0605 Version 1999
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Transcript of 0605 Version 1999
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8/10/2019 0605 Version 1999
1/3
(To be filled up the BIR)
DLN: PSIC: PSOC:
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the alendar Fiscal 3 !uarter 4 ue ate ( MM # # $$$$) 5 %o. of &heets 6 ' T
2 $ear nded 'ttached
( MM # $$$$ ) st *nd +rd ,th
7 Return -eriod ( MM # # $$$$ ) 8 Tax Tpe ode B& %o.#Ite/ %o. (To be filled up b the BIR)
Part I B a c k g r o u n d I n f o r m a t o n
! Taxpaer Identification %o. 1" R0 ode 11 Taxpaer lassification 12 1ine of Business#0ccupation
I %
13
%a/e
(1ast %a/e2 First %a/e2 Middle %a/e for Indi3iduals) # (Re4istered %a/e for %on5Indi3iduals)
15 Re4istered
'ddress
6oluntar -a/ent -er 'udit#elin7uent 'ccount Install/ent
&elf5'ssess/ent -enalties -reli/inar#Final 'ssess/ent#eficienc Tax %o. of Install/ent
Tax eposit#'d3ance -a/ent 'ccounts Recei3able#elin7uent 'ccount -artial
Inco/e Tax &econd Install/ent -a/ent
(Indi3idual) Full
0thers (&pecif) -a/ent
Part II C o m # u t a t o n o f $ a %
1! Basic Tax # eposit # 'd3ance -a/ent1!
8 ena es urc ar4e n eres o/pro/ se
2"& 2"B 2"C 2"D
21 Total '/ount -aable (&u/ of Ite/s 9 : *;)
21
'or (o)untar* Pa*m+nt 'or Pa*m+nt of D+fc+nc* $a%+, Stam# of -+c+.ng
'rom &udt/In.+,tgaton/ Offc+
I declare2 under the penalties of peread of 0ffice
Part III D + t a ) , of P a * m + n t
-articulars rawee Bank#'4enc %u/ber MM $$$$ '/ount
23
ebit Me/o
24& 24B 24C 24D
25& 25B 25CMe/o
26& 26B 26C 26D
Machine 6alidation#Re3enue 0fficial Receipt etails (If not filed with the bank)
Taxpaer lassification8 I 5 Indi3idual % 5 %on5Indi3idual
Taxpaer?s 14Telephone %u/ber
16 @ip ode
17 Manner of -a/ent 18 Tpe of -a/ent
23 ash#Bank
24 heck
25 Tax ebit
26 0thers
BIR For/ %o.
Pa*m+nt 'orm "6"5Republika n4 -ilipinasAa4awaran n4 -ananalapi
Aawanihan n4 Rentas Internas
ul 999 (%&)
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8/10/2019 0605 Version 1999
2/3
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8/10/2019 0605 Version 1999
3/3
BIR For/ ;C;D (%&) 5 -'E *
&$C N&$- O' P&N$ &$C N&$- O' P&N$ &$C N&$- O' P&N$
II ; -ure o/pensation Inco/e Tobacco -roducts X-*; '3turbo et Fuel
II ;* -ure Business Inco/e XT;; : XT;*; &/okin4 and hewin4 Tobacco X-+; : X-+ Aerosene
II ;+ Mixed (o/pensation and Business) XT;+; i4ars X-; 'sphalts
M G; 6at#%on56at Re4istration Fee XT;,; i4arettes -acked B >and X-D; : X-C; 1-E Eas
M 9; Tra3el Tax XT;D;5XT+; i4arettes -acked B Machine X-;;2 X-;*; : Basetocks2 1ubes and
M ;9; Tin ard Fees Tobacco Inspection Fees X-9; reases
M;; : M;*; Tax '/nest XT;G; i4ars X-;,; Haxes and -etrolatu/
M ;,; Inco/e fro/ Forfeited -roperties XT;9; i4arettes X-;+; -rocessed Eas
M ;D; -roceeds fro/ &ale of Rent state XT;; : XT; 1eaf Tobacco : 0ther Manufactured Tobacco Miscellaneous -roducts#'rticles
M ;C; ner4 Tax on lectric -ower onsu/ption XT*; Monitorin4 Fees XE;*;5XE;9; 'uto/obiles
M ;+ eficienc Tax -etroleu/ -roducts XE;;5XE*; %on ssential Eoods
M ;+; elin7uent 'ccounts#'ccounts Recei3able X-;; -re/iu/ (1eaded) Easoline Mineral -roducts
F- ;; 5 F- 9+; Fines and -enalties X-;C; -re/iu/ (nleaded) Easoline XM;; oal : oke
M *;; 0thers X-;G; Re4ular Easoline XM;*; %on Metallic : !uarr Resources
xcise Tax on Eoods X-;9; : X-;; %aptha : 0ther &i/ilar -roducts XM;+; Eold and hro/ite
'lcohol -roducts X-; '3iation Easoline XM;,; opper : 0ther Metallic Minerals
X';;5X';,; istilled &pirits X-,; iesel Eas XM;D; Indi4enous -etroleu/
X';C5X';9; Hines X-G; Bunker Fuel 0il XM;D 0thers
X';D5X';D+ Fer/ented 1i7uor
$ & $ P
Cod+ D+,cr#ton Cod+ D+,cr#ton Cod+ D+,cr#tonRF REI&TR'TI0% F & '-IT'1 E'I%& T'X 5 &tocks H HIT>>01I%E T'X50M-%&'TI0%
TR TR'61 T'X5-T' & &T'T T'X H HIT>>01I%E T'X5X-'%
T %RE$ T'X % 0%0R?& T'X HF HIT>>01I%E T'X5FI%'1
!- !'1IF$I%E F&5-'E0R 6T 6'15' T'X HE HIT>>01I%E T'X 5 6'T '% 0T>R
M MI&11'%0& T'X -T -R%T'E T'X -R%T'E T'X&
X6 XI&5' 6'10RM &T -R%T'E T'X 5 &T0A& H0 HIT>>01I%E T'X50T>R& (0%5TIM TR'%5
X& XI&5&-IFI &0 -R%T'E T'X 5 &T0A& (I-0) &'TI0% %0T &BT T0 '-IT'1
XF T0B'0 I%&-TI0% '% &1 -R%T'E T'X 5 &-I'1 1'H& E'I%& T'X)
M0%IT0RI%E F& & 0M%T'R$ &T'M- T'X HR HIT>>01I%E T'X 5 FRI%E B%FIT&
IT I%0M T'X HB HIT>>01I%E T'X5B'%A& '% 0T>R HH HIT>>01I%E T'X 5 -R%T'E T'X
E '-IT'1 E'I%& T'X 5 Real -ropert FI%'%I'1 I%&TITTI0%& 0% HI%%I%E '% -RI@&
BI- 'orm No "6"5 Pa*m+nt 'orm
ud+)n+, and In,tructon,