Professional Documents
Culture Documents
DLN:
PSIC:
BIR Form No.
Monthly Percentage
Tax Return
Republika ng Pilipinas
Kagawaran ng Pananalapi
2551M
September 2005 (ENCS)
For the
Year ended
(MM/YYYY)
Calendar
12
Fiscal
2014
08
(MM/YYYY)
Part I
Background
Amended Return
2014
Yes
Information
TIN
Occupation
Taxpayer's Name (For Individual)Last Name, First Name, Middle Name/(For Non-individual) Registered Name
310
142
392
7 RDO Code
000
8 Line of Business/
088
GEN. MDSE.
10
Telephone Number
13
12
Zip Code
Yes
Part II
If yes, specify
Computation of Tax
Taxable Transaction/
Industry Classification
14A
No
6500
AT C
Taxable Amount
Tax Rate
6,090.00
14D
3%
Tax Due
14B
14C
15A
15B
15C
15D
15E
16A
16B
16C
16D
16E
17A
17B
17C
17D
17E
18A
18B
18C
18D
18E
21
182.70
14E
182.70
19
20A
Creditable Percentage Tax Withheld Per BIR Form No. 2307 (See Schedule 1)
20A
20B
20B
21
Interest
Compromise
23C
23D
182.70
22
182.70
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
ALLAN ROSS B. GABRIEL
26
President/Vice President/Principal Officer/Accredited Tax Agent/
Authorized Representative/Taxpayer
(Signature Over Printed Name)
PROPRIETOR
310-142-392
Title/Position of Signatory
TIN of Signatory
Tax Agent Acc. No./Atty's Roll No.(if applicable)
Part III
Date of Issuance
Title/Position of Signatory
Date of Expiry
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Treasurer/Assistant Treasurer
(Signature Over Printed Name)
Date
Number
MM
DD
Stamp of
27B
27C
27D
Receiving Office/AAB
and Date of Receipt
(RO's Signature/
28 Check 28A
28B
28C
28D
29 Tax Debit
Memo
29A
29B
29C
30 Others 30A
30B
30C
30D
27 Cash/Bank 27A
Agency
YYYY
Amount
Debit Memo
Machine Validation/Revenue Official Receipt Details (If not filed with an Authorized Agent Bank)
Schedule 1
Period Covered
Income Payments
Tax Withheld
Applied
3%
3%
3%
2%
PT 103 3)
PT 104 4)
Tax Rate
7%
7%
3%
5%
1%
0%
1)
5%
1%
5%
5%
10%
5%