ForlllR BCSI
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AlR FnnnNn
2306
Jnnu.,., 20 18 <ENCSl
Im, in ..o
• Republic of 11\t Phlllpp!M9
Depe111Mnt of Finance
. _ ol lnlemll R-nut
Certificate of Final Tax
Withheld at Source llll 1~~11111111
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ICR IF~ Allen M NO. Pjl'lff QrAyl
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I AIM HIG H INC
I Address IA zjPCodt
I ABCDE BUiLDING APOLINARIO ST. PARAfilAOUE , __ ., 11 I ' I I
N-,.oflncome~ ATC Amaunt of Pl!Yffll"C :r.- YMilllld
'-'tchlnd IMIJ!Mnl by domtello co,pontlon to clllnna and rnlcltnt ■lltn Wl202 200.000 20.000
jM de nd paymenl by domt ■llc corponelon lo cNlaen1 and N114Mnl all• Wl203 200.000 20.000
'1t!IIIO co,po,allon to NRl'CI whoM countr1n .._d lalC dttmtct paid Wl22◄ 200.000 ◄0.000
l'toptfty dlvlcltnd payment by domttllc ~ o n to NIIA!T8 Wl22E 200.000 ◄0.000
r.... aoo.ooo 120.000
we.._ under Ille ptnlllllel ot ~ lhal WI cef1lflolle .,_ 11Mn,, ... In ODOd flllll, WIMld by 111. lli!CI IO Ille llltl of ow ltlio 11 ••• rnd bllllf, • ~ . . , _ . . .
pu~ IOIN ~ o f - - Nlllonll lnlllNI IIMIM COde, .. - . - , . w 11ef9IIIIIIOIII ....,_..,.lllflo_itly .....""""'·•11Veour0011Mni lO . .. . . . .of
OI.I, •11onn111on • ootlllfflP'llld undlrill -0. Pltwlcly Ao1 of.2011 (ft.A. No. 10173) b legllimMI 111d ! N M ~
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w1111 AR 14-21103. I hiwe-lled of fw Opllollll R!,gllbalo.. undlr fw·:9% fi1nlll Pllce.11a9! Tu Wllhl1CM"'12% F1n11
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VAT WINI01dll11 In 111u of lht 3% .... oa ..... Tu/12% VAT In ordlrlO lie . . . . .llli fw priYl!agN,_ . . ~.,. 8ubl1IMld ........... T a ~ VAT Ailll,n
Syst,1m p,11ecrlbldlnlllura. .11c1Resµr1r • : 11'1111.ttaDednion ll Ukllnl~ot-- .......11...-IOWlhllckt :1% Flnll ........... TIX/12% Flna! VATfn1nu•
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'NOTE: The BIR 0 818 Pnvacy II In the BIR wet,am, (www.b1r,gov.ph)
.For BIR
UN Only Item:
2306
BCS/
RIR FormNn
Janu""' 2018 /ENCS}
e:a ~i " ~ • --·----- a.•.-~ ~a -
• Republic of the Philippines
Department of Finance
Bureau of Internal Revenue
Certificate of Final Tax
Withheld at Source
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S Pw'1NamalJ.-Milllla fill:.No.• ui.••Nw.•tr...... QBR.al.twadNatNg~
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4A ZIPCode
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M ZIPCode
I 123 RIZAL AVENUE BRGY. 01 MALABON CITY 11 I I I I
Nllllnallncane~
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ATC
---~ Amountal~
•-If
TaxWll'lleld
o citizens, residents aliens and NRAETB (other than Wl380 and WB41), WC250 52,000 10,400
o citizens, residents aliens and NRAETB (other than Wl380 and WB41), WCl250 52,000 10,400
Royalties paid to NRAETB on cinemalagr.lphi films and similar wortts Wl341 52,000 13,000
zens, resident aliens and NRAETB on boob, other liler.lry works and ~ Wl380 52.000 5.200
Talll 280.000 39.000
Wedldlrw ....... ~alpeiJlllytlltllis~ ... lllalmedelnggod fallh, ~ byua, andlD . . bellalourllll. . . . . . Md ballll, latrueand 00r1wc:t.
pursuanl IO 019 provlililol•~--
Naionlil lnllrnal __._Code, •emiended, and the regulalonl lauecl und9r ~ t t . e a f. Fur1w',•gN,e OIWOONa11 IO fie p _..,gof
our,informlltion • 0111•••--•
ili'lliw h "Dala Prhacy Aclal2012 (RA No. 10173) for leglllnn and INlulpullMW.
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Signalure-Prinllld Name oteavo,/Payo(s.~ Rep-ltatiwefT• Aaenl-
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Tax,,.,.Attaecllallli1 NoJ
.Allu,11Uy',J A.;I No. (ii tr - -1 I - ·· Dateoflsa.
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_ . . . . , . _ Prin.d Name dPayN/PayN'aAuhlrlZild Rep.www......rra,..
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I dedare. lnlertw .,..._alpaijury. ltllll lheilbmllllan,_.. lbdlld . . l'9pllMd Undar BIR Form Na. 1900 .tlich I-. bNrl__, ... ltw Bur-. al l,!1lllmal ~ -
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one payortom WIIIIII I ean aurlncame: hit In acco1dlli1cn• RR 14-2003, I hayeavafltd ofibe 0pllcN:ial Regl*lllkli• ..,.. . . 311. FlnM ,._011ag. Tax W!Hdclng/1~ F1nal
VAT Wllhholdlne In.., dtw 3'I, . . .OIi. . Taxf1,'rl' VAT., order IO be a1tllled 1D . . ~ accardad by . . &alluad ... OIi. . T a x ~ VAT Ralurn
System prw:llbed In,_ ........ AeglMana; 11111, tis Dedarlliol1 la aufflclentelllla!tty of the wWaaldlng agarlllO~ 3'llo FNI .,_age TIIIC/12" FlnalVATftom myr
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Tax·Agent.Accrdallal. NoJ Dlleoflallle
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"NOTE: The BIR Dala Privacy is i11he BR website (www.tw.gov.ph)
