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Bir 2Q 2020

This document is a payment slip for taxes owed to the Bureau of the Treasury-BIR. It contains information such as the payment slip number, date, account name, tax identification number, tax type, and amount due. The document instructs to write heavily as three copies are being made. It also contains a reminder that cash payments made through LANDBANK machines must have the cash tallies match the amount on the payment slip and that the bank is not responsible for discrepancies between encoded amounts and actual enclosed amounts.
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
0% found this document useful (0 votes)
3K views4 pages

Bir 2Q 2020

This document is a payment slip for taxes owed to the Bureau of the Treasury-BIR. It contains information such as the payment slip number, date, account name, tax identification number, tax type, and amount due. The document instructs to write heavily as three copies are being made. It also contains a reminder that cash payments made through LANDBANK machines must have the cash tallies match the amount on the payment slip and that the bank is not responsible for discrepancies between encoded amounts and actual enclosed amounts.
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
Download as pdf or txt
Download as pdf or txt
You are on page 1/ 4

PLEASE WRITE HEAVILY YOU ARE MAKING THREE COPIES

Payment Slip Number


&LANDBANK t 16 2 5 7 3 7
Date
____JQ ?,,dJ,,o I
Pl~eck a p p r o p r ~
Cash CJ Check D Bank Debit System
Account Name Branch Client Code Drawee Bank/Cash
BUREAU OF THE TREASURY- BIR
161010 Id AJs I\\ I
TAX IDENTIFICATION Tax Type Form Type
I0-1(p \ , Iql'e:-1
..--:--,----,----,---,
I\Jtd
Revenue District Office Accounting Type (F/C} Teller's Validation
]
"'
lell91!;1
Quarter No.(0,l , 2, 3, or 4)
w
Tax Period/Fiscal Year End-(mmddyy)
TA(CAMTLLC JANNA~
-c..
...J
V')

j NameofTax a er/Re resentative


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l .l..-\"'\
I Olsl~I\ Irl 0 1 : ~p os 2020 10:47 Trxn. Seq. I: 4700v
TR ONCOU..
1rn g . Ac ct . No .
CASII Pa~ment
9942 .-..402 09
a. IL--- Contact Num er TNO CC ORli\l /C ASI I 94 2364534000CASI I
G65CWEG6 19E
1- ·; QC\\ ~\J.-{s, ()3v . XXXX~X XX)(X XX
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g mounr.
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a.:
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:;; I AMOUNT IName of Bank/Branch
-a:ca
NO. OF PIECES DENOMINATION
c::, PESOS I CENTAVOS
8Q)
£
I I P 1,000.00 I I ICheck Number
500.00
0 I I 200.00 I I !Amount
100.00
50.00
Reminder For Tax Payment thru LANDBANK Express Access Machine (LEAM)
20.00 enclosed cash tallieswith tne amount indicated in your payment slip. 1ne
COINS
countable for any discrepancy between the amount encoded in the machine
lly enclosed In the payment envelope.
TOTAL CASH PAYMENT
1•1*1ii#:t•J~f4C••JI
ACCOUNT NUMBER AMOUNT
BANK DEBIT ADVICE NUMBER
Signature Verified hy: Approved by: Posted by:
DEPOSITOR'S SIGNATURE
Revised May 2016
Taxpayer's Copy
-- -· ~ - - ..... ..., .,-~!·n· .. ,.,.,, . ,.,.,, .. .~T.'·~· -r..:1. .:.-:f::.,i. r•r. w, ..., .. 'l ., ... r .... - .... , T" 7'' - • · - ; , • ,-r•-,---, ~ •--,· . ..,.... ,,.. ... ,....
·.,. ' '""""'.,,,- T'Hfo~atinn ',enrf TINI ·,. I
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Alpubllc of the PhllpplMa
Dapartmll1tof,,.,__
. . _ , of lnlamlll " ' - -

111•11
BIR Form No. Monthly Remittance Form
0619-E of Creditable Income Taxes WHhheld (Expanded)
January 2018
Page1
E,_., ,wq,,nd lnlomlellon In CAPfTAL LETTERS ullng BLACK /nl<. Alarlr .. .,,,_,.,.bans_,,,,.,, "X". 0619-E 01118 Pt
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UNIT 2D,
CITY

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NOTE: •P1eaae 1118d the BIR Data Privacy Policy found in the BIR website (-.bir.gov.ph)
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PLEASE WRITE HEAVILY YOU AREMAKJNGTHREE COPIES
QLANDBANK Date,(I \ \ C,
PaY,ment Slip Number
1 6496 ·9 48
,_
i-1111 'ld if I £1111 oIt \ I
Please_(heck appropriate box BTR-BIR ACCOUNT NUMBER
IZJ Cash Check D Ba nk Debit System q
r---=-,1l-=--,
9 ----,-
J.\I
Accou nt Name
Branch Client Code Drawee Bank/Cash
Ill
BUREAU OFTHE TREASU RY - BIR
10 101q IClk k Dt I
TAX IDENTIFICATION NUMBER Tax Type Form Type
I\J fil l d&l \ l~ lt.- 1
Revenue District Office Accounting Type (F/C) Teller's Validation
IOIGl~I
Quarter No.(O, 1, 2, 3, or 4) Tax Period/Fiscal Year End-(mmddyy)
a.. 1:-:---~ ------=~==-- -_j_-.!:1:::::::::o=:10- =====l'.}==l=o=-l- ~
===:: :1,==3=1D o.:~~ 11 -·7020 10 : 57
1
d~6o6
l[ Name ofTaxpayer/~epresentative _
, \A
'
J~ . ONC~ I·::'-~ .
. .,1t 1,g _ Au..L
. TNRC CDFH~,/CASH
X'X XXXXXXXXXX
t-~(Lo/
.I .
Tr ~(,
. CASH
994 L ,_40,., 09
942364 .534000CA SH
~~~me.q!
065CWE061 9E
t---7"----+-,,."11-:,,o-..::;_--___.' - -___ 6
.__,_...._,=...;,c.:::~-.><e.- _;3::;...l---.,:._-1""4ll 0 U l'lt 21 0 • 0 0
a
Q
C:
a
i [I
•)! '
AMOUNT Name of Bank/Branch
NO. OF PIECES DENOMINATION
PESOS I
CENTAVOS
I P 1,000.00 I I jCheck Number
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~
• Bul'NU of lnlemlll Re¥9fMM

BIRFonnNo.

0619-E
January 2018
Page 1
_1 For the MOrnn of ·
Monthly Remittance Form
of Creditable Income Taxes Withheld (Expanded)
&w .. _ _ ,,,,.,,,,,.,,, In CAPITAL LETTERS uu,g BLACK 1M. Af8flr
T\oo t:;CJD/a MUST be IIIIJd""" the BIR and OM ,_,by 11w T~....,ver.
. ,, ~, 2 Due Date -
•-----_,,an
., . L 3 An:tended fonn? .'".' I4'AnyTaxes Wllhlleld? J 5'"11,; ~"
'?C".
lll~IIIJJ I 6 Tail:TYDe,Coae
~( I O 4 I 2 0 2 0 I: J O5 1 0 2 0 2 0 r;;. o .s~. &¥~:r n.~ ,.·hd!}~es: O i~ '-7-1 WME10 j'~.:!?,jWE L-"
• -, :· ". ,.. .. ,,..,, , ,,~, ;.... Part ,....: Blckarc>und lnfo,maflon_.....; ,; • '.~:i ·: ~· : .. v • · :-- ·,t.-;~-,, 1::..;.:~:~-~ .. ·_..; ... •.~.;,,#1~.r;
! TaxJ)!yer~Htca_tiorl Ntiniier' ('nN) ;~~• /~- - !'J 9 4
2 3 8 4 5 3 4 ooo f-3 fel
o 65 I•,-RP:9;.~ .-·~·;1 I..,
9 W~ninn Aminfs Name rust l!(ame Find Nart,e' Mtt/19 ~ -ki lrdwidJia/ OB Rt.i.derettNamt1tiir Nan-~ /, ' r ' .:. ~.''~.'I:_-.:.',.,::· '::. ~, f •· ·,-·.,
IMPERIAL, LEO ARCHIVAL, IBASCO
10 K8Qistered Address ---.....-....._;,bn:f\nbllfltlradl __ ,,.,_atiWlr....,,.,.,.,,_,:.,,;,,,,,,..,.,,.,m.,
llv.M!Rml11&11llll!J1 .......
UNIT 2D, PRIFEL BUILDING, J . MIRANDA AVENUE, CONCEPCION PEQUENA, NAGA
CITY j_j~ _?!~~~~~-i 4 4 0 0

Part 11 _..; Tax Remittance


-34 ~-of .Rel'nlllanoe ,.: 210 i:' 00
0 i 00
210 : I 00
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...... j" ._,,,_ : -
-
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•" • Particulars, '• .01Nee.8ank/Ju]anoi" ,~' .,,;.~ Numoer ;;,:,;;. ·: ":c,:. Date',;,;.,. ' ' .,, .:.~-- .. T:·: ::· ,: ·-: Amounr ..
'1t -~D!lbi1Memo I I I I I I I I I I I I I I l I
I I I I

I I I I I i I I I I I I i
~!-:~ ~-~::J{11{:~l·:·1£~;;;~~:;\:' 1
I I I I I I I I I I I
22 0lhers ,_,.,,below) . _, , .... ,.,_,,. >\';,.-•.•-,--,,,-- ·i&"-•r"t-!>a.-.,~~•:~-· ....r.'':~~~~·~.-r-l _·. ~.;.· ;: • -,·.•:

I I I I l I I I I I I I I I I I I I I I I I I I I ,1, ,· _t.C:. -t,,· ,' --· 1 · :·a 1


Machine Validalion/Re,,e Official ReceipC Details (if not fll«I with 1111 Aulhorlad AQen1 Bani!,}

NOTE: •Please n,ad the BIR Data Privacy Policy found In the BIR website (www.blr.gov.ph)

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