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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 Amount of Tax Due


Identification Compensation Withheld
Number and Remitted

1 Bautista, MaryAnn C. 260—364 - 697 Php 114,669 0


2 Bayubay, Rhica P. 611 —973 -06l Php 88,501 0
3 Domasig, Marilyn M. 718—461 —842 Php 93,464 0
4 Fagara, Ma. C. 301 — 6 I 3- 36 I Php
131,008 0
Angeline
5 Hernandez, Hazel Ann I. 372 — 557 — 495 Php 84,904 0
6 Mendoza, Leovena A. 267 – 871 - 801 Php 42,591 0
7 Peralta, Elaine T. 940-448-998 Php 175,984 0
8 Peralta, Melvyn T. 421-332-455 Php
176,215 0
Emmanuel

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.

Signature over Printed Nam- Individual Income Tax Payer


Authorized Officer of Non – Individual Income Tax Payer

SUBSCRIBED AND SWORN to before me this ____ d ay of ______________ , in __________________


Applicant exhibited to me his/her PRC ID - No. 1031872 issued at MANILA on 9/30/2024.

NOTARY PUBLIC
Doc. No: _____________
Page No: ___________
Book No: ___________
Series of: _____________

3016 I 336 I
301613361
Name of Employee Taxpayer Amount of Tax Due
Identification Compensation Withheld
Number and Remitted

1 Bautista, MaryAnn C. 260—364 - 697 Php 114,669 0


2 Bayubay, Rhica P. 611 —973 -06l Php 88,501 0
3 Domasig, Marilyn M. 718—461 —842 Php 93,464 0
4 Fagara, Ma. C. 301 — 6 I 3- 36 I Php
131,008 0
Angeline
5 Hernandez, Hazel Ann I. 372 — 557 — 495 Php 84,904 0
6 Mendoza, Leovena A. 267 – 871 - 801 Php 42,591 0
7 Peralta, Elaine T. 940-448-998 Php 175,984 0
8 Peralta, Melvyn 421-332-455 Php
176,215 0

FILIPINO
260364697
61197306l
718461842
3016 I 336 I
372557495
267871801 Mendoza, Leovena A.
940448998 Peralta, Elaine T.
421332455 Peralta, Melvyn Emmanuel T.

Bautista, MaryAnn C.
Bayubay, Rhica P.
Domasig, Marilyn M.
Fagara, Ma. Angeline C.
Hernandez, Hazel Ann I.
Mendoza, Leovena A.
Peralta, Elaine T.
Peralta, Melvyn

01/01/2023
12/31/2023
210.
425.00
8,880.00

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