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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 Identification Amount of Tax Due Withheld and


Number Compensation Remitted
PALMARIA, CESAR DILLA 137-894-143-0000 101,762.61 .00
PARLADE, LALAINE MAE OCAMPO 201-919-122-0000 302,185.81 7,827.87
PERLADO, JESSIE CORTEZ 407-733-098-0000 315,960.00 9,894.00
PLANTO, LESLIE ANN CALINAWAN 141-046-737-0000 406,182.83 23,736.57
REBOLLEDO, TRIGEDIA JARADAL 121-400-259-0000 524,560.19 47,412.04
REYES, EVA ROGACION 137-894-194-0000 1,148,766.96 189,691.74
ROSANO, ELEANOR VARIAS 137-894-265-0000 270,159.31 3,023..90
SAMPAGA, ELIZABETH ROLLE 204-038-231-0000 232,699.43 .00
SOLOMON, SUNDAE NATHANIEL 702-625-311-0000 997,562.11 151,890.53
MAGCAMIT
TORRES, NILDA RODIL 137-894-440-0000 278,757.05 4,313.56
ULITIN, MILA NUESTRO 137-894-195-0000 459,945.37 34,489.07
ZIPAGAN, MARIA FLORDELIZA 137-894-425-0000 270,159.31 3023.90
ULITIN

Sub total 5,308,700.98 475,303.18


Grand totals 18,868,627.77 1,362,976.45

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.

PACITA J. LLAMADO -Chief Admin Officer


Signature over Printed Name of Individual Income Payor/
Authorized Officer of Non-Individual Income Payor

SUBSCRIBED AND SWORN to before me this __day of ______, 20__in ___________,Applicant exhibited to me
his/her ______________________ issued at _________________ on _______________.

NOTARY PUBLIC

Doc. No.: __________


Page No.: __________
Book No.: __________
Series of ___________

Affix ₱30.00

Documentary
Stamp Tax

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