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Republic of the Philippines

For BIR BCS/ Department of Finance


Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Creditable Tax
2307
January 2018 (ENCS) Withheld at Source
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From 10 01 2019 (MM/DD/YYYY) To 12 31 2019


Part I – Payee Information

2 Taxpayer Identification Number (TIN) 000 - 540 - 544 - 000


3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
NUEVA ECIJA II ELECTRIC COOPERATIVE, INC.
4 Registered Address
CALIPAHAN, TALAVERA, NUEVA ECIJA
5 Foreign Address, if applicable

Part II – Payor Information

6 Taxpayer Identification Number (TIN) 450 - 641 - 034 - 000


7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
RSP AGRI INDUSTRIES INC
8 Registered Address
169 POBLACION SUR TALAVERA, NUEVA ECIJA
Part III – Details of Monthly Income Payments and Taxes Withheld
AMOUNT OF INCOME PAYMENTS
Income Payments Subject to Expanded
ATC 1st Month of the 2nd Month of the 3rd Month of the
Withholding Tax Total
Quarter Quarter Quarter
Income payment made by the top
withhoding agents to theirs local/resident
WC160 4,495.29 4,495.29
supplier of services other than those
covered by other retes of withholding tax

Total - - 4,495.29 4,495.29


Money Payments Subject to
Withholding of Business Tax
(Government & Private)
Total

We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of our knowledge and belief,
and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, w
our consent to the processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes

MARTY T. LUCAS
FINANCE & ACCOUNTING MANAGER / 291-685-196-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:
NUEVA ECIJA II ELECTRIC COOPERATIVE, INC.

Signature over Printed Name of Payee/Payee’s Authorized Representative/Tax Agent


(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
2307 01/18ENCS

(MM/DD/YYYY)

4A ZIP Code
3114

8A ZIP Code
3114

Tax Withheld for the


Quarter

89.91

89.91
est of our knowledge and belief, is true
der authority thereof. Further, we give
legitimate and lawful purposes.
Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Creditable Tax
2307
January 2018 (ENCS)
Withheld at Source 2307 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X".

1 For the Period From (MM/DD/YYYY) To (MM/DD/YYYY)

Part I – Payee Information

2 Taxpayer Identification Number (TIN) - - -


3 Payee’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
SIMON AGRIVENTURES CORPORATION
4 Registered Address 4A ZIP Code

5 Foreign Address, if applicable

Part II – Payor Information

6 Taxpayer Identification Number (TIN) - - -


7 Payor’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)

8 Registered Address 8A ZIP Code

Part III – Details of Monthly Income Payments and Taxes Withheld


AMOUNT OF INCOME PAYMENTS
Income Payments Subject to Expanded Tax Withheld for the
ATC 1st Month of the 2nd Month of the 3rd Month of the
Withholding Tax Total Quarter
Quarter Quarter Quarter

Total
Money Payments Subject to
Withholding of Business Tax
(Government & Private)

Total

We declare under the penalties of perjury that this certificate has been made in good faith, verified by us, and to the best of 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, we give
our consent to the processing of our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

MARTY T. LUCAS
FINANCE & ACCOUNTING MANAGER / 291-685-196-000
Signature over Printed Name of Payor/Payor’s Authorized Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
CONFORME:

SIMON AGRIVENTURES CORPORATION

Signature over Printed Name of Payee/Payee’s Authorized Representative/Tax Agent


(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (if applicable) (MM/DD/YYYY) (MM/DD/YYYY)
*NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)

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