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ReferenceNo:151700018381594
DateFiled:January21,201708:48PM
BatchNumber:0

PSOC: PSIC:
BIRFormNo.

2551M
RepublikangPilipinas
KagawaranngPananalapi
KawanihanngRentas
MonthlyPercentageTax

September2005
Internas Return (ENCS)

Fillinallappropriatespaces.Markallappropriateboxes.

1Forthe Calendar Fiscal

4AmendedReturn 5NumberofSheets
Attached
2YearEnded 3Forthemonth(MM/YYYY) Yes No
12December 2016 0
(MM/YYYY) 12December 2016

PartI BackgroundInformation

6TIN 182 386 836 000 7RDOCode 044 8LineofBusiness/Occupation RETAILOFBOOKS,OFFICE/SCHOOLSUPPL

9Taxpayer'sName(ForIndividual)LastName,FirstName,MiddleName(ForNonindividual)RegisteredName 10TelephoneNumber
NAVARROSA,SIXTOP

11RegisteredAddress 12ZipCode
PH2PINAGSAMATAGUIGCITY 1630

13AreyouavailingoftaxreliefunderSpecialLaw Ifyes,specify
ofInternationalTaxTreaty? Yes No

PartII ComputationofTax
TaxableTransaction/IndustryClassification ATC TaxableAmount TaxRate TaxDue
PERSONEXEMPTFROMVATUNDERSEC.109V PT010 251,440.00 3.00% 7,543.20

19 TotalTaxDue 19 7,543.20
20 Less:TaxCredits/Payments
20ACreditablePercentageTaxWitheldPerBIRFormNo.2307(SeeSchedule1) 20A 0.00
20BTaxPaidinReturnPreviouslyFiled,ifthisisanAmendedReturn 20B 0.00
21 TotalTaxCredits/Payments(SumofItems20A&20B) 21 0.00
22 TaxPayable(Overpayment)(Item19lessItem21) 22 7,543.20
AddPenalties
23 Surcharge Interest Compromise
23A 0.00 23B 0.00 23C 0.00 23D 0.00
24 TotalAmountPayable(Overpayment)(SumofItems22and23D) 7,543.20
Ifoverpayment,markoneboxonly.

TobeRefunded TobeissuedaTaxCreditCertificate

Schedule1 TaxWithheldClaimedasTaxCredit

Income
PeriodCovered NameofWithholdingAgent TaxWithheld Applied
Payments

 Add Delete

TotalAmount(toitem20A)............................................................................................................................................... 0.00

Attachments

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