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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 and
Number Remitted
ANORE, GRACE GARCIA 210-154-801-000 500,444.92 55,111.23
CALUYA, CHRISTOPHER NILLO 248-936-555-000 393,555.20 28,711.04
FAJARDO, ARMANDO GARCIA 110-040-325-000 573,679.20 73,419.80
GARCIA, FERDINAND VILLANUEVA 110-040-358-000 553,631.84 68,407.96
GARCIA, ARBIE ECLAR 253-056-519-000 396,299.49 29,259.90
IMPERIAL, DESIREE GARCIA 208-283-958-000 332,673.02 16,534.60
PIMENTEL, ROSELYN CAYAO 190-243-782-000 347,222.32 19,444.46
PINEDA, MARK PRUDENTE BERJA 403-488-762-000 388,839.45 27,767.89
PONFERRADA, AMELITA TANIDO 160-104-876-000 371,435.38 24,287.08
BAUTISTA, CLARINE KYLA CASTILLANES 334-573-985-000 308,612.97 0.00
BRUNO, FERDIELIZA BRIONES 334-582-425-000 51,412.09 0.00
QUINONES, MERCEDITA CORPUS 110-040-317-000 265,370.37 0.00
SEVILLA JR, LAZARO SENENSE 472-744-198-000 171,000.00 0.00

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 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