BIR Form No. 2553
BIR Form No. 2553
BIR Form No. 2553
DLN:
PSIC:
Republika ng Pilipinas
Kagawaran ng Pananalapi
2553
July 1999 (ENCS)
For the
Calendar
Fiscal
3 Quarter
Year Ended
( MM / YYYY )
1st
2nd
Part I
6
9
3rd
4th
Background
TIN
Amended Return?
Yes
No
Informatio n
7 RDO Code
8 Line of Business/
Occupation
Taxpayer's Name (For Individual)Last Name, First Name, Middle Name/(For Non-individual) Registered Name
11 Registered Address
10
Telephone Number
12
Zip Code
Yes
No
Part II
Taxable Transaction/
Industry Classification
AT C
If yes, specify
Computation
Taxable Amount
Gross Revenue/Earnings
of Tax
Tax Rate
Tax Due
Philippine Amusement
OT 0 1 0
Gaming Corp. (Pa...14B
14A and
14C
14D
Clark Development
15A Corporations
15C
15D
16C
16D
17C
17D
17E
18C
18D
18E
15B
OT 0 1 1
Special/Regular
OT 0 1 1
16A Economic/ Free Port Zone 16B
Enterprises
Others
OT 0 1 2
17A
17B
18A
18B
5%
5%
5%
14E
15E
16E
19
20A
20B
20B
20C
20C
21
Interest
Compromise
22C
22D
23
To be issued a Tax Credit Certificate
I declare, under the penalties of perjury, that this return has been made in good faith, verified by me, and to the best of my 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.
24
25
Taxpayer/ Authorized Agent Signature over Printed Name
Part III
Particulars
26 Cash/Bank
Debit Memo
Title/Position of Signatory
Details of Payment
Drawee Bank/
Agency
Number
MM
Date
DD
YYYY
Amount
26
27 Check 27A
27B
27C
27D
28 Tax Debit
Memo
28A
28B
28C
29 Others 29A
29B
29C
29D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
BIR Form No. 2553 - Return of Percentage Tax Payable Under Special Laws
Stamp of
Receiving Office
and Date of
Receipt
a.
who are liable to pay percentage tax
b.
c.
1.
2.
3.
Where the return is filed with an AAB, the lower
portion of the return must be properly machine-validated
and stamped by the Authorized Agent Bank to serve as the
receipt of payment. The machine validation shall reflect the
date of payment, amount paid and transaction code, and the
stamped mark shall show the name of the bank, branch code,
teller's code and teller's initial. The AAB shall also issue an
official receipt or bank debit advice or credit document,
whichever is applicable, as additional proof of payment.
Penalties
There shall be imposed and collected as part of the
tax:
1. A surcharge of twenty five percent (25%) for each of
the following violations:
Attachments Required
1.
2.
3.