JSA ARCHITECTS INC

TIN NO.008-894-704-000
ANNEX “F”

CERTIFICATION
This is to certify that the employees listed below are qualified for substituted filing of their Income Tax
Return pursuant to the provisions of Section 2.83.4 of Revenue Regulations No. 2-98, as amended.

Name of Employee Taxpayer Amount of Tax Due Withheld

Identification Number Compensation and Remitted
JOSELITO S 132-441-360-000 383,100.00 26,620.00
ANDRES
MA ARLIN ANDRES 123-176-359-000 260,000.00 3287.20
MARIA LOVELY 750-130-925-000 126,480.00 -
DUDAS
ERWIN B. DUDAS 729-140-769-000 126,480.00 -

I declare under the penalties of perjury, that this declaration has been made in good faith, and to the best
of my knowledge and belief to be true and correct.

________________________________________________
JOSELITO ANDRES/ PRESIDENT

SUBSCRIBED AND SWORN to before me this 31st day of January, 2023 in Parañaque City exhibited to
me his/her Drivers License issued no.N04-86-043734.

NOTARY PUBLIC

Doc. No.: __________

Page No.: __________
Book No.: __________
Series of ___________
 JSA ARCHITECTS INC
TIN NO.008-894-704-000
 JSA ARCHITECTS INC
TIN NO.008-894-704-000

Affix ₱30.00

Documentary
Stamp Tax