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    0619-E Jan 2018 Rev Final-1-1-1

    Uploaded by

    cahiligjoyce
    This document is a monthly remittance form for creditable income taxes withheld that is being filed with the Bureau of Internal Revenue (BIR) of the Philippines. It provides background information about the taxpayer such as their tax identification number and contact details. It also includes details of the tax remittance such as the net amount being remitted, any penalties, and the total amount. The form must be signed by the taxpayer or authorized representative and includes a declaration that the information provided is true and correct.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    0619-E Jan 2018 Rev Final-1-1-1

    Uploaded by

    cahiligjoyce
    10 views2 pages
    This document is a monthly remittance form for creditable income taxes withheld that is being filed with the Bureau of Internal Revenue (BIR) of the Philippines. It provides background information about the taxpayer such as their tax identification number and contact details. It also includes details of the tax remittance such as the net amount being remitted, any penalties, and the total amount. The form must be signed by the taxpayer or authorized representative and includes a declaration that the information provided is true and correct.

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    0619-E Jan 2018 rev final-1-1-1

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    © © All Rights Reserved

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    This document is a monthly remittance form for creditable income taxes withheld that is being filed with the Bureau of Internal Revenue (BIR) of the Philippines. It provides background information about the taxpayer such as their tax identification number and contact details. It also includes details of the tax remittance such as the net amount being remitted, any penalties, and the total amount. The form must be signed by the taxpayer or authorized representative and includes a declaration that the information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    10 views2 pages

    0619-E Jan 2018 Rev Final-1-1-1

    Uploaded by

    cahiligjoyce
    This document is a monthly remittance form for creditable income taxes withheld that is being filed with the Bureau of Internal Revenue (BIR) of the Philippines. It provides background information about the taxpayer such as their tax identification number and contact details. It also includes details of the tax remittance such as the net amount being remitted, any penalties, and the total amount. The form must be signed by the taxpayer or authorized representative and includes a declaration that the information provided is true and correct.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    BCS/

    For BIR 21 Tax Debit Memo


    Item: Use Only
    ●

    22 Others (specify below)

    ●
    Machine Validation/Revenue Official Receipt Details (if not filed with an Authorized Agent Bank) Stamp of Receiving Office/AAB and Date of Receipt
    (RO’s Sign ature/Bank Teller’s Initial)
    Republic of the Philippines Department of BIR Form No.
    Finance Bureau of Internal Revenue Monthly Remittance Form *NOTE: Please read the BIR Data Privacy Policy found in the BIR website (www.bir.gov.ph)

    0619-E of Creditable Income Taxes Withheld (Expanded)


    January 2018 Enter all required information in CAPITAL LETTERS using BLACK ink. Mark all applicable boxes with an “X”.
    Two copies MUST be filed with the BIR and one held by the Taxpayer.
    Page 1

    1 For the Month of (MM/YYYY) 2 Due Date (MM/DD/YYYY) 3 Amended Form? 4 Any Taxes Withheld? 5 ATC 6 Tax Type Code
    Yes No Yes No WME10 WE
    0619-E 01/18 P1
    Part I – Background Information
    7 Taxpayer Identification Number (TIN) - - - 8 RDO Code

    9 Withholding Agent’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

    10 Registered Address (Indicate complete address. If branch, indicate the branch address. If the registered address is different from the current address, go t o the RDO to update registered address by

    10A ZIP Code


    11 Contact Number 12 Category of Withholding Agent Private Government
    13 Email Address

    Part II – Tax Remittance


    14 Amount of Remittance

    15 Less: Amount Remitted from Previously Filed Form, if this is an amended form
    ●
    16 Net Amount of Remittance (Item 14 Less Item 15)
    ●
    17 Add: Penalties
    17A Surcharge ●

    17B Interest
    ●
    17C Compromise
    ●
    17D Total Penalties (Sum of Items 17A to 17C)
    ●
    18 Total Amount of Remittance (Sum of Items 16 and 17D)
    ●
    I/We declare under the penalties of perjury that this remittance form has been made in good faith, verified by me/us, and to the best of my/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, I/we give my/our consent to the processing of my/our information as contemplated under the
    *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If Authorized Representative, attach authorization letter)
    ●
    For Individual: For Non-Individual:

    Signature over Printed Name of Taxpayer/Authorized Representative/ Tax Agent


    Signature over Printed Name of President /Vice President/ Authorized Officer or Representative /Tax Agent
    (Indicate Title/Designation and TIN) (Indicate Title/Desig ation and TIN)
    Date of Expiry
    Tax Agent Accreditation No./ Date of Issue
    (MM/D /YYYY)
    Attorney’s Roll No. (if applicable) Part III(MM/DD/YYYY)
    – Details of Payment D
    Amount

    Particulars Drawee Bank/Agency Number Date (MM/DD/YYYY)


    19 Cash/Bank Debit Memo

    20 Check
    ●

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