You are on page 1of 3

BIR Form No.

0
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 11
11
10 01 10
07 30 10
From (MM/DD/YY) To (MM/DD/YY)
Part I Income Recipient/Payee Information Withholding Agent/Payor Information
2 TIN 3 TIN
168 000 791 472 000
4 Payee's Name (For Non-Individuals ) 5 Payor's Name (For Non- Individuals)
ACCUPOINT SYSTEMS, INC.
6 Payee's Name (Last Name, First Name, Middle Name) For Individuals 7 Payor's Name (Last Name, First Name, Middle Name) For Individuals
DEPARTMENT OF LABOR & EMPLOYMENT
8 Registered Address 9 Registered Address
Binondo, Manila
8A Zip 9A Zip
DOLE BLDG., INTRAMUROS, MLA. 1002
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)
ATC Amount of Payment Tax Withheld
VAT WITHHOLDING ON PURCHASE OF GOODS WV010 11,875.00 593.75

Total 11,875.00 593.75


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.

Chief Accountant
RICHELDA L. BALLAD
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) Date of Issuance Date of Expiry
To be accomplished for Value-Added Tax/Percentage Tax Withholding (substituted filing)
I declare, under the penalties of perjury, that the information I declare under the penalties of perjury that I am qualified under substituted filing of Percentage
herein stated are reported under BIR Form No. 1600 which Tax/Value Added Tax Returns (BIR Form 2551M/2550M/Q), since I have only one payor from
have been filed with the Bureau of Internal Revenue. 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
Payor/Payor's Authorized Representative/Accredited Tax Agent Regulations; that, this Declaration is sufficient authority of the withholding agent to withhold 3%
Signature Over Printed Name 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
Certificate of Creditable Tax 2307
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Withheld At Source
1 For the Period 11 01 10 11 30 10
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
Identification Number
3 Payee's Name ACCUPOINT SYSTEMS, INC.
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address Binondo, Manila 4A Zip Code

5 Foreign Address 5A Zip Code

Payor Information
6 Taxpayer
000 791 472 000
Identification Number
7 Payor's Name DEPARTMENT OF LABOR AND EMPLOYMENT
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address DOLE BLDG., INTRAMUROS, MANILA 8A Zip Code 1002

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)

WC640 11,875.00 11,875.00 118.75

Total - 11,875.00 118.75


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

RICHELDA L. BALLAD Chief Accountant


Payor/Payor's Authorized Representative Title/Position of Signatory
(Signature Over Printed Name)

Conforme:
Payee/Payee's Authorized Representative Date Signed
Signature Over Printed Name

You might also like