Professional Documents
Culture Documents
Form 2000 PDF
Form 2000 PDF
(Creditor/Mortgagor/etc.__________________________________) (Debtor/Mortgagee/etc.__________________________)
12G 12H
Refer to Schedule 1 at the back for the " Details of Documentary Stamp Tax Consumption for Replenishment or Loading in the Metering Machine"
Section C (For Loose Documentary Stamps)
14 Upon Remittance of sold loose documentary stamps (to be accomplished by collection agents )
RCO DATE OF INCLUSIVE TRANSACTION DATES
CODE REMITTANCE From To Amount
14 14 14 14 14
A B C D E
(MM/DD/YYYY) (MM/DD/YYYY) (MM/DD/YYYY)
Part III C omputation of Tax
19
19 Total Amount Payable / (Overpayment ) (Sum of Items 17 and 18D)
In case of Overpayment, mark one box only: To be refunded To be issued a Tax Credit Certificate
I declare, under the penalties of perjury, that this declaration has been made in good faith, verified by me, and to the best of my Stamp of Receiving
knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the Office/AAB and
regulations issued under authority thereof. Date of Receipt
20 21 (RO's Signature/
President/Vice President/Principal Officer/Accredited Tax Agent/ Treasurer/Assistant Treasurer Bank Teller's Initial)
Authorized Representative/Taxpayer (Signature Over Printed Name)
(Signature Over Printed Name)
Tax Agent Acc. No./Atty's Roll No. (if applicable) Date of Issuance Date of Expiry TIN of Signatory
Part IV D e t a i l s of P a y m e n t
Drawee Bank/ Date
Particulars Agency Number MM DD YYYY Amount
22 Cash/Bank 22A 22B 22C 22D
Debit Memo