ANNEX “F”

CERTIFICATION
This is to certify that the employees listed below are qualified for substituted filing of their Income Tax
Return pursuant to the provisions of Section 2.83.4 of Revenue Regulations No. 2-98, as amended.

Name of Employee Taxpayer Amount of Tax Due Withheld

Identification Number Compensation and Remitted
Alangcao, Modesto 000-000-000 123,392.00 -
Cabral, Albert 000-000-000 130,196.00 -
Gascon, Rodolfo 000-000-000 121,183.00 -
Gaya, Julie 000-000-000 121,183.00 -
Gerarman, Brian 000-000-000 129,463.00 -
Gozon, David 000-000-000 125,717.75 -
Ignacio, Geraldine 000-000-000 121,856.00 -
Jimenez,Jerry 000-000-000 123,802.00 -
Marquesa, Ramon 000-000-000 124,156.00 -
Obias, Ramon 000-000-000 127,182.00 -
Pamatian, Lester 000-000-000 124,416.00 -
Pesino, Randy 000-000-000 118,920.75 -
Quimbo, Mario 000-000-000 128,247.00 -
Quino, Arthur 000-000-000 128,604.00 -
Roman, Rodolfo Jr. 000-000-000 122,880.00 -
Santillan, Bernardo 000-000-000 126,323.00 -
Santos, Manny 000-000-000 126,240.00 -
Tantiado, John 000-000-000 122,880.00 -

I declare under the penalties of perjury, that this declaration has been made in good faith, and to the best
of my knowledge and belief to be true and correct.

JENNIFER CENO______________
Signature over Printed Name of Individual Income Payor/
Authorized Officer of Non-Individual Income Payor

SUBSCRIBED AND SWORN to before me this __day of ______, 20__in ___________,Applicant

exhibited to me his/her ______________________ issued at _________________on_______________.

NOTARY PUBLIC

Doc. No.: __________

Page No.: __________
Book No.: __________
Series of ___________

Affix ₱30.00

Documentary
Stamp Tax