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(To be filled up the BIR)

DLN:

PSIC:

PSOC:
BIR Form No.

Republika ng Pilipinas
Kagawaran ng Pananalapi

0605

Payment Form

Kawanihan ng Rentas Internas

July 1999 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1
2
7

For the

Calendar

Fiscal

Year Ended
12
2014
( MM / YYYY )
Return Period ( MM / DD / YYYY )

Quarter

Due Date ( MM / DD / YYYY)

5 No. of Sheets

ATC

Attached
1st
8

2nd

3rd

4th
BCS No./Item No. (To be filled up by the BIR)

Tax Type Code

RF
Part I
9

Background

Taxpayer Identification No.

409
13

246

Taxpayer's

Information

10 RDO Code

333

11 Taxpayer Classification

23B

12 Line of Business/Occupation

DRUGSTORE

14 Telephone Number

MENDOZA MARGARITA CRUZ

Name

(Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)
15 Registered
Address

16 Zip Code

PARADISE HOMES SUBD., BANGAD, CABANATUAN CITY


17 Manner of Payment
Voluntary Payment

Self-Assessment
Tax Deposit/Advance Payment

21

Installment

Preliminary/Final Assessment/Deficiency Tax

No. of Installment

Accounts Receivable/Delinquent Account

Partial

Income Tax Second Installment

Payment

(Individual)

Full

Others (Specify)

Payment

Part II
19
20

18 Type of Payment

Per Audit/Delinquent Account


Penalties

3100

Computation of Tax

Basic Tax / Deposit / Advance Payment


Add: Penalties Surcharge
20A
20B

19
Interest

Compromise
20C

20D

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

21

For Voluntary Payment

MARGARITA C. MENDOZA

OWNER

Signature over Printed Name of Taxpayer /Authorized Representative

Part III

500

For Payment of Deficiency Taxes


From Audit/Investigation/
Delinquent Accounts
APPROVED BY:

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 true and correct, pursuant to the provisions of the National
Internal Revenue Code, as amended, and the regulations issued under
authority thereof.

22A

500

22B

Title/Position of Signatory

Signature over Printed Name of Head of Office

D e t a i l s of P a y m e n t

Particulars

Drawee Bank/Agency

Number

MM

23 Cash/Bank

DD

YYYY

Amount
23

Debit Memo
24A

24B

17C

24C

24D

25B

25C

24 Check
25 Tax Debit

25A

500

Stamp of Receiving

Office
and Date of Receipt

Memo
26A

26B

19C

26C

26 Others
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Taxpayer Classification:

I - Individual

N - Non-Individual

26D

BIR Form 0605 (ENCS) - PAGE 2


ATC

NATURE OF PAYMENT

II 011
II 012
II 013
MC 180
MC 190
MC 090
MC010 & MC020
MC 040
MC 050
MC 060
MC 031
MC 030
FP 010 - FP 930
MC 200

XA010-XA040
XA061-XA090
XA051-XA053

Pure Compensation Income


Pure Business Income
Mixed (Compensation and Business)
Vat/Non-Vat Registration Fee
Travel Tax
Tin Card Fees
Tax Amnesty
Income from Forfeited Properties
Proceeds from Sale of Rent Estate
Energy Tax on Electric Power Consumption
Deficiency Tax
Delinquent Accounts/Accounts Receivable
Fines and Penalties
Others
Excise Tax on Goods
Alcohol Products
Distilled Spirits
Wines
Fermented Liquor

ATC

NATURE OF PAYMENT

XT010 & XT020


XT030
XT040
XT050-XT130
XT080
XT090
XT100 & XT110
XT120
XP070
XP060
XP080
XP090 & XP100
XP110
XP140
XP180
T AX

Code
RF
TR
ET
QP
MC
XV
XS
XF
IT
CG

Description
REGISTRATION FEE
TRAVEL TAX-PTA
ENERGY TAX
QUALIFYING FEES-PAGCOR
MISCELLANEOUS TAX
EXCISE-AD VALOREM
EXCISE-SPECIFIC
TOBACCO INSPECTION AND
MONITORING FEES
INCOME TAX
CAPITAL GAINS TAX - Real Property

Code
CS
ES
DN
VT
PT
ST
SO
SL
DS
WB

ATC

Tobacco Products
Smoking and Chewing Tobacco
Cigars
Cigarettes Packed By Hand
Cigarettes Packed By Machine
Tobacco Inspection Fees
Cigars
Cigarettes
Leaf Tobacco & Other Manufactured Tobacco
Monitoring Fees
Petroleum Products
Premium (Leaded) Gasoline
Premium (Unleaded) Gasoline
Regular Gasoline
Naptha & Other Similar Products
Aviation Gasoline
Diesel Gas
Bunker Fuel Oil

NATURE OF PAYMENT

XP120
XP130 & XP131
XP170
XP150 & XP160
XP010, XP020 &
XP190
XP040
XP030
XG020-XG090
XG100-XG120
XM010
XM020
XM030
XM040
XM050
XM051

Avturbo Jet Fuel


Kerosene
Asphalts
LPG Gas
Basetocks, Lubes and
Greases
Waxes and Petrolatum
Processed Gas
Miscellaneous Products/Articles
Automobiles
Non Essential Goods
Mineral Products
Coal & Coke
Non Metallic & Quarry Resources
Gold and Chromite
Copper & Other Metallic Minerals
Indigenous Petroleum
Others

TYPE

Description
CAPITAL GAINS TAX - Stocks
ESTATE TAX
DONOR'S TAX
VALUE-ADDED TAX
PERCENTAGE TAX
PERCENTAGE TAX - STOCKS
PERCENTAGE TAX - STOCKS (IPO)
PERCENTAGE TAX - SPECIAL LAWS
DOCUMENTARY STAMP TAX
WITHHOLDING TAX-BANKS AND OTHER
FINANCIAL INSTITUTIONS

BIR Form No. 0605 - Payment Form


Guidelines and Instructions

Code
WC
WE
WF
WG
WO

WR
WW

Description
WITHHOLDING TAX-COMPENSATION
WITHHOLDING TAX-EXPANDED
WITHHOLDING TAX-FINAL
WITHHOLDING TAX - VAT AND OTHER
PERCENTAGE TAXES
WITHHOLDING TAX-OTHERS (ONE-TIME TRANSACTION NOT SUBJECT TO CAPITAL
GAINS TAX)
WITHHOLDING TAX - FRINGE BENEFITS
WITHHOLDING TAX - PERCENTAGE TAX
ON WINNING AND PRIZES

Resources

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