Joj 0619e 012020

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Reference No:0432000034437759
Date Filed:February 06 2020 08:39 AM
Batch Number:0

For BIR BCS/


Use Only Item 0619E 01/18 P1

BIR Form No.


Monthly Remittance Form
0619-E
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas
of Creditable Income Taxes Withheld (Expanded)
Enter all required information in CAPITAL LETTERS using BLACK ink. Mark all applicable
Internas boxes with an "X". Two copies MUST be filed with the BIR and one held by the Taxpayer. January 2018
Page 1

1 For the Month of (MM/YYYY) 2 Due Date (MM/DD/YYYY) 3 Amended Return? 4 Any Taxes Withheld? 5 ATC 6 Tax Type Code
01 2020 02 11 2020 Yes No Yes No WME10 WE

Part I - Background Information


7 Taxpayer Identification Number (TIN) 482 - 856 - 547 - 000 8 RDO Code 098
9 Withholding Agent's Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual)
J3 TRAINERS AND CONSULTANTS INC.
10 Registered Address (Indicate complete address. If branch, indicate the branch address. If registered address is different from the current address, go to the RDO to update
registered address by using BIR Form No. 1905)
2F, PUEBLO BUSINESS PARK BLDG. 3, MASTERSONS AVE. UPPER CARMEN CAGAYAN DE ORO CITY

10A ZIP Code 9000

11 Contact Number 088-851-2167 12 Category of Withholding Agent Private Government

13 Email Address [email protected]

Part II - Tax Remittance


14 Amount of Remittance 24,090.20

15 Less: Amount Remitted from Previously Filed Form, if this is an amended form 0.00

16 Net Amount of Remittance (Item 14 Less Item 15) 24,090.20


17 Add: Penalties
17A Surcharge 0.00

17B Interest 0.00

17C Compromise 0.00


17D Total Penalties (Sum of Items 17A to 17C) 0.00

18 Total Amount of Remittance (Sum of Items 16 and 17D) 24,090.20


I/We Declare under the penalties of perjury that this remittance form has been made in good faith, verified by me/us, and to the best of my/our 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. Further, I/We give my/our consent to the
processing of my/our information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If Authorized Representative, attach
authorization letter)
For Individual: For Non-Individual:

Signature over Printed Name of President/Vice President/


Signature over Printed Name of Taxpayer/Authorized Representative/Tax Agent
Authorized Officer or Representative/Tax Agent
(Indicate Title/Designation and TIN)
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No./ Attorney's Roll No.(if Date of Issue Date of Expiry
applicable) (MM/DD/YYYY) (MM/DD/YYYY)

Part III - Details of Payment


Particulars Drawee Bank/Agency Number Date(MM/DD/YYYY) Amount
19 Cash/Bank Debit Memo
20 Check
21 Tax Debit Memo
22 Others (specify below)

Machine Validation/Revenue Official Receipt Details (if not filed with an Authorized Agent Bank) Stamp of receiving Office/AAB and Date of Receipt
(RO's Signature/Bank Teller's Initial)

*Note: Please read the BIR Data Privacy Policy found in the BIR website(www.bir.gov.ph)

Print Payment Details Proceed to Payment

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