Bir 2Q 2020
Bir 2Q 2020
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BIR Form No. Monthly Remittance Form
0619-E of Creditable Income Taxes WHhheld (Expanded)
January 2018
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QLANDBANK Date,(I \ \ C,
PaY,ment Slip Number
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Accou nt Name
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TAX IDENTIFICATION NUMBER Tax Type Form Type
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Quarter No.(O, 1, 2, 3, or 4) Tax Period/Fiscal Year End-(mmddyy)
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500.00
0 200.00 Amou nt
.... 100.00
50.00
20.00
sea casn tallies witn tne amount lnC11cateC1 1n your payment slip. I ne
COINS able for any discrepancy between the amount encoded in the machine
closed in the payment envelope.
TOTAL CASH PAYMENT 1-J
BANK DEBIT ADVICE NUMBER ACCOU NT NUMBER AMOUNT
Signature Verifi ed by: Approved by: Posted by:
DEPOSITOR'S SIGNATURE
Taxpayer's Copy
Revised May 2016
htu Aaent'kt'raditation Nn.1 l I
Rapubbc of the PhUlppl,_.
Dapartmentof~
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BIRFonnNo.
0619-E
January 2018
Page 1
_1 For the MOrnn of ·
Monthly Remittance Form
of Creditable Income Taxes Withheld (Expanded)
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IMPERIAL, LEO ARCHIVAL, IBASCO
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NOTE: •Please n,ad the BIR Data Privacy Policy found In the BIR website (www.blr.gov.ph)