BIR Form No.

Republika ng Pilipinas
Certificate of Creditable Tax
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Withheld At Source
2307
September 2005 (ENCS)

1 For the Period

10 01 18 12 31 18
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
Identification Number 132 491 071 0001
3 Payee's Name BARTOLO, WILLIEMO
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code
EXODUS BLDG RIZAL SAN ANTONIO ZAMBALES 2206
5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer
Identification Number 408 757 149 0009
7 Payor's Name MENDOZA, MICHELLE GRANZO
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
EXODUS BLDG RIZAL SAN ANTONIO ZAMBALES 2206
PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
WI100 50,000.00 50,000.00 50,000.00 150,000.00 7,500.00

Total 150,000.00 7,500.00

Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total - -
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
MICHELLE MENDOZA
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

Conforme:
BARTOLO, WILLIEMO
Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry