Beruflich Dokumente
Kultur Dokumente
Payment/Tax Withheld
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
2316
July 2008 (ENCS)
2015
948
660
582
000
000
33
33
0.00
34
34
0.00
35
35
36
36
37
37
38
De Minimis Benefits
Other Benefits
38
02 08 2008
09 11 2009
39
39
40
40
4,059.90
41
Total Non-Taxable/Exempt
Compensation Income
41
110,285.50
6528
0.00
6C Zip Code
6E Zip Code
Telephone number
1980
9 Exemption Status
Single
0.00
Is the wife claiming the additional exemption for qualified dependent children?
10
Yes
No
11
12
12
13
13
000
112
10,000.00
14,225.60
REGULAR
82,000.00
15 Taxpayer
Identification No.
0.00
Married
9A
42
Basic Salary
42
43
Representation
43
44
Transportation
44
45
45
46
46
192,782.40
104
16 Employer's Name
0.00
0.00
30
32
6D Foreign Address
12
To (MM/DD)
Basic Salary/
Statutory Minimum Wage
Minimum Wage Earner (MWE)
14
01
32
6A Zip Code
30
01
Part IV-B Details of Compensation Income and Tax Withheld from Present Employer
Amount
A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
5 RDO Code
6 Registered Address
01
main employer
Taguig City
1634
secondary employer
0.00
0.00
18
47
19 Employer's Name
20 Registered Address
Others (Specify)
47A
47A
0.00
47B
47B
0.00
SUPPLEMENTARY
Part IV-A
Summary
21
21
414,707.96
22
22
110,285.50
23
23
304,422.46
24
24
0.00
25
Gross Taxable
Compensation Income
25
304,422.46
26
26
100,000.00
27
27
29
Tax Due
29
30
30A
30B
30B
28
31
Previous Employer
28
204,422.46
48
Commission
48
49
Profit Sharing
49
50
50
0.00
51
51
78,564.00
52
Hazard Pay
52
0.00
53
Overtime Pay
53
5,679.28
54
Others (Specify)
54A
0.00
0.00
54A
27,396.78
38,605.62
38,605.62
54B
55
31
38,605.62
54B
55
304,422.46
We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by us, and to the best of our 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.
56
OSCAR MEDINA
Date Signed
01
18
2016
Present Employer/Authorized Agent Signature Over Printed Name
CONFORME:
57
Carzon, Michael, Asoy
Date Signed
CTC No.
of Employee
Date of Issue
Amount Paid
To be accomplished under substituted filing
I declare, under the penalties of perjury, that the information herein stated are reported under BIR
Form No. 1604CF which have been filed with the Bureau of Internal Revenue
58
OSCAR MEDINA
Present Employer/Authorized Agent Signature Over Printed Name
(Head of Accounting/Human Resource or Authorized Representative)
I declare, under the penalties of perjury, that I am qualified under substituted filing of Income Tax
Returns (BIR Form No. 1700), since I received purely compensation income from only one
employer in the Phils. for the calendar year; that taxes have been correctly withheld by my
employer (tax due equals tax withheld); that the BIR form No. 1604CF filed by my employer to the
BIR shall constitute as my income tax return and that BIR Form No. 2316 shall serve the same
purpose as if BIR Form No. 1700 had been filed pursuant to the provisions of RR 3-2002, as
amended.
59