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PSOC:   PSIC: 7511

 BIR Form No.


Republika ng Pilipinas Monthly Remittance Return of Value-Added
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas Tax and Other Percentage Taxes Withheld  
1600
September 2005
(ENCS)

Under RAs 1051, 7649, 8241 and 8424


Part I Background Information
1 For the Month   2 Amended  Return? 3 No. of Sheets Attached 4 Any Taxes Withheld?

 (MM/YYYY) 06 - June 2019 Yes No   0 Yes No

      6 RDO Code 7 Line of Business /


5 TIN     004 162 116 000 060  Occupation GENERAL OVERALL PUBLIC SERVICE ACT
8 Withholding Agent's Name(Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individual) 9    Telephone No.
  MUNICIPALITY OF BURDEOS  

10 Registered Address 11   Zip Code


  QUEZON   4340

Are there payees availing of tax relief under Special Law or International Tax   If yes, please specify
12 Category of Withholding Agent  13 Treaty?

Private Government   Yes No     

Part II Computation of Tax


TAX RATE TAX REQUIRED TO BE
NATURE OF INCOME PAYMENT ATC TAX BASE
(%) WITHHELD
FRANCHISE TAX ON GAS AND WATER UTILITIES WB040 2,291.00 2.00 % 45.82
PERSONS EXEMPT FROM VAT UNDER SEC. 109V (CREDITABLE)- 3,391.80
WB080 113,060.00 3.00 %
GOVERNMENT WITHHOLDING AGENT
WITHHOLDING TAX ON SERVCS RENDERED BY CONTRACTORS WV020 102,732.70 5.00 % 5,136.64
(Please click on the ATC link to populate/remove the fields.)
14Total Tax Required to be Withheld and Remitted 14 8,574.26
15      Less: Tax Remitted in Return Previously Filed, if this is an amended return 15 0.00
16Tax Still Due / (Overremittance) 16 8,574.26

17     Add: Penalties Surcharge Interest Compromise    

    17A 0.00 17B 0.00 17C 0.00 17D 0.00

18Total Amount Still Due/(Overremittance) (Sum of items 16 & 17D) 18 8,574.26


  For late filers with overremittance, extend amount of Penalties (Item 17D to 18)    
Schedule II ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHHELD

 SEQ  PAYEE DETAILS     INCOME PAYMENT/TAX WITHHELD DETAILS  TAX  TAX REQUIRED

 NO.  TIN  INDIVIDUAL/ CORPORATION    ATC  NATURE OF PAYMENT  AMOUNT  RATE  TO BE WITHHELD
(%)

 (1)  (2) (3)    (4)  (5)  (6)  (7)  (8)

 (LAST NAME, FIRST NAME,


    MIDDLE NAME FOR        
INDIVIDUALS OR REGISTERED
NAME FOR NON-INDIVIDUALS)
1 426445218000 BURDEOS WATER DISTRICT ATC WB040 FRANCHISE TAX O 2,291.00 2.00 45.82

2 912978360000 LBH TUNE SHOP AND CAR AC ATC WV020 WITHHOLDING TA 2,767.86 5.00 138.39

3 912978360000 LBH TUNE SHOP AND CAR AC ATC WV020 WITHHOLDING TA 31,531.69 5.00 1,576.58

4 912978360000 LBH TUNE SHOP AND CAR AC ATC WV020 WITHHOLDING TA 535.71 5.00 26.79

5 000635463000 QUEZELCO II ATC WV020 WITHHOLDING TA 11,707.89 5.00 585.39

6 000635463000 QUEZELCO II ATC WV020 WITHHOLDING TA 56,189.85 5.00 2,809.49

7 145211692002 RDCM EVENTS AND CATERIN ATC WB080 PERSONS EXEMP 47,000.00 3.00 1,410.00

8 145211692002 RDCM EVENTS AND CATERIN ATC WB080 PERSONS EXEMP 14,760.00 3.00 442.80

8,574.26
9 145211692002 RDCM EVENTS AND CATERIN ATC WB080 PERSONS EXEMP 37,800.00 3.00 1,134.00

10 145211692002 RDCM EVENTS AND CATERIN ATC WB080 PERSONS EXEMP 13,500.00 3.00 405.00
8,574.26

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