C. HIDALGO
NOBLEZA C. HIDALGO
MARITESS GLORIA A. SALEM
MARITESS GLORIA A. SALEM
JEROME M. BOADO
JEROME M. BOADO
EMILIA B. DOMINGO
AVELINA M. AGAPITO
DENNIS C. RAMIREZ
LINDA D. LAZARO
ANALIE N. MIGUEL
EDENCIA R. ACOBA
EDENCIA R. ACOBA
ELREY M. LIMBAOAN
FELIX G. BAYUDAN
RODELIO P. MATEO
ROWENA C. BANDIOLA
ROWENA C. BANDIOLA
RUENA P. ROSQUITA
MYRA SHEILA V. GOROSPE
MYRA SHEILA V. GOROSPE
GREGORIO A. DUMLAO
GREGORIO A. DUMLAO
ORLANDO A. PASCUA
RONY A. GAMULO
NORLYN MAE A. MARTILLANO
JESIEMEL C. BACENA
JAYMAR KEVIN A. PADAYAO
ARTEMIO D. GABUG
BERNARDINO V. VICENTE
NENITA B. ARAGA
MARILYN C. PASAMONTE
RUBEN T. AGUSTIN
MOISES R. DALAYAP
RANDY R. ROSALES
ROLEN A. ORACION
MILAGROS R. LADIA
VILMA D. BAGAY
FLORANTE R. RIEGO
FLORANTE R. RIEGO
GERALDYN E. NABAYSA
GERALDYN E. NABAYSA
BAGNUS DENNIS C. PAZ
BAGNUS DENNIS C. PAZ
LEI ANNE V. DIZA
JACQUELYNE JULIE T. LACAMBRA
CARLITO P. APUAN
CARLITO P. APUAN
CLIFFORD KING B. SARMIENTO
ELY G. PASCUA
ESTELITA V. VILLA
VIRGINIA S. GALAPATE
MARITESS C. CALAYCAY
MARITESS C. CALAYCAY
OFELIA A. FERNANDEZ
RENATO D. REYNO
CHAMEABETH ANN B. NIÑO
TERESA V. LIMOS
VINCENT V. VILLA
FLORALYN S. AGUINALDO
VILMA A. DELA CRUZ
JERRY M. LABSO
REYNALDO R. SALAAN
REYNALDO R. SALAAN
AUREA S. AUSTRIA
RICHARD L. GALINDO
RICHARD L. GALINDO
RICHARD L. GALINDO
ROWENA V. CABINIAN
VILMA A. DELA CRUZ
MARIBEL S. BARROGA
DOLENA B. MAGADIA
DOLENA B. MAGADIA
DOLENA B. MAGADIA
VILMA A. IBON
VILMA A. IBON
CARMENCITA DEBURA F. PAZ
FORTUNATA A. SACRO
FORTUNATA A. SACRO
JACKSON M. ACOSTA
JOSEPH A. SADANG
REYNERIO T. SADUMIANO
REYNERIO T. SADUMIANO
REYNERIO T. SADUMIANO
REYNERIO T. SADUMIANO
ROBERTO B. CACHERO
ROBERTO B. CACHERO
GLOMARIE P. BAGASOL
GLOMARIE P. BAGASOL
AILEEN R. RAMBAUD
ANALYN M. AGBAYANI
ANALYN M. AGBAYANI
HESSEL N. OAMERGA
HESSEL N. OAMERGA
MAZEL A. ZAFARALLA
MAZEL A. ZAFARALLA
ACCOUNT NUMBER BRANCH
Unit 3, GF Building, Gomez St. Caunayan, Batac City Brgy. 7B, Giron St., Laoag City
8A Zip 9A Zip
2900
Code Code
10 Foreign Address 10A Zip Code 10B ICR No. (For Alien Income Recipient Only)
Part II Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld
Total - -
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true and
correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
Signature Over Printed Name
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
CONFORME:
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
Signature Over Printed Name
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information I declare under the penalties of perjury that I am qualified under substituted filing of Percentage
herein stated are reported under BIR Form No. 1600 which Tax/Value Added Tax Returns (BIR Form 2551M/2550M/Q), since I have only one payor from
have been filed with the Bureau of Internal Revenue. whom I earn my income; that, in accordance with RR 14-2003, I have availed of the Optional
Registration under the 3% Final Percentage Tax Wthholding/10% Final VAT Withholding in lieu
of the 3% Percentage Tax/10% VAT in order to be entitled to the privileges accorded by the
Substituted Percentage Tax Return/Substituted VAT Return System prescribed in the aforesaid
Payor/Payor's Authorized Representative/Accredited Tax Agent Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3%
Signature Over Printed Name Final Percentage Tax/10% Final VAT from my sale of goods and/or services.
TIN of Signatory Title/Position of Signatory Payee/Payee's Authorized Representative/Accredited Tax Agent Title/Position of Signatory
Signature Over Printed Name
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Tax Agent Accreditation No./Attorney's Roll No. (if applicable) TIN of Signatory
Part III – Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld
Total
We declare, under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true and correct
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, we give our consent to the processing
of our information as comtemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
3 Payee's Name
TRINITY-MED PHARMA AND MEDICAL SUPPLIES DISTRIBUTION
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address Unit 3, GF Building, Gomez St. Caunayan, Batac City 4A Zip Code
Payor Information
6 Taxpayer
Identification Number 460 183 033 422
7 Payor's Name DepEd-Schools Division of Ilocos Norte
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code 2900
Brgy. 7B, Giron St., Laoag City
PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Total - - - - 146.30
Money Payments Subject to Withholding
of Business Tax (Government & Private)
Total - - - - 146.30
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme: 4
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)
Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry