BIR FORM 1604E - SCHEDULE 3

ALPHALIST OF PAYEES SUBJECT TO EXPANDED WITHHOLDING TAX

AS OF DECEMBER 31,2021

TIN : 004913870-0000
WITHHOLDING AGENT'S NAME: BARANGAY ALEJAWAN

SEQ TAXPAYER REGISTERED NAME NAME OF PAYEES ATC CODE AMOUNT OF RATE OF AMOUNT OF
NO IDENTIFICATION (Last Name, First Name, Middle Name) INCOME PAYMENT TAX WITHHELD
NUMBER
(1) (2) (3) (4) (5) (6) (7) (8)
------- -------------------------------------------------------- ------------------------------ ------------------------------------------------------- ------------------------------
1 227-198-213-0000 BAYRON ENTERPRISES WC158 32,889.00 1.00 328.89
2 180-447-245-0000 REGATUNA WC158 15,500.00 1.00 155.00
3 418-813-752-0000 G BOY GENERAL MERCHANDIZE WC158 37,760.00 1.00 377.60
4 175-100-662-0000 EJ AND S ENTERPRISES WC158 173,739.00 1.00 1,737.39
5 931-404-443-0000 SYNC AT JABEZ COMPUTER SERVICES WC158 5,200.00 1.00 52.00
6 924-147-185-0000 ACERO, MARIETA WC158 18,000.00 1.00 180.00
7 196-286-485-0000 SALAAN ENTERPRISES WC158 236,008.00 1.00 2,360.08
Grand Total : ------------------
5,190.96
==================
END OF REPORT