Payee's Information Sheet for Individual

SABINO HERSHEY RAMOS

Payee's Name:
Last Name First Name Middle Name

Address: Phase 4C Blk 4 Lot 20 Champaca street Greenland Executive Village Brgy San Juan Cainta Rizal

TIN #: 414082082

I hereby certify that all information declared in this sheet are true and correct and will be used by the bank for
BIR tax reportorial requirements.

HERSHEY R. SABINO
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Payee Signature over Printed Name

Verified by Consumer Product Officer:

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Signature over Printed Name