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

Identification Compensation Withheld and
Number Remitted
ARE, ELMER 203-155-964-0000 179,378.00 0.00
RETUERMA, MICHAEL 754-624-190-0000 141,651.00 0.00
ANGELES, RANDY 613-452-816-0000 139,175.00 0.00
BEJERANO, ADRIAN 244-834-256-0000 121,000.00 6,512.05
CALLEJA, NESTOR 611-872-112-0000 54,788.00 0.00
CASQUEJO, CASIANO 240-553-436-0000 238,395.00 0.00
CHAYHAN, MARIFRANZ 234-155-143-0000 123,125.00 0.00
CHAYHAN, JEFFREY 303-126-471-0000 150,833.00 0.00
DALMA JR, RODOLFO 396-177-858-0000 109,586.00 0.00
ECHEGOREN JR, CATALINO 481-927-150-0000 187,792.00 0.00
LABBAO, ARNEL 740-856-552-0000 152,573.00 0.00
MUSTAR, RAYMART 509-161-937-0000 61,988.00 0.00
OFFEMARIA, ROMEO 016-660-794-0000 120,100.00 0.00
PICARDO, EVANDER 757-837-315-0000 141,701.00 0.00
REDUTA, SAMMY 388-459-369-0000 106,427.00 0.00
REMPILLO, SAGANI 613-875-118-0000 136,013.00 0.00

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