9/25/2019 || BIR Form No.

2000 ||

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PSOC: PSIC: 4100

BIR Form No.

Republika ng Pilipinas DocumentaryStamp
Kagawaran ng
Pananalapi Tax Declaration/Return 2000
Kawanihan ng Rentas September 2003
Internas (ENCS)

2 Amended Return? 4 ATC

1 Date of Transaction/Purchase (MM/DD/YYYY) 3 No. of Sheets Attached
09 - September 25 2019 Yes No 0 DS103

Part I Background Information

5 TIN 005 038 428 000 6 RDO Code 116 7 Line of Business/ Occupation COLLECTION, PURIFICATION, DISTRIB

8 Taxpayer's Name (For Individual) Last Name, First Name, Middle Name/(For Non-individuals) Registered Name 9 Telephone No.
MANILA WATER COMPANY, INC. 9818131

10 Registered Address 11 Zip Code

MWSS ADMINISTRATION BUILDING, PANSOL QUEZON CITY 1108

Part II Details of Transactions

Section A ( For constructive affixture of documentary stamps )

12 Details of Documentary Stamps Purchased/Paid

Nature of Transaction/Particulars Tax Base Tax Rate Tax Due

12A BONDS, DEBENTURE AND CERTIFICAT 12B 133.33 12C P1.5 / P200.0 12D 1.00

Parties to the Transaction

one party the other party

12E ABELARDO BASILIO 12F MAIDY LYNNE QUINTO

(Creditor/Mortgagor/etc.) (Debtor/Mortgagee/etc.)

12G 118326036 12H 913435781

Taxpayer Identification Number Taxpayer Identification Number

Section B ( For a metering machine user )*

13 Computation of Documentary Stamps Inventory Before this Purchase as well as of Consumption Since Last
Purchase Date

Last Purchase Date Last Purchase Amount Beginning Balance Less: Consumed Balance Before this Purchase
(mm/dd/yyyy)
13A 13B 0.00 13C 0.00 13D 0.00 13E 0.00

Metering Machine Information

Machine Brand Serial Number BIR Permit Number Account Number
13F 13G 13H 13I

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9/25/2019 || BIR Form No. 2000 ||

Part III Computation of Tax

15 Total Tax Due/Amount Purchased/Amount Remitted 15 1.00

16 Less: Tax Paid in Declaration/Return Previously Filed, if this is an 16 0.00

Amended Declaration/Return
17 Tax Still Due/(Overpayment) 17 1.00

18 Add: Penalties

Surcharge Interest Compromise

18A 0.00 18B 0.00 18C 0.00

18D 0.00

19 1.00
19 Total Amount Payable/(Overpayment) (Sum of Items 17 and 18D)

Schedule 1 Details of Transactions

Details of Documentary Stamp Tax Consumptions for Replenishment
Inclusive Dates of Transaction
ATC Tax Base Tax Rate Tax Due
(A) From (B) To
0.00
(Please click on the ATC link to populate/remove the fields.)

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