BIR Form No. 0605

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BIR Form No.


Republika ng Pilipinas
Kagawaran ng
0605
Pananalapi
Payment Form September
Kawanihan ng Rentas 2003(ENCS)
Internas
1 For the Calendar Fiscal 3 Quarter 4 Due Date (MM/DD/YYYY) 5 No. of Sheets Attached 6 ATC

2 Year Ended (MM/YYYY) 1st 2nd 3rd 4th 0


04 - April

7 Return Period (MM / DD / YYYY) 8 Tax Type Code

Part I Background Information

9 Taxpayer Identification No. 10 RDO Code 11 Taxpayer Classification 12 Line of Business/Occupation

I N

13 Taxpayer's Name (Last Name, First Name, Middle Name for Individuals) /(Registered Name for Non-Individuals) 14 Telephone N

15 Registered Address 16 Zip Code

17 Manner of Payment 18 Type of Payment

Voluntary Payment Per Audit/Delinquent Account Installmen


N
Self-Assessment Preliminary/Final Assess/Deficiency Tax
Penalties Accounts Receivable/Delinquent Account Installmen
Tax Deposit/Advance Payment Partial Pa
Income Tax Second Installment(Individual) Full Paym
Others(Specify)

Part II Computation of Tax

19
19 Basic Tax/Deposit/Advance Payment

20 Add: Penalties
Surcharge Interest Compromise

20A 20B 20C 20D


0.00 0.00 0.00

21
21 Total Amount Payable(Sum of Items 19 & 20D)

Payment of Deficiency Tax


For Voluntary Payment From Audit/Investigation
Delinquent Accounts
I declare, Under the penalties of perjury, that this
document has been made in good faith, verified by
me, and to the best of my knowledge and belief, is Pre-approved by Investigating Office
true and correct, pursuant to the provisions of the Not approved by Investigating Office
National Internal Revenue Code, as amended, and
the regulations issued under authority thereof.

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