Annex E

REPUBLIKA NG PILIPINAS
BIR FORM NO.
KAGAWARAN NG PANANALAPI

1932 KAWANIHAN NG RENTAS INTERNAS

March 2013
MONTHLY REPORT OF PRINTER

For the Month Ending October 31, 2020

(Page 1)
PRINTER TIN
MG PRINTING 117-040-609-000

REGISTERED ADDRESS ACCREDITATION NUMBER

#321 McArthur Highway, Biñang 1st, Bocaue, Bulacan 25AMP20140000000009

(USE ADDITIONAL SHEET/S, IF NECESSARY)

DESCRIPTION
NAME OF REGISTERED (Official Receipt, Sales Invoice, NUMBER OF SERIAL NUMBERS AUTHORITY TO PRINT Printer’s Certificate of Delivery
TIN Delivery Receipt etc.) BOOKLETS
TAXPAYER ADDRESS NON- OTHE Date Received by Date Submitted to
VAT LOOSE BOUND FROM TO OCN DATE ISSUED
VAT RS Taxpayer BIR
HOLY ANGELS OF ST. SANTA RITA GUIGUINTO 008-914-300- 100 5501 10500 4AU000 10-02-20 10-22-20 10-20-20
O.R. 2439872
RITA’S ACADEMY INC. BULACAN 000
MCARTHUR HIGHWAY 160-248-833- CASH 300 30001 45000 4AU000 10-17-20 11-03-20 10-29-20
BALBINO B. BELGA JR.
BIÑANG 1ST BOCAUE BUL. 000 INV. 2447065
PHOENIX BLDG MABOLO 430-949-335- 10 001 500 4AU000 10-20-20 10-29-20 10-29-20
NEREN O. NIEVA O.R.
MALOLOS CITY 000 2448223
CYCLEMAR CALOOCAN MAIN ST. BLDG QUIRINO 005-149-072- 90 7501 12000 4AU000 10-05-20
S.I.
CORP. HIWAY BAESA Q.C. 009 2440693
MACARTHUR HIWAY SAN 272-834-646- 25 2501 3750 4AU000 10-22-20 11-09-20 11-09-20
CAROLINE F. ESMENDA S.I.
JUAN BALAGTAS BUL. 000 2449562
BIÑANG 2ND BOCAUE 265-810-108- 25 3001 4250 4AU000 10-23-20 11-09-20 11-09-20
MARY JEAN DC. VIBAL O.R.
BULACAN 000 2450384

I HEREBY DECLARE UNDER THE PENALTIES OF PERJURY THAT THE FOREGOING

GUIDELINES AND INSTRUCTIONS
INFORMATION ARE TRUE AND CORRECT.

1. PURSUANT TO RR No. 18-2012, THE PRINTER IS REQUIRED TO SUBMIT THIS

FORM ON OR BEFORE THE 20TH DAY FOLLOWING THE END OF THE QUARTER.
SUBMITTED BY: FAILURE TO DO SO SHALL BE SUBJECT TO AN IMPRISONMENT OF 1 TO 10
YEARS, AMONG OTHERS, PURSUANT TO SECTION 255 OF THE NIRC, AS
AMENDED
NICANOR R. MAGNO – Prop. 11-16-2020 2. THIS FORM SHALL BE ACCOMPLISHED IN DUPLICATE AS FOLLOWS:
ACCREDITED PRINTER DATE PREPARED
(Signature over the printed name)
ORIGINAL – RDO ; DUPLICATE – ACCREDITED PRINTER
Annex E