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Reference No:292200048487056
Date Filed:June 28 2022 03:51 PM
Batch Number:0
1 For the 3 Quarter Clear Quarter 4 Due Date 5 No. of Sheets Attached 6ATC
Calendar Fiscal (MM/DD/YYYY)
2 Year
Ended 12 - December 2022 1st 2nd 3rd 4th 06 30 2022 0 FP090
(MM/YYYY)
13 Taxpayer's Name(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
14 Telephone Number
TOTAL PHILIPPINES CORPORATION 8490852
Self-Assessment Installment
21 1,000.00
21 Total Amount Payable(Sum of Items 19 & 20D)
Payment of Deficiency Taxes
Delinquent Accounts
I declare, Under the penalties of perjury, that this document has been
made in good faith, verified by me, and to the best of my knowledge and
Pre-approved by Investigating Office
belief, is true and correct, pursuant to the provisions of the National
Internal Revenue Code, as amended, and the regulations issued under Not approved by Investigating Office
authority thereof.
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