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(To be filled up by the BIR) DLN: PSOC: PSIC: Monthly ...

(To be filled up by the BIR) DLN: PSOC: PSIC: Monthly ...

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(To be filled up by the BIR) DLN: PSOC: PSIC: Fill in all applicable spaces. Mark all appropriate boxes with an “X”. 1 For the Month 2 Amended Return? 3 No. of Sheets Attached 4 Any Taxes Withheld? (MM / YYYY) Yes No Yes No

  Filled, Filled up

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