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Notice of Availment of The Substituted Filing of Percentage Tax Return

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ANNEX “A”

BIR FORM NO.__________

Republic of the Philippines


Department of Finance
BUREAU OF INTERNAL REVENUE
Revenue Region No. ___
Revenue District Office No. ___
__________________________

NOTICE OF AVAILMENT OF THE SUBSTITUTED FILING OF


PERCENTAGE TAX RETURN

Date ___________________

Name of Taxpayer RYZA VENUS A. SABINO __________________________

Address 1920 J BOCOBO STREET BRGY 702 MALATE METRO MANILA____

Taxpayer Identification Number _______ ___176-585-837-


000____________________

Class of Profession or Calling/Business _____PROFESSIONAL__________________

CERTIFICATION

This is to certify that I am a NON-VAT registered person pursuant to the


provisions of REVENUE REGULATIONS NO. ____; that, in accordance with the
said Regulations, I have availed of the “Optional Registration under the 3% Final
Percentage Tax Withholding, in lieu of the 3% Creditable Percentage Tax
Withholding” System, in order to be entitled to the privileges accorded by the
“Substituted Percentage Tax Return System” prescribed thereunder; that, this
Declaration is sufficient authority of the Withholding Agent to withhold 3%
Percentage Tax from payments to me on my sale of goods and/or services, in lieu of
the said 3% Creditable Percentage Tax Withholding; and that, I have executed this
Declaration under penalty of perjury pursuant to the provisions of Section 267,
National Internal Revenue Code of 1997.

RYZA VENUS A. SABINO _


Taxpayer’s Name and Signature

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