Professional Documents
Culture Documents
DLN:
PSIC:
BIR Form No.
Monthly Percentage
Tax Return
Republika ng Pilipinas
Kagawaran ng Pananalapi
2551M
April 2002 (ENCS)
For the
Calendar
Year ended
(MM/YYYY)
Fiscal
12 2014
Part I
10 2014
(MM/YYYY)
Background
Amended Return
Yes
Information
TIN
7 RDO Code
Occupation
Taxpayer's Name (For Individual)Last Name, First Name, Middle Name/(For Non-individual) Registered Name
8 Line of Business/
11 Registered Address
No
Telephone Number
12
Zip Code
If yes, specify
Computation of Tax
Taxable Transaction/
Industry Classification
ATC
Taxable Amount
Tax Rate
Tax Due
14A
14B
14C
14D
14E
15A
15B
15C
15D
15E
16A
16B
16C
16D
16E
17A
17B
17C
17D
17E
18A
18B
18C
18D
18E
21
10
19
20A
Creditable Percentage Tax Withheld Per BIR Form No. 2307 (See Schedule 1)
20A
20B
20B
21
22
Interest
Compromise
23C
23D
24
To be Refunded
I declare, under the penalties of perjury, that this return has been made in good faith, verified by me, and to the best of my knowledge, and belief,
is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
25
26
Signature over Printed Name of Taxpayer/
Title/Position of Signatory
Taxpayer Authorized Representative
TIN of Tax Agent (if applicable)
Part III
Details of Payment
Drawee Bank/
Particulars
Stamp of
Date
Agency
Number
MM
DD
27 Cash/Bank
Debit Memo
Receiving Office
YYYY
Amount
27
28 Check 28A
28B
28C
28D
29 Tax Debit
29A
29B
29C
30B
30C
30D
Memo
30 Others 30A
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
jbd
and Date of
Receipt
Period Covered
Income Payments
Tax Withheld
Applied
040
041
060
070
PT 101
PT 102
PT 103
PT 111
PT 112
PT 120
PT 130
PT 131
PT 132
PT 210
Tax Rate
taxpayer
shall bear the following information:
A.
For CPAs and others (individual practitioners and members
ofGPPs);
a.1 Taxpayer Identification Number (TIN); and
a.2 Certificate of Accreditation Number, Date of Issuance,
and Date of Expiry .
B.
For members of the Philippine Bar (individual
p ractitioners. members ofGPPs):
b .1 Taxpayer Identification Number (TIN); and
b.2 Attorney's Roll Number or Accreditation Number, if
any.
Nos. 1, 2 and 3 of this form refer to transaction period and not the