Payment Form: Kawanihan NG Rentas Internas
Payment Form: Kawanihan NG Rentas Internas
Payment Form: Kawanihan NG Rentas Internas
DLN:
PSIC:
PSOC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
0605
Payment Form
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
For the
1
2
Calendar
Fiscal 3
Quarter
Year Ended
1st
8
2nd
3rd
4th
BCS No./Item No. (To be filled up by the BIR)
Part I
9
Background
Information
10 RDO Code
11 Taxpayer Classification
I
Taxpayer's
13
ATC
Attached
( MM / YYYY )
Return Period ( MM / DD / YYYY )
No. of Sheets
12 Line of Business/Occupation
13
14 Telephone Number
Name
(Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)
15 Registered
Address
16 Zip Code
17 Manner of Payment
Voluntary Payment
Self-Assessment
No. of Installment
Partial
Payment
(Individual)
Full
Others (Specify)
Payment
Computation of Tax
19
21
Installment
Part II
19
20
18 Type of Payment
Interest
Compromise
20C
20D
21
I declare, under the penalties of perjury, that this document has been
Stamp of Receiving
From Audit/Investigation/
Office
Deliquent Accounts
APPROVED BY:
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.
22B
22A
Part III
Title/Position of Signatory
Head of Office
D e t a i l s of P a y m e n t
Particulars
Drawee Bank/Agency
Number
MM
DD
YYYY
23 Cash/Bank
Amount
23
Debit Memo
24A
24B
17C
24C
24D
25B
25C
26C
26D
24 Check
25A
25 Tax Debit
Memo
26A
26B
19C
26 Others
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
Taxpayer Classification:
I - Individual
N - Non-Individual
NATURE OF PAYMENT
ATC
NATURE OF PAYMENT
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
Tobacco Products
XP120
Smoking and Chewing Tobacco
XP130 & XP131
Cigars
XP170
Cigarettes Packed By Hand
XP150 & XP160
Cigarettes Packed By Machine
XP010, XP020 &
Tobacco Inspection Fees
XP190
Cigars
XP040
Cigarettes
XP030
Leaf Tobacco & Other Manufactured Tobacco
Monitoring Fees
XG020-XG090
Petroleum Products
XG100-XG120
Premium (Leaded) Gasoline
Premium (Unleaded) Gasoline
XM010
Regular Gasoline
XM020
Naptha & Other Similar Products
XM030
Aviation Gasoline
XM040
Diesel Gas
XM050
Bunker Fuel Oil
XM051
TAX
Code
Description
RF
TR
ET
QP
MC
XV
XS
XF
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
IT
CG
Code
CS
ES
DN
VT
PT
ST
SO
SL
DS
WB
TYPE
Description
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
3.