Republic ofthe Philippines arbi cer Department of Finance selon tem Bureau of intoral Revenue 2308 crateanotrea™= ARMOR i i January 2018 (ENCS) Withheld at Source : 2306 OVIBENCS [Fis at apo oT Sapa Does AS 1 Forte Period From [3.51017 1210.22] _Mmmmorrvry Te [ piston Lar pi23] mmoanyry Pant income Racipon Payee Wiomnaon 2 Taxpayer Weneaton Number (7) 000149192] 7192110101010) ‘Paves Name Lan Name, Ft Tara, Wide Name for Indiv OR Registered Name for Non Jogi PLOT se 4 Renitees Adireas E 4A Zi Coxe, Ramen Coipangeo Béla. Ba Makaty Aye Aaket’ Cire EW?) ‘5 Foreign Address, appt '5A_IGR No. (For Alen Payee Oniy) ‘6 Taxpayer Identification Number (TIN) 03942 7 2, Lie 7 Pars Name (an Ne, Frat Rare Wie ee for Indviuel OR Registered None or Norn [Bey JR San Dgi bi PAs zu T/ pcos Ayre 8 Regibefed Address A ZIP Code Bas San Lechria Fads, aa, Tp cot Al neeke a7) Tatas ofineome Payment ATC "Amount of Payment Taxwinnos Trtevit Sasi ce. wD 2d 22, im) - Tosi 2Sz Wie deciare under te penalties of perjury ta his certificate has been made in ood faith, verified by us and to the best of our knowedge and bel, fs ue and Jorect. pursuant to the provisions ofthe National Inemal Revenue Code, as amended, and the regulations issued under autho thereo. Further, we give our consent to ne processing of our information as contemplated under the “Data Privacy Act of 2012 (FLA. No. 10173) for egtimate and lal purposes. Date Signed GADD) apa eet Eleva B Ag nct~ os] 219).2, 0.23 Sarit over Pied Name of Payor Payers RanoTand Rapresanatne Tax Age (inccate Ttie/Designation and TIN) "Tax Agent Recreation NoT 7, Date of issue Dale TET T aitomey's Rol No (f aplicable muvoorea {1 | 1 Lu 1} moony! yy | ‘CONFORME: Date Signed (MAUEDYTTAD ‘Signature over Printed Name of Payee/Payea's Authorized RapresriatverTax Agent (inccate TieDesignatin and TIN "Tax Agent Acceaiaion No? Dato of sue Resa Bate TED Attoeney’s Roll No (f applicabie) tamoonrng {111 | 111} amoonrry Li |_| 1} te accomplished for Value-Added TaxPor “Tax Winholding eubatited T Gecars, under th panalies of peru, hel the information Perel sated are reporied under BIR Form No. 1600 which have Ben Tied win the Bureau of ar [Revenue SG et FTES PTPSTOTS RATES RS STTSTTSN FOR Indole tobesigaten ond TN) “ax Rap Reo OT Dao ofteve Da TET anomay Ral Wo. (4 appeal ee Taare onde fe pestes pau Hata qualied nie Sse ing of Perera Taivabe Rise Tax Retr (OR Fm ZSTOSAIMIG), as] hee ny on payor tom whore our income; ht, accordance wih R 142063, have vad of he Opal Reisaton unt he 2% Fal Percentage Tax hwo Fl VAT Watling nf ofthe 3% Pacriage ax12% VA nerf be ene eprivieges acceded by he Substied Percentage Tax Jreursuesies VAT Retun Sytem preserbes ine afresndéRepaons at bis Decaraton is utile aunarty of he wtholdng age wth 3% Fel [scscathecns aia Wael Sick Sas et Saks ebcozads aus cena