Quarterly Percentage Tax Return: 12 - December
Quarterly Percentage Tax Return: 12 - December
2551Qv2018 Page 1 of 1
2
Year Ended
(MM/YYYY)
12 - December 2020 1st 2nd 3rd 4th Yes No Attached 0
Signature over Printed Name of Taxpayer/Authorized Representative/Tax Agent Signature over Printed Name of President/Vice President/
(Indicate Title/Designation and TIN) Authorized Officer or 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)
Part III - Details of Payment
Particulars Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
25 Cash/Bank Debit Memo
26 Check
Machine Validation/Revenue Official Receipt (ROR) Details Stamp of Receiving Office/AAB and Date of Receipt
(If not filed with an Authorized Agent Bank) (RO's Signature/Bank Teller's Initial)
*NOTE: Please read the BIR Data Privacy Policy found in the BIR website (www.bir.gov.ph)
file:///C:/Users/j3nny/AppData/Local/Temp/%7B5F7BB87D-B8EB-4B11-83B5-374... 10/14/2020