500 Worth of Gasoline - March PDF

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BIR Form No.

Republika ng Pilipinas
Certificate of Creditable
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Tax Withheld At Source
2307
September 2005 (ENCS)

1 For the Period


01 01 19 03 31 19
From (MM/DD/YY) To (MM/DD/YY)
Part I Payee Information
2 Taxpayer
Identification Number 4 20 258 582 000
3 Payee's Name BF RETAIL AND DISTRIBUTION CORPORATION
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
4 Registered Address 4AZip Code
Km. 6 Mc Arthur Highway Brgy. Toril, Davao City
5 Foreign Address 5AZip Code

Payor Information
6 Taxpayer
Identification Number 411 729 447 0 0 0
7 Payor's Name HORECA PLUS DISTRIBUTION CORPORATION
(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)
8 Registered Address 8AZip Code
Room 403 Oftana Bldg., Cor. Jasmin and M. Cui Sts., Capitol Site, Cebu City 60 0 0
PART II Details of Monthly Income Payments and Tax Withheld for the Quarter
Income Payments Subject to AMOUNT OF INCOME PAYMENTS
ATC
Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld
the Quarter the Quarter the Quarter For the Quarter
Payments made by top 10,000 private WC158 446.43 446.43 4.46
corporations to their local/resident
suppliers of goods

Total WC158 0.00 0.00 446.43 446.43 4.46


Money Payments Subject to Withholding
of Business Tax (Government & Private)

Total
We declare, under the penalties of perjury, that this certificate 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.
Orleyne C. Tabucanon 215-009-579-000 Sales and Marketing Manager/Member of the Board
Payor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry
Conforme:

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed
(Signature Over Printed Name)

Tax Agent Accreditation No./Attorney's Roll No. (if applicable) Date of Issuance Date of Expiry

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