Certificate of Creditable Tax Withheld at Source: (MM/DD/YYYY) (MM/DD/YYYY)
Certificate of Creditable Tax Withheld at Source: (MM/DD/YYYY) (MM/DD/YYYY)
Department of Finance
BIR Form No. Bureau of Internal Revenue
3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
Total 1,426.96
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
For BIR BCS/
Use Only Item:
Total 1,426.96
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of our information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
VISDA TRADING
8 Registered Address 8A ZIP Code
Total 117.41
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of
our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
VISDA TRADING
8 Registered Address 8A ZIP Code
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
VISDA TRADING
8 Registered Address 8A ZIP Code
NOEMI VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
.
Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
NLEXGASOLINE
DGV CORPORATION
STATION
###Registered Address 4A ZIP Code
NLEX
SAN NICOLAS,
CompoundMINALIN,
Balintawak
PAMPANGA
Brgy. 160,Caloocan City
###Foreign Address, if applicable
Total 89,285.71
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief, is true892.86
and
correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, we give our
consent to the processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
NLEX TRIP
EASY CORPORATION
SERVICES CORP
###Registered Address 4A ZIP Code
NLEX Compound
SHAW BLVD, PASIG
Balintawak
CITY Brgy. 160,Caloocan City
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEX CORPORATION
AUTO SWEEP RFID
###Registered Address 4A ZIP Code
NLEX Compound
PARANAQUE CITY
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEXROYALE
MMB CORPORATION
INTERNATIONAL INC.
###Registered Address 4A ZIP Code
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEX
DM AUTO
CORPORATION
SUPPLY
###Registered Address 4A ZIP Code
NLEX
STA LUCIA,
Compound
CSFPBalintawak Brgy. 160,Caloocan City
NLEX
STA LUCIA,
Compound
CSFPBalintawak Brgy. 160,Caloocan City
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
### For the Period From 0039 0011 2021 (MM/DD/YYYY) To 0 93 3 01 2021 (MM/DD/YYYY)
NLEX CORPORATION
BENSON AUTO SUPPLY
###Registered Address 4A ZIP Code
NLEX
DEL PILAR,
Compound
CSFPBalintawak Brgy. 160,Caloocan City
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEXAUCTION
HMR CORPORATION
SERVICES INC
NLEXAUCTION
HMR CORPORATION
SERVICES INC
###Registered Address 4A ZIP Code
NLEX Compound
MABALACAT, PAMPANGA
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEX CORPORATION
EXTEER AUTO-Q PHIL. INC
NLEX CORPORATION
EXTEER AUTO-Q PHIL. INC
NLEX Compound
MABALACAT, PAMPANGA
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEX CORPORATION
UNISTRONG INDUSTRIAL CORP
NLEX
DEL PILAR,
Compound
CSFPBalintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEXHYDRAULIC
J.T.L CORPORATION
PARTS & GENERAL MERCHADISE
###Registered Address 4A ZIP Code
NLEX Compound
DOLORES, CSFP Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
### For the Period From 0039 0011 2021 (MM/DD/YYYY) To 0 93 3 01 2021 (MM/DD/YYYY)
NLEX CORPORATION
ETERNITY HARDWARE & ELECTRICAL SUPPLY
NLEX
Gen Hizon
Compound
Ave, CSFP
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NLEXGASOLINE
DGV CORPORATION
STATION
NLEX
SAN NICOLAS,
CompoundMINALIN,
Balintawak
PAMPANGA
Brgy. 160,Caloocan City 2 0 19
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
### For the Period From 03 01
09 01 2021 (MM/DD/YYYY) To 0 3 3 01
09 2021 (MM/DD/YYYY)
NLEXAUCTION
HMR CORPORATION
SERVICES,INC
###Registered Address 4A ZIP Code
NLEX Compound
MABALACAT, CSFP
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Expiry
Date of Issue
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
NLEXPAMPANGA
PSM CORPORATION
STEEL MDSE CORP.
NLEX Compound
MEXICO, PAMPANGA
Balintawak Brgy. 160,Caloocan City
###Foreign Address, if applicable
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the
processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
VISDA TRADING
8 Registered Address 8A ZIP Code
Total 651.89
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of our information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
NOEMI VISDA
MANAGER /TIN#232-029-697-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
2307
January 2018 (ENCS)
Certificate of Creditable Tax Withheld at Source
2307 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
NOEMI VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
(MM/DD/YYYY
Attorney’s Roll No. (if applicable) ) (MM/DD/YYYY)
CONFORME:
2307
Certificate of Creditable Tax
January 2018 (ENCS) Withheld at Source 2307 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
0 8 01 2021 08 31 202 1
1 For the Period From (MM/DD/YYYY) To (MM/DD/YYYY)
N3RName
3 Payee’s GEN.MDSE
(Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
4 Registered
SAN VICENTE
Address STO TOMAS PAMPANGA 4A ZIP Code
7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
VISDA TRADING
Total 92.70
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of our information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
NOEMI VISDA
MANAGER /TIN#232-029-697-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
2307
Certificate of Creditable Tax
January 2018 (ENCS) Withheld at Source 2307 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
0 9 01 2021 09 30 202 1
1 For the Period From (MM/DD/YYYY) To (MM/DD/YYYY)
7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
VISDA TRADING
Total 10.00
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of our information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
NOEMI VISDA
MANAGER /TIN#232-029-697-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Total 118.31
We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our 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. Further, we give our consent to the processing of our information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
NOEMI VISDA
MANAGER /TIN#232-029-697-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
PHILCHEMA, INC.
4 Registered Address 4A ZIP Code
VISDA FARM
8 Registered Address 8A ZIP Code
Total 233.04
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 2033.53
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Total 37.08
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 124.64
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
PHILCEMA, INC
4 Registered Address 4A ZIP Code
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 225.00
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 83.57
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 593.28
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
VISDA
VISDAFARM
TRADING
8 Registered Address 8A ZIP Code
Total 370.71
Money Payments Subject to
Withholding of Business Tax
(Government & Private)
We declare under the penalties of perjury that this certificate has been made in good 37,071.43
Total 37,071.43
faith, verified by us, and to the best of our knowledge 370.71
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. Further, we give our consent to
the processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
MANOLITO VISDA
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
Signature over Printed Name of Payee/Payee’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
*NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)