CERTIFICATION

This is to certify that __(Name of Security Agency)__ has religiously complied with its
obligation as a withholding agent pursuant to the provisions of Sections 79, 80 and 81 of the
Tax Code and its implementing regulations. As a designated withholding agent, it has
withheld and remitted the correct tax on wages paid to the security guards assigned for duty
with ____(Name of Client)____, with the information thereon detailed as follows:
STHAID

1.
2.
3.
4.
5.

Name of Guard TIN Employment Dates Amt. of Salaries Tax Withheld

to
to
to
to
to

It is further certified that the amount of salaries and the amount of tax withheld
mentioned above corresponds to the amount reported in the annual Apha List required to be
submitted by the herein withholding agent.
This certification is issued to ___(Name of Client)___ in compliance with the
requirements set forth under RMC No. __________.
Sgd. ____(Responsible Officer)____
Security Agency
SUBSCRIBED AND SWORN TO before me this ____ day of ________, 200__ in
_______________, affiant exhibiting to me his/her Community Tax Certificate No.
_____________ issued on _______________ at _______________.
Notary Public
Page No. ______
Doc No. ______
Book No. _____
Series of ______.