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Reference No:111900031377083
Date Filed:July 22, 2019 10:02 AM
Batch Number:0

PSOC: PSIC:

Republika ng Pilipinas BIR Form No.

Kagawaran ng Pananalapi Quarterly Percentage
Kawanihan ng Rentas Internas
Tax Return 2551
February 2002 (ENCS)

Calendar Fiscal No. of Sheets

1 For the 3 Quarter 4 Amended Return 5 Attached
Year Ended
2 (MM/YYYY) 12 - December Yes No
1st 2nd 3rd 4th

Part I BACKGROUND INFORMATION

Line of Business/
6 TIN 158 134 957 000 7 RDO Code 059 8 Occupation SERVICE ACTIVITIES RELATED TO PRINTING

9 Taxpayer's Name (For Individual) Last Name, First Name, Middle Name/ (For Non-individual) Registered Name 10 Telephone Number
PERCE, TITO DELOS SANTOS 5625-209
11 Registered Address 12 Zip Code
null null LIPA CITY BATANGAS 4217
Are there payees availing of tax relief under
13 Special Law or International Tax Treaty? Yes No If yes, please specify

Part II COMPUTATION OF TAX

Taxable Transaction / Industry
ATC Taxable Amount Tax Rate Tax Due
Classification
14A 14B 14C 1,344,394.29 14D 3.00 14E 40,331.83

15A 15B 15C 0.00 15D 0.00 15E 0.00

16A 16B 16C 0.00 16D 0.00 16E 0.00

17A 17B 17C 0.00 17D 0.00 17E 0.00

18A 18B 18C 0.00 18D 0.00 18E 0.00

19 Total Tax Due 19 40,331.83
20 Less: Tax Credits/Payments
20A Creditable Percentage Tax Withheld Per BIR Form No. 2307 20A 15,869.38
20B Tax Paid in Return Previously Filed, if this is an amended return 20B 0.00
20C Total Tax Credit/Payments (Sum of Items 20A & 20B) 20C 15,869.38
21 Tax Payable (Overpayment) (Item 19 less Item 20C) 21 24,462.45
Add: Penalties Surcharge Interest Compromise
22
22A 0.00 22B 0.00 22C 0.00 22D 0.00
23 Total Amount Payable / (Overpayment) (Sum of Items 21 and 22D) 23 24,462.45
If Overpayment, mark one box only

To be Refunded To be issued a Tax Credit Certificate

Attachments

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