(To be fille

DLN: PSIC:
BI

Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas Payment Form
0
July 19
Fill in all applicable spaces. Mark all
3 appropriate boxes with an "X"
1 For the Calendar Fiscal Quarte 4 Due Date ( MM / DD / YYYY) 5 No. of Sheets 6 ATC
r
2 Year Ended Attached
( MM / YYYY ) 1st 2nd 3rd 4th
7 Return Period ( MM / DD / YYYY ) 8 Tax Type Code BCS No./Item No. (To be filled up by the BIR)
7 8

Part I Backgroun Information

d
9 Taxpayer Identification No. 10 RDO 11
Taxpayer Classification 12 Line of Business/Occupation
Code
13 Taxpayer's 13
14 Telepho
Name

(Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individuals)
15 Registered
16 Zip Code
Address

17 Manner of Payment
of Payment

Voluntary Payment Per Audit/Delinquent Account I

Self-Assessment Penalties
Preliminary/Final Assessment/Deficiency Tax Tax Deposit/Advance n
Payment Accounts Receivable/Delinquent Account Income Tax Second Installment s
(Individual) t
Others (Specify) a
l
l
m
e
n
t
N
o
.
Part II Computation of Tax
19 o
19 Basic Tax / Deposit / Advance Payment f
20 Add: Penalties Surcharge Interest Compromise
I
n
s
t
a
l
l
m
e
n
t

P
a
20A 20B 20C 20D
r
t
i
a
l
P
a
 21 Total Amount Payable (Sum of Items 19 & 20D) 21
For Voluntary Payment For Payment of Deficiency Taxes From
I declare, under the penalties of perjury, that this document has been made in good faith, Audit/Investigation/ Deliquent Accounts
verified by me, and to the best of my knowledge and belief, is true and correct, pursuant APPROVED BY:
to the provisions of the National Internal Revenue Code, as amended, and the regulations 22B
issued under authority thereof. Signature over Printed Name of

22
A
Signature over Printed Name of Taxpayer/Authorized Representative Title/Position of Signatory Head of Office
Part III D e t a i l s of P a y m e n t
Particulars Drawee Bank/Agency Numb M YYYY 23 Amount
23 Cash/Bank Debit 24B er M 24
Memo D
24A

D
24C D

24 Check
25 Tax Debit Memo 25
25A 25B
C

26A 26B 26C 26D

26 Others

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
Taxpayer Classification: I - Individual N - Non-Individual
BIR Form 0605 (ENCS) - PAGE 2
ATC NATURE OF PAYMENT ATC NATURE OF PAYMENT ATC NATURE OF PAYMENT

II 011 Pure Compensation Income Tobacco Products XP120 Avturbo Jet Fuel
II 012 Pure Business Income XT010 & XT020 Smoking and Chewing Tobacco XP130 & XP131 Kerosene
II 013 Mixed (Compensation and Business) XT030 Cigars XP170 Asphalts
MC 180 Vat/Non-Vat Registration Fee XT040 Cigarettes Packed By Hand XP150 & XP160 LPG Gas
MC 190 Travel Tax XT050-XT130 Cigarettes Packed By Machine XP010, XP020 & Basetocks, Lubes and Grease
MC 090 Tin Card Fees Tobacco Inspection Fees XP190
MC010 & MC020 Tax Amnesty XT080 Cigars XP040 Waxes and Petrolatum
MC 040 Income from Forfeited Properties XT090 Cigarettes XP030 Processed Gas
MC 050 Proceeds from Sale of Rent Estate XT100 & XT110 Leaf Tobacco & Other Manufactured Tobacco Miscellaneous Products/Articl
MC 060 Energy Tax on Electric Power Consumption XT120 Monitoring Fees XG020-XG090 Automobiles
MC 031 Deficiency Tax Petroleum Products XG100-XG120 Non Essential Goods
MC 030 Delinquent Accounts/Accounts Receivable XP070 Premium (Leaded) Gasoline Mineral Products
FP 010 - FP 930 Fines and Penalties XP060 Premium (Unleaded) Gasoline XM010 Coal & Coke
MC 200 Others XP080 Regular Gasoline XM020 Non Metallic & Quarry Resou
Excise Tax on Goods XP090 & XP100 Naptha & Other Similar Products XM030 Gold and Chromite
Alcohol Products XP110 Aviation Gasoline XM040 Copper & Other Metallic Mine
XA010-XA040 Distilled Spirits XP140 Diesel Gas XM050 Indigenous Petroleum
XA061-XA090 Wines XP180 Bunker Fuel Oil XM051 Others
XA051-XA053 Fermented Liquor
TAX TYPE
Code Description Code Description Code Description
RF TR ET QP MC XV REGISTRATION FEE TRAVEL TAX- CS ES DN VT PT CAPITAL GAINS TAX - Stocks ESTATE TAX WC WE WF WG WITHHOLDING TAX-COMPENSATION WITHHO
XS XF PTA ENERGY TAX ST SO SL DS DONOR'S TAX VALUE-ADDED TAX PERCENTAGE WO TAX-EXPANDED WITHHOLDING TAX-FINAL
IT CG QUALIFYING FEES-PAGCOR WB TAX WR WW WITHHOLDING TAX - VAT AND OTHER
MISCELLANEOUS TAX EXCISE-AD PERCENTAGE TAX - STOCKS PERCENTAGE TAX PERCENTAGE TAXES
VALOREM EXCISE-SPECIFIC - STOCKS (IPO) PERCENTAGE TAX - SPECIAL WITHHOLDING TAX-OTHERS (ONE-TIME TRAN
TOBACCO INSPECTION AND LAWS DOCUMENTARY STAMP TAX SACTION NOT SUBJECT TO CAPITAL GAINS T
MONITORING FEES INCOME TAX WITHHOLDING TAX-BANKS AND OTHER WITHHOLDING TAX - FRINGE BENEFITS
CAPITAL GAINS TAX - Real Property FINANCIAL INSTITUTIONS WITHHOLDING TAX - PERCENTAGE TAX
ON WINNING AND PRIZES
 (To be filled up the BIR)
PSIC: PSOC:
BIR Form No.

orm
0605
July 1999 (ENCS)

6 ATC

BIR)

ss/Occupation
I N
14 Telephone Number

18 Type
 Stamp of Receiving Office
and Date of Receipt

Amount

orm 0605 (ENCS) - PAGE 2

NATURE OF PAYMENT

Avturbo Jet Fuel

Kerosene
Asphalts
LPG Gas
Basetocks, Lubes and Greases

Waxes and Petrolatum

Processed Gas
Miscellaneous Products/Articles
Automobiles
Non Essential Goods
Mineral Products
Coal & Coke
Non Metallic & Quarry Resources
Gold and Chromite
Copper & Other Metallic Minerals
Indigenous Petroleum
Others

Description
 HOLDING TAX-COMPENSATION WITHHOLDING
EXPANDED WITHHOLDING TAX-FINAL
HOLDING TAX - VAT AND OTHER
CENTAGE TAXES
HOLDING TAX-OTHERS (ONE-TIME TRAN-
ION NOT SUBJECT TO CAPITAL GAINS TAX)
HOLDING TAX - FRINGE BENEFITS
HOLDING TAX - PERCENTAGE TAX
INNING AND PRIZES
 BIR Form No. 0605 - Payment Form
Guidelines and Instructions
Who Shall Use
Every taxpayer shall use this form, in triplicate, to pay taxes and
fees which do not require the use of a tax return such as second
installment payment for income tax, deficiency tax,
delinquency tax, registration fees, penalties, advance
payments, deposits, installment payments, etc.
When and Where to File and Pay
This form shall be accomplished:
1. Everytime a tax payment or penalty is due or an advance
payment is to be made;
2. Upon receipt of a demand
letter/assessment notice and/or collection letter from the
BIR; and
3. Upon payment of annual registration fee for new business
and for renewals on or before January 31 of every year.
This form shall be filed and the tax shall be paid with any
Authorized Agent Bank (AAB) under the jurisdiction of the
Revenue District Office where the taxpayer is required
to register/conducting business/producing articles subject to
excise tax/having taxable transactions. In places where there
are no AABs, this form shall be filed and the tax shall be paid
directly with the Revenue Collection Officer or duly
Authorized City Or Municipal Treasurer of the
Revenue District Office where the taxpayer is required to
register/conducting business/producing articles subject to
excise tax/having taxable transactions, who shall issue Revenue
Official Receipt (BIR Form No.
2524) therefor.

ENCS
R Form No. 0605 - Payment Form
Guidelines and Instructions
Where the return is filed with an AAB, the lower portion of the
return must be properly machine-validated and stamped by the
Authorized Agent Bank to serve as the receipt of payment. The machine
validation shall reflect the date of payment, amount paid and transaction
code, and the stamp mark shall show the name of the bank, branch code,
teller’s name and teller’s initial. The AAB shall also issue an official receipt
or bank debit advice or credit document, whichever is applicable, as
additional proof of payment.
One set of form shall be filled-up for each kind of tax and for each
taxable period.
Attachments
1. Duly approved Tax Debit Memo, if applicable;
2. Copy of letter or notice from the BIR for which this payment form is
accomplished and the tax is paid whichever is applicable:
a. Pre-Assessment / Final Assessment Notice/Letter of Demand
b. Post Reporting Notice
c. Collection Letter of Delinquent/ Accounts Receivable
d. Xerox copy of the return (ITR)/Reminder
Letter in case of payment of second installment on
income tax.
Note: All background information must be properly filled up.

The last 3 digits of the 12-digit TIN refers to the
branch code.

ENCS