1 For the Period

From (MM/DD/YY) To (MM/DD/YY)

Part I Payee Information

2 Taxpayer

Identification Number

3 Payee's Name

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)

4 Registered Address 4A Zip Code

5 Foreign Address 5A Zip Code

Payor Information

6 Taxpayer

Identification Number

7 Payor's Name

(Last Name, First Name, Middle Name for Individuals) (Registered Name for Non-Individuals)

8 Registered Address 8A Zip Code

PART II Details of Monthly Income Payments and Tax Withheld for the Quarter

Income Payments Subject to ATC

AMOUNT OF INCOME PAYMENTS

Expanded Withholding Tax 1st Month of 2nd Month of 3rd Month of Total Tax Withheld

the Quarter the Quarter the Quarter For the Quarter

PROFESSIONAL FEE 5,000 9,000 11,000 20,000 2,000

Total

Money Payments Subject to Withholding

Total

We 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 belief, is true and correct,

pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

MS. VIVIAN A. RANTE ACCOUNTANTPayor/Payor's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory

(Signature Over Printed Name)

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

Payee/Payee's Authorized Representative/Accredited Tax Agent TIN of Signatory Title/Position of Signatory Date Signed

(Signature Over Printed Name)

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

of Business Tax (Government & Private)

Conforme:

13

0 00 1 18 8 23 22 5

01

BIR Form No.Republika ng PilipinasKagawaran ng PananalapiKawanihan ng Rentas Internas

1303

UNIT J 3RD FLOOR RED MAPLE BLDG. 411 NS AMORANTO SENIOR AVE MAHARLIKA, QC

000 359 221 206 PADUA INTERNATIONAL CORPORATION

MARCOS HI-WAY SITIO KAYBAGSIK BGY. SAN LUIS ANTIPOLO CITY 1 8 7 0

NIMFA S. PINEDA

31 01

Certificate of Creditable Tax Withheld At Source 2307

September 2005 (ENCS)