11/21/2019 || BIR Form No.

0605 ||

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Reference No:291900033242460
Date Filed:November 21 2019 10:19 AM
Batch Number:0

PSOC: PSIC: 9309

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 2019 0 FP090
(MM/YYYY) 1st 2nd 3rd 4th

7 Return Period (MM/DD/YYYY) 12 31 2015 8Tax Type Code MC

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

008 948 246 000 043 I N OTHER SERVICE ACTIVITIES, N.E.C

13 Taxpayer's Name(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 14 Telephone Number
SIFANG AUTOMATION PHILIPPINES CORPORATION 7500634

15 Registered Address 16 Zip Code

UNIT 2102C, 21/F WEST TOWER PHILIPPINE STOCK EXCHANGE CENTRE EXCHANGE ROAD ORTIGAS PASI 1605

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 Deposit/Advance Payment Tax
Partial Payment
Income Tax Second Installment(Individual) Accounts Receivable/Delinquent
Account Full Payment
Others(Specify)

2015 SLSP NON FILING 3RD & 4T

Part II Computation of Tax

19 Basic Tax/Deposit/Advance Payment 19 0.00

20 Add Penalties Surcharge Interest Compromise

20A 0.00 20B 0.00 20C 12,500.00 20D 12,500.00

21 12,500.00
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
Pre-approved by Investigating Office
and 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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