2/15/23, 11:59 AM || BIR Form No.

0605 ||

Guidelines and Instructions | Help

Reference No:292300052574601
Date Filed:February 14 2023 09:44 AM
Batch Number:0

  PSOC:   PSIC: 5239

BIR Form No.

Republika ng Pilipinas
Kagawaran ng Pananalapi 0605
Kawanihan ng Rentas Internas Payment Form September 2003(ENCS)

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 2023 1st 2nd 3rd 4th 0 MC200
(MM/YYYY)

7 Return Period (MM/DD/YYYY) 02 14 2023 8Tax Type Code MC

Part I Background Information
9 Taxpayer Identification No. 10 RDO Code 11 Taxpayer Classification 12 Line of Business/Occupation

185 820 001 000 080 I N OTHER RETAIL SALE IN SPECIALIZED S

13 Taxpayer's Name(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 14 Telephone Number
TAN, DENNIS SON SERVACIO

15 Registered Address 16 Zip Code

WAREHOUSE E4J KING WAREHOUSE COMPLEX HERNAN CORTES ST. SUBANGDAKU MANDAUE CITY CE 6014

17 Manner of Payment 18 Type of Payment

Voluntary Payment Per Audit/Delinquent Account

Self-Assessment Installment
Penalties No. of Installment
Preliminary/Final Assess/Deficiency Tax
Tax Deposit/Advance Payment
Accounts Receivable/Delinquent Partial Payment
Income Tax Second Installment(Individual)
Account
Full Payment
Others(Specify)

Part II Computation of Tax

19 Basic Tax/Deposit/Advance Payment 19 100.00

20 Add Penalties Surcharge Interest Compromise

  20A 0.00 20B 0.00 20C 0.00 20D 0.00

21 100.00
21 Total Amount Payable(Sum of Items 19 & 20D)
Payment of Deficiency Taxes
For Voluntary Payment From Audit/Investigation
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.

Print Payment Details Proceed to Payment

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