Attachment to BIR Form 1601-EQ

QUARTERLY ALPHABETICAL LIST OF PAYEES SUBJECTED TO EXPANDED WITHHOLDING TAX & PAYEES WHOSE INCOME PAYMENTS A
FOR THE QUARTER ENDING JUNE, 2019

TIN : 203139533-0000
WITHHOLDING AGENT'S NAME: COSTALLES JR., ANTONIO STA ANA

SEQ TAXPAYER
NO IDENTIFICATION
NUMBER
(1) (2)
------------------------------ ------------------------------
1 101-879-547-0000
1 101-879-547-0000
1 101-879-547-0000
2 104-729-963-0000

Grand Total :

END OF REPORT
TO EXPANDED WITHHOLDING TAX & PAYEES WHOSE INCOME PAYMENTS ARE EXEMPT

CORPORATION
(Registered Name)

(3)
------------------------------
MENTS ARE EXEMPT

INDIVIDUAL ATC CODE

(Last Name, First Name, Middle Name)

(4) (5)
------------------------------ ------------------------------
GALVAN, NELLIE MARINAS WI010
GALVAN, NELLIE MARINAS WI010
GALVAN, NELLIE MARINAS WI010
PURUGGANAN, JOCELYN A WI010
 1ST MONTH OF THE QUARTER
NATURE OF PAYMENT AMOUNT OF
INCOME PAYMENT

(6)
------------------------------ ------------------------------
Professionals (Lawyers, CPAs, Engineers, etc.) - If the current year’s gross income did not 0
Professionals (Lawyers, CPAs, Engineers, etc.) - If the current year’s gross income did not 5000
Professionals (Lawyers, CPAs, Engineers, etc.) - If the current year’s gross income did not 0
Professionals (Lawyers, CPAs, Engineers, etc.) - If the current year’s gross income did not 10000
------------------
15,000.00
 2ND MONTH OF THE QUARTER
TAX RATE AMOUNT OF AMOUNT OF
TAX WITHHELD INCOME PAYMENT

(7) (8) (9)

------------------------------ ------------------------------ ------------------------------
0 0 0
5 250 0
0 0 5000
5 500 0
------------------ ------------------ ------------------
10.00 750.00 5,000.00
 3RD MONTH OF THE QUARTER
TAX RATE AMOUNT OF AMOUNT OF
TAX WITHHELD INCOME PAYMENT

(10) (11) (12)

------------------------------ ------------------------------ ------------------------------
0 0 5000
0 0 0
5 250 0
0 0 0
------------------ ------------------ ------------------
5.00 250.00 5,000.00
================== ==================
 TOTAL FOR THE QUARTER
TAX RATE AMOUNT OF TOTAL
TAX WITHHELD INCOME PAYMENT

(13) (14) (15)

------------------------------ ------------------------------ ------------------------------
5 250 5000
0 0 5000
0 0 5000
0 0 10000
------------------ ------------------ ------------------
5.00 250.00 25,000.00
TOTAL
TAX WITHHELD

(16)
------------------------------
250
250
250
500
------------------
1,250.00