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["(To be filled up by the BIR)"]
[null,"DLN:",{"$nulls":22},"PSOC:",{"$nulls":6},"PSIC:"]
[{"$nulls":25}," "]
[]
[]
[]
[]
["  Fill in all applicable spaces. Mark all appropriate boxes with an “X”."]
["Part I",{"$nulls":3},"B a c k g r o u n d    I n f o r m a t i o n"]
["1","For the Month ",{"$nulls":9},"2","Amended Return?",{"$nulls":7},"3   No. of Sheets Attached",{"$nulls":7},4,"Any Taxes Withheld?"]
[null,"(MM / YYYY)",{"$nulls":12},"Yes              No",{"$nulls":17},"   Yes",null,"         No"]
["5","TIN",{"$nulls":15},"6","RDO Code",{"$nulls":4},"        7    Line of Business/"]
[{"$nulls":23},"              Occupation"]
[8,"Withholding Agent's Name",{"$nulls":6},"(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)",{"$nulls":20},"9  Telephone No."]
[]
[]
["10","Registered Address",{"$nulls":27},"11 Zip Code"]
[]
[]
["12","Category of Withholding Agent",{"$nulls":8},"13","Are there payees availing of tax relief under Special Law or "]
[null,null,"  Private",{"$nulls":3},"Government",{"$nulls":4},"International Tax Treaty?",{"$nulls":8},"Yes",null,null,"No                If yes, specify"]
[]
["Part II                                 ",null,null,"C o m p u t a t I o n   o f   T a x"]
["NATURE OF INCOME PAYMENT",{"$nulls":14},"ATC",null,null,"TAX BASE",{"$nulls":7},"TAX",null,"TAX REQUIRED "]
[{"$nulls":26},"RATE",null,"TO BE WITHHELD"]
{"$rows_empty":24}
["14","Total Tax Required to be Withheld and Remitted ",{"$nulls":25},14,0]
["15","    Less: Tax Remitted in Return Previously Filed, if this is an amended return",{"$nulls":25},15]
["16","Tax  Still Due/(Overremittance)",{"$nulls":25},16]
["17","    Add:  Penalties   "]
[{"$nulls":3},"               Surcharge                                         Interest                                      Compromise"]
[null,null,"  17A",{"$nulls":7},"    17B",{"$nulls":8},"17C",{"$nulls":6},"17D"]
["18","Total Amount Still Due/(Overremittance) (Sum of Items 16 & 17D)",{"$nulls":25},18]
[null,"For late filers with overremittance, extend amount of penalties (Item 17D to 18)"]
[]
[null,"I declare, under the penalties of perjury that this return has been made in good faith, verified by me, and to the best of my knowledge and belief,"]
[" is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof."]
[]
[null,null,19,{"$nulls":19},20]
[{"$nulls":3},"President/Vice President/Authorized Representative/Tax Agent",{"$nulls":19},"Treasurer/Asst. Treasurer/Authorized Representative"]
[null,null,"(Signature Over Printed Name)",{"$nulls":20},"(Signature Over Printed Name)"]
[]
[{"$nulls":3},"Title/Position of Signatory",{"$nulls":19},"Title/Position of Signatory"]
[]
[{"$nulls":3},"TIN of  Tax Agent (if applicable)",{"$nulls":19},"Tax Agent  Acrreditation No. (if applicable)"]
[]
["Part III",null,null,"D e t a i l s   of   P a y m e n t",{"$nulls":25},"Stamp of Receiving"]
[{"$nulls":4},"   Drawee Bank/",{"$nulls":11},"        Date",{"$nulls":12},"Office and"]
["Particulars",{"$nulls":3},"        Agency",{"$nulls":5},"             Number",{"$nulls":4},"    MM",null,"DD        YYYY",{"$nulls":5},"                Amount",{"$nulls":5},"Date of Receipt"]
["21  Cash/ Bank",{"$nulls":20},"   21"]
["         Debit Memo"]
["22  Check   22A",{"$nulls":7},"   22B",{"$nulls":5}," 22C",{"$nulls":6},"  22D"]
[]
["23  Others  23A",{"$nulls":7},"   23B",{"$nulls":5}," 23C",{"$nulls":6},"  23D"]
[]
["Machine Validation/Revenue Official Receipt Details (If not filed with the bank)"]

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["Schedule I                                                                                     ALPHANUMERIC TAX CODES"]
["NATURE OF PAYMENT","Tax","ATC","NATURE OF PAYMENT","Tax","ATC"]
[null,"Rate",null,null,"Rate"]
["APPLICABLE TO GOVERNMENT WITHHOLDING AGENTS ONLY:",null,null,"Tax on shares of stock sold or exchanged through "]
["VAT Withholding  on  Purchase of Goods",{"v":0.03,"d":"3%"},"WV 010","     initial and secondary public offering:"]
["VAT Withholding  on Purchase of Services",{"v":0.06,"d":"6%"},"WV 020","     -  Not over 25%",{"v":0.04,"d":"4%"},"WB 201"]
["VAT  Withholding on Government Public Work Contracts",{"v":0.085,"d":"8.5%"},"WV 030","     -  Over 25% but not Exceeding 33 1/3 %",{"v":0.02,"d":"2%"},"WB 202"]
["Tax on carriers and keepers of garages",{"v":0.03,"d":"3%"},"WB 030","     -  Over 33 1/3%",{"v":0.01,"d":"1%"},"WB 203"]
["Franchise Tax on Electric, Gas and Water Utilities",{"v":0.02,"d":"2%"},"WB 040","Tax on interest, commissions and discounts paid or given to banks"]
["Franchise Tax on radio & TV broadcasting companies whose annual",{"v":0.03,"d":"3%"},"WB 050","     & non-bank financial intermediaries arising out of lending activities"]
["     gross receipts do not exceed P10 M & who are not VAT-registered",null,null,"     as well as financial leasing, on the basis of the remaining maturities"]
["     taxpayers",null,null,"     of the instrument (if applicable)"]
["Tax on life insurance premiums",{"v":0.05,"d":"5%"},"WB 070","     - Short Term maturity (not in excess of 2 years)",{"v":0.05,"d":"5%"},"WB 301"]
["Tax on Overseas Dispatch, Message or Conversation ",{"v":0.1,"d":"10%"},"WB 090","     - Medium Term maturity (over 2 years to 4 years)",{"v":0.03,"d":"3%"},"WB 302"]
["      from the Philippines",null,null,"     - Long Term maturity (over 4 years to 7 years)",{"v":0.01,"d":"1%"},"WB 303"]
["Tax on royalties, rentals of property, and all other gross income ",{"v":0.05,"d":"5%"},"WB 103","     - Over 7 years",{"v":0,"d":"0%"},"WB 304"]
["     earned by banks & non-bank financial intermediaries (if applicable)",null,null,"APPLICABLE TO BOTH GOVERNMENT AND PRIVATE WITHHOLDING AGENTS:"]
["Tax on interest , discounts & other items of gross income paid to ",{"v":0.05,"d":"5%"},"WB 111","VAT Withholding  from non-residents (Government Withholding Agent)",{"v":0.1,"d":"10%"},"WV 040"]
["     finance companies & other financial intermediaries not performing ",null,null,"VAT Withholding from  non-residents (Private Withholding Agent)",{"v":0.1,"d":"10%"},"WV 050"]
["     quasi-banking functions (if applicable)",null,null,"VAT Withholding on Purchases of Goods (with waiver of privilege to",{"v":0.1,"d":"10%"},"WV 012"]
["Business Tax on Agents of foreign   insurance co.- insurance agents",{"v":0.1,"d":"10%"},"WB 120","     claim input tax credit) (creditable)"]
["Business Tax on Agents of  foreign  insurance co.- owner of",{"v":0.05,"d":"5%"},"WB 121","VAT Withholding on Purchases of Goods (with waiver of privilege to",{"v":0.1,"d":"10%"},"WV 014"]
["      the property",null,null,"     claim input tax credit) (final)"]
["Tax on International Carriers","3%","WB 130","VAT Withholding on Purchases of Services (with waiver of privilege to",{"v":0.1,"d":"10%"},"WV 022"]
["Tax on Cockpits",{"v":0.18,"d":"18%"},"WB 140","     claim input tax credit) (creditable)"]
["Tax on Cabaret, night and day clubs",{"v":0.18,"d":"18%"},"WB 150","VAT Withholding on Purchases of Services (with waiver of privilege to",{"v":0.1,"d":"10%"},"WV 024"]
["Tax  on Boxing exhibitions",{"v":0.1,"d":"10%"},"WB 160","     claim input tax credit) (final)"]
["Tax on Professional basketball games",{"v":0.15,"d":"15%"},"WB 170","Persons Exempt from VAT under Sec. 109z (creditable)-Government ",{"v":0.03,"d":"3%"},"WB 080"]
["Tax on jai - alai and race tracks",{"v":0.3,"d":"30%"},"WB 180","     Withholding Agent"]
["Tax on sale, barter or exchange of stocks listed & traded through","1/2 of 1%","WB  200","Persons Exempt from VAT under Sec. 109z (creditable)-Private Withholding Agent",{"v":0.03,"d":"3%"},"WB 082"]
["     Local Stock Exchange",null,null,"Persons Exempt from VAT under Sec. 109z (final)",{"v":0.03,"d":"3%"},"WB 084"]

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{"$rows_empty":37}
["ALPHABETICAL LIST OF PAYEES",{"$nulls":18},"                      Page ___  of  ___"]
[]
["FOR THE MONTH OF : ",{"$nulls":7},"           WITHHOLDING AGENT TIN : ",{"$nulls":7},"WITHHOLDING AGENT NAME : _______________________________"]
["        ( MM/YYYY)"]
["Schedule II",null,"ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHHELD (Attach additional sheet/s, if necessary)"]
["SEQ","PAYEE DETAILS",{"$nulls":11},"INCOME PAYMENT / TAX WITHHELD DETAILS",{"$nulls":5},"TAX","TAX  REQUIRED "]
["NO.","TIN",{"$nulls":5},"INDIVIDUAL / CORPORATION",{"$nulls":3},"* ATC",null,"NATURE OF PAYMENT",{"$nulls":3},"AMOUNT",null,"RATE","TO BE WITHHELD"]
["( 1 )","                ( 2 )",{"$nulls":5},"( 3 )",{"$nulls":3},"       ( 4 )",null,"(5)",{"$nulls":3},"( 6 )",null,"( 7 )","( 8 )"]
[{"$nulls":7},"  (LAST NAME, FIRST NAME,"]
[{"$nulls":7},"         MIDDLE NAME FOR INDIVIDUALS"]
[{"$nulls":7},"  OR REGISTERED NAME"]
[{"$nulls":7},"  FOR NON-INDIVIDUALS)"]
[]
[]
[]
[]
[]
[]
["Total",{"$nulls":19},"P"]
["BIR FORM NO. 1600 - MONTHLY REMITTANCE RETURN OF VALUE-ADDED TAX AND OTHER PERCENTAGE TAXES WITHHELD"]
["GUIDELINES AND INSTRUCTIONS"]
[]
[]
[{"$nulls":7}," "]