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Republic of the Philippines ForBIR BCS) Department of Finance ‘Use Only tom: Bureau of intemal Revenue BIR Form No. 1601-FQ of Final Income Taxes Withheld Quarterly Remittance Return | September 2020 (ENCS) | enw a raed ration CAPITAL LETTERS wang LACK. Ma opi Poe Cael FO 09/20ENCS. Forte Year] 2 Guarer 3 Amonded Retum?[& Any Taxes Winn? | 5 Noo Sheds Alaced 2023) | M4) ts (2m) so [J an |) ves b7) No | 4) Yes [_]_ No Pail Back {6 Taxpayer Identification Number (TIN) 982, 092, 125, TRDOCode | 8 ‘Name First _Midttle Name for Individual OR | | Name fort VENTURES CORPORATION \ \ 3 ad ahaa ete 7: ai a 123, RIZAL AVENUE, BAGY.01, MALABON CITY | f 1 1 Lo Ly ‘9AZIP Code |10 Contact Number ti 11 Category of Withholding Agent YZ] Private [_] Government 12 emai Address 73 Nether pajees ava oak rele under Yes (7 No [19A tyes, specity ATG. "1 Rate Tax winner ren iW 250 0} 1 1. 10)40 OFF 00 His] W1.250 Oo x 110,40, 0f 0.0 is)W1.341 0 ‘i L_ 13,00 0f 00 h7W1 380 1 15,20, 000 he O ; | L_Offoo 2 | 1 1 1 |20 Taxes Withheld for the Quarter Based on Regular Rates (Sum of tems 14 10 19) tl 1 39,00 OFF 00 l2t Taxes Withheld for the Quarter Based on Tax Treaty Rates from Pat V Sched 1) i i 1. .OMmoo [2 Total Taxes Wine forthe Quarter (Sumo tems 20 and? i 139,00 Of 00 [23 Less: Remittances Made: 1* Month ofthe Quarter i tl 1. 00.0 ey ‘2% Month of the Quarter 1 1 i. .Ofmoo J25 Tax Rernitied in Return Previously Filed, itis fs an amended retum 1 t i. .0—mo0o la Total Remitances Made (Sum a tame 2 25) Piet) e144 OM OO |27 Tax Stil Due/(Over-remittance) (tem 22 Less item 26) L 1 39,00 0990.0 ‘Add: Penalties 28 Surcharge i i 1. Ofoo 29 intrest Lots, 0Mfoo 30 Compromise 1 1 1. 07 00 31 Tal Peres (Som of ene 28099) Nt ofoo ls2 TOTAL AMOUNT STILL DUE/(Qver-emittance) (Sum o tans 27 and3H) 7 i 39,00 Oo ieee ere if etic wion, mo re ne er dh a cx gmt pone ato ie en md wD Pay tc 202 fA M07 irra pen ode es amended, and Perens seed under aur tere Fre, my cosen oe pocessng ey romsaion as urn Rest, ah sen ee i ST eb oars ad eel. | Stanature over Printed Name of Taxpayer/Authorized Represenialive/Tax Agent| (indcate TeDesignation and TN) ‘Signatire over Pinted Name of PresidoniNVice President Oficer or “Tax Agent Aczrediation Nod Lwomey’s Rell No. jtapeiable Date of Issue Mamonrnen Date of Expiry 1MaDONT Parti Details of Pariculars [Dawes BaAgeney] Number [33 CasiBank Dott Memo Lo L [34.Check [35 Tax Debit Memo [36 Others pedi below) Wachine Validation Revenue Official Receipt Delals (rot fad wit an Aaorzed Agar Bark) SHOTE: Please read the BIR Data Privacy Palsy found in fe BIR wabske (www bi Gov PA) L 1 “Siampof Receving Ofiee/AAB and Dae of Recap (RO's Signature®Bank Toflor's Ina) Fopublic of the Philippines ForBiR acs’ ‘Department of Finance Use Onty_ter musts ot ta venue BIR Form No. Quarterly Remittance Return 1601-FQ of Final Income Taxes Withheld | hae | ertembe 2020(ENCS) | nearer CATAL LETTERS BACK Halo NA T For the Year [3 Guarier ‘Amended Return’? [4 Any Taxas Withald? Tag 2023] | Mit) 2nd) aa C) an | (J) ves No | 7) Yes] No Pari Background Information : Taxpayer Identification Number (TIN) 982 pee, i 7 RDO Code Name Ti Name, ideo Na for naa OF Na AIM HIGH INC Li 1 i 2 ‘adsiess en ih a Tilak in Pare oe aa ABCDE BUILDING, APOLINARIO ST., PARANAQUE 1 1 : 1 ‘9A ZIP Code lioconetnumber| Fi Galen of Wing ert 7] Pree [Cover 112 Email Address. LI Lo 1 13 Seas une muna tutes” L] Yes (7) No_[f9Aityes, spect L ! ATC. Tax Base (Consolidated for the 7 Tax Rate Tax Withheld l4iwc250 1 121000 0.0 El 0.0] 10 Bo Hlwi2so] 4 12,0, 0,0 0.0 ff 0.0/1 ofmo Weiwis4t) 4 120.0000) , |2 offo WWwisso |. 4 12,000 003) | |2 oRjo [18 1 1.11. 0700! Omfo jee 1 tt | Wi EA SES RO a ce TTT |21 Taxes Withheld for the Quarter Based on Tax Treaty Rales (rom Part IV-Schedule 1) |22 Total Taxes Withheld for the Quarter (Sum of ems 20 and 21) J23 Less: Remittances Made: 1* Month of the Quarter jaa 2° Month of the Quarter |25 Tax Remitted in Return Previously Filed, If this is an amended return |26 Total Remittances Made (Sum of ams 231025) J27 Tax Stil Duei(Over-remittance) ftom 22 Less item 26) ‘Add: Penalties 28 Surcharge 29 Interest 30 Compromise 31 Total Penalties (Sum of tems 28 30) |32 TOTAL AMOUNT STILL DUE/(Over-remittance) (Sum of toms 27 and 31) L L L L L L L L L L L L L L L L L 4 L oa, Tie dele se pas ol pfu Ba i rancor, dal is achat have eon ade pod a jae nonce xr poate oor ara ral Ren i eed began twat ore Fete em cet peeing ty Mowat | conte under Data Pay Act of 2012 RA No. 10173} fretted ne puoses. 1 Signature over Printed Name of TaxpayerIAahorzed Roprosertaive/Tax Ager ‘Signatre ovo Printed Nam of ProaidantVico Prawn {ndcaieTeDesgnabon and TA) ‘Authorized Oflcor or Representative/Tax and “Tax Agont Recreation No/ Date of issue Date of Expiry Parti = Details of Payment Particulars [rawoo Banagengy| ‘ameoorvry) “Arvount [33 GashBank Debt Memo 4 ‘4 eid [pesca Lo it bit Peete Debi Meme, 1 Lt Dy [36 Others fanocy Boon) Lt ri Lo ‘achine Valiation/Revenus Official Receipt Detals (not fod wih an Aorzad Agent Bara) ‘Biamp of Racowing Orfce AAD ard Date of Receipt (RO Signatureank Tells Inti) SHGTE: Please read the BIR Data Privacy Polly found in the BIR website (wirw Bi-gov ph)

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