ANNEX “F”

CERTIFICATION
This is to certify that the employees listed below are qualified for substituted filing of their Income Tax Return pursuant to
the provisions of Section 2.83.4 of Revenue Regulations No. 2-98, as amended.

Name of Employee Taxpayer Amount of Tax Due Withheld and

Identification Number Compensation Remitted

ACUAR, CRISTINA, 724-520-249 71,500.00 EXEMPT

DAGANG
AGONIAS, MIKE, ESTERO 763-390-695 74,500.00 EXEMPT

AMASIN, SABINA ANGELA, 610-773-995 74,000. 00 EXEMPT

DATILES
BINUYA, LOIDA, 486-444-168 75,000.00 EXEMPT
LAURENCIO
CENTINA, ANGELICA, 620-748-007 60,500.00 EXEMPT
DINGLE
GAMBOL, EMILIO, 761-478-612 74,000.00 EXEMPT
LARIOZA
ITORMA, HEIDI JASMIN, 482-607-846 74,000.00 EXEMPT
DIAZ
MALING, MIRASOL, 360-530-471 74,000.00 EXEMPT
ROSARIO
MENDOZA, FE AMALIAZ, 405-050-550 81,000.00 EXEMPT
ZAMBRANO
OLIVAR, RINZ, 497-457-209 74,000.00 EXEMPT
FREGILLANA
OÑATE, MARY JANE, 604-492-922 70,000.00 EXEMPT
BANUAGAN
PEREZ, JIM LOYD, DE 620-747-657 68,000.00 EXEMPT
GUZMAN
SOTTO JR, GERARDO, 471-540-685 81,000.00 EXEMPT
SOQUILA
TABUGAN, GLISIE, DASIL 299-213-907 97,000.00 EXEMPT

VALLEJOS, DIANA ROSE, 724-190-208 74,000.00 EXEMPT

ALVAREZ
WAG-E, ENID BERNICE 424-701-640 84,000.00 EXEMPT
MARI, DATAYAN

I declare under the penalties of perjury, that this declaration has been made in good faith, and to the best of my knowledge
and belief to be true and correct.

________________________________________________
Signature over Printed Name of Individual Income Payor/
Authorized Officer of Non-Individual Income Payor

SUBSCRIBED AND SWORN to before me this __day of ______, 20__in ___________,Applicant exhibited to me
his/her ______________________ issued at _________________ on _______________.

NOTARY PUBLIC

Doc. No.: __________

Page No.: __________
Book No.: __________
Series of ___________

Affix ₱30.00

Documentary
Stamp Tax