Republika ng PilipinasKagawaran ng PananalapiKawanihan ng Rentas lnternas

Certificate of CreditableWithheld At Source

TaxBIR Form No.

2307September2005 (ENCS)

For the PeriodFrom

l->l * T* l. I . I(MM/DD,YY) To l;t>l ;rGi (MMiDDA/Y)

Part I Pavee lnformationTaxpayerldentification NumberPayee's Name

Registered Address

Foreign Address

JSJ CONSTRUCTION INC.(Last Name, First Name, Middle Name for lndividuals) Name for Non-lndividuals)

BC 6, PHILEXCEL PARK, MA ROXAS HIGHWAY, CLARK FREEPORT ZONE, PAMP. 4A Zip Code

5A Zip Code

7 7

Payor lnformationTaxpayerldentification Number

Payor's Name

Registered Address

008 676 502 000

SAMBON P&E PHILS CORPName for Non-lndividuals)

8A Zip CodeFirst Name, Middle Name for lndividuals)

BLDG 5416, CLARO M RECTO HIGHWAY, CLARK FREEPORTZONE, PAMPANGAPART II Details of Monthly lncome Payments and Tax Withheld for the Quarter

lncome Palnnents Subject toExpanded Withholding Tax

ATCAMOUNT OF INCOME PAYMENTS

Tax WithheldFor the Quarter

1st Month ofthe Quarter

2nd Month ofthe Quarter

3rd Month ofthe Quarter

Total

WC120 1 1,936,877.00 238,737.54

fotal 1't,936,877.00 238,737.54Money Payments Subject to Withholdingof Business Tax (Government & Pdvate)

fotalWe deciare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct,

Jrsuantto the provisrons oflhe NatLoaal lnternd Revenue Code, as amended, and the regulations issued underauthoritythereof.6/fe/e*r$c 44s72s130 coRpoRArE TREASURER(Sionature Over Printed tllme)

tlN of Signatory TitleiPosition of Signatory

Tax Agent Accreditation No-/Aftorney's Roll No. (if applicable) Date of lssuance Date of Expiry

.[E;tl

Republika ng PilipinasKagawaran ng PananalapiKawanihan ng Rentas lnternas

Certifi cate of CreditableWithheld At Source

TaxBIR Form No.

2307Seplember2005 (ENCS)

I For the PeriodFrom .lq, 01I F i ,r*oo,"", [*To >l

'

* r*l (MM/DDiYY),art I Payee lnformation

Taxpayerldentification NumberPayee's Name

Registered Address

008 739 957 000

JSJ CONSTRUCTION INC.(Last Name, First Name, Middle Name for lndividuals) Name for Non-lndividuals)

4A Zip CodeBC 6, PHILEXCEL PARK, MA ROXAS HIGHWAY, CLARK FREEPORTZONE, PAMP.

Foreign Address ,[ I sn zin coue , I

Payor lnformationTaxpayerldentification NumberPayor's Name

Registered Address

SAMBON P&E PHILS CORPName for Non lndividuals)

8A Zip Code

008 676 502 000

Name, First lrlame, Middle Name for lndividuals

BLDG 5416, CLARO M RECTO HIGHWAY, CLARK FREEPORTZONE, PAMPANGA,ART II Details of Monthly Income Fayments and Tax tvithheld for the Quarter

lncome Payments Subject toExpanded Withholding Tax

ATCAMOUNT OF INCOME PAYMENTS

Tax WithheldFor the Quarter

1st Month ('fthe Quarter

2nd Month olthe Quarter

3rd Month ofthe Quarter

Toial

WC120 20,53s,990.00 410,71S.80

Iotal 20,535,990.00 410,719.80Money Payments Subjoct to Withholdingof Business Tax (Govcrnment & Private,

fotalWe declare. under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and beiief, is true and correct,

lrsuant to the provisrons of the NatroraLlnternal B0venue Code, as amended, and the regulations issued under authority thereof.6@e#6 44s72s130 coRpoRArE TREASURER(Siqnature Over Printed Nan{e)

TIN of Signatory TitielPosition ol Signatory

Tax Agent Accreditation No.lAttorney's Roll No. (if applicable) Date cll Issuance Date of Expiry