BIR Form No.

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

1 For the Period

From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
Identification Number
3 Payee's Name

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4A Zip Code

5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer
Identification Number 460 183 827 033
7 Payor's Name 0000
DEPED, CITY SCHOOLS DIVISION OF MABALACAT
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8A Zip Code
POBLACION, MABALACAT CITY
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

Total
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
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

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:
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
05 (ENCS)

held
uarter

ef, is true and correct,

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ned
 BIR Form No.
Certificate of Final Tax
2306
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Withheld At Source September 2005 (ENCS)
1 For the Period
From (MM/DD/YY) To (MM/DD/YY)
Part I Income Recipient/Payee Information Withholding Agent/Payor Information
2 TIN 3 TIN
460 183 033 827
4 Payee's Name (For Non-Individuals ) 5 Payor's Name (For Non- Individuals)

DEPED, CITY SCHOOLS DIVISION OF

6 Payee's Name (Last Name, First Name, Middle Name) For Individua7 MABALACAT
Payor's Name (Last Name, First Name, Middle Name) For Individuals

8 Registered Address 9 Registered Address

POBLACION, MABALACAT CITY
8A Zip 9A Zip
Code Code
10 Foreign Address 10A Zip Code 10B ICR No. (For Alien Income Recipient Only)

Part II Details of Income Payment and Tax Withheld (Attach additional sheet if necessary)
Nature of Income Payment ATC Amount of Payment Tax Withheld

Total
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by us, and to the best of our 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.
SchoolS Division Superintendent
Payor/Payor'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
CONFORME:

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)
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information
herein stated are reported under BIR Form No. 1600 which
have been filed with the Bureau of Internal Revenue.
Payor/Payor's Authorized Representative/Accredited Tax Agent
Signature Over Printed Name
Date of Issuance Date of Expiry
I declare under the penalties of perjury that I am qualified under substituted filing of Percentage
Tax/Value Added Tax Returns (BIR Form 2551M/2550M/Q), since I have only one payor from
whom I earn my income; that, in accordance with RR 14-2003, I have availed of the Optional
Registration under the 3% Final Percentage Tax Wthholding/10% Final VAT Withholding in lieu
of the 3% Percentage Tax/10% VAT in order to be entitled to the privileges accorded by the
Substituted Percentage Tax Return/Substituted VAT Return System prescribed in the aforesaid
Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3%
Final Percentage Tax/10% Final VAT from my sale of goods and/or services.

TIN of Signatory Title/Position of Signatory Payee/Payee's Authorized Representative/Accredited Tax Agent Title/Position of Signatory
Signature Over Printed Name

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Tax Agent Accreditation No./Attorney's Roll No. (if applicable) TIN of Signatory

Date of Issuance Date of Expiry Date of Issuance Date of Expiry