(To be filled up by the BIR)

DLN:
Republika ng Pilipinas Kagawaran ng Pananalapi

Taxpayer PSOC:

PSIC:

Spouse PSOC:
BIR Form No.

Kawanihan ng Rentas Internas For Self-Employed Individuals, Estates, and Trusts (Including those w/ both Business & Compensation Income)
Fill in all applicable spaces. Mark all appropriate boxes with an X.

Quarterly Income Tax Return

Yes Spouse No

1701Q
July 2008 (ENCS) 4 No. of sheet/s attached 8 RDO

For the Year (YYYY) Part I Taxpayer/Filer 5 9 TIN

2 Quarter 1st

3 Amended 2nd 3rd Return Background Information 7 10 12 TIN

6 RDO Code

Taxpayer's Name(Last Name, First Name, Middle Name)(Estates & Trusts)

Spouse's Name (Last Name, First Name, Middle Name)(If applicable) Registered Address 17 Zip Code 22
ATC

11 Registered Address 13 Date of Birth (MM/DD/YYYY) 19 Line of Business/Occupation

14 Zip Code 15 Telephone Number 16 Date of Birth (MM/DD/YYYY) 20

ATC

18 Compensation Business Mixed Income

23 Method of Deduction Itemized Deduction

II 01 II 01 II 01

Compensation Business Mixed Income

21 Line of Business/Occupation

40% Optional Standard Deduction

24 Method of Deduction Itemized Deduction No If yes, specify

II 01 II 01 II 01

40% Optional Standard Deduction

25 Are you availing of tax relief under Special Law or International Tax Treaty? Yes Part II Computation of Tax Declaration This Quarter Taxpayer/Filer 26 Sales/Revenues/Receipts/Fees 26A Add: Amount Received by a Partner from General 27 27A
Professional Partnership (except loans)

Spouse 26B 27B 28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 38D 38F 38H 38J 38L 38N 39B 40B 40D 40F 40H 41B

28 29 30 31 32 33 34 35 36 37 38

Total Less: Cost of Sales/Services Gross Income from Operation Add: Other Income Total Gross Income Less: Deductions Taxable Income This Quarter Add: Taxable Income Previous Quarter/s Taxable Income to Date Tax Due Less: Tax Credits/Payments 38A/B Prior Years' Excess Credits 38C/D Tax Payment/s for the Previous Quarter/s
38E/F Creditable Tax Withheld for the Previous Quarter/s 38G/H Creditable Tax Withheld Per BIR Form No. 2307

28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 38C 38E 38G 38I 38K 38M 39A 40A 40C 40E 40G 41A 41C

for this Quarter

38I/J Tax Paid in Return Previously Filed,

if this is an Amended Return 38K/L Other Payment/s Made (please attach proof of payment-BIR Form No. 0605)
38M/N Total Tax Credits/Payments (Sum of 38A,C,E,

G,I & K/ 38B,D,F,H,J,& L)

39 Tax Payable/(Overpayment) (37A less 38M & 37B less 38N) 40 Add: Penalties Surcharge Interest Compromise Total Penalties (Sum of Items 40A,C,E/40B,D,F) 41 Total Amount Payable/ (Overpayment)(39A+40G/39B+40H)

Aggregate Amount Payable/(Overpayment) ( Sum of Items 41A & 41B)

I declare under penalties of perjury, that this return 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. 42 Taxpayer/Authorized Representative/Accredited Tax Agent Signature Over Printed Name Tax Agent Acc. No./Atty's Roll No. (if applicable) Part III Particulars 43 Cash/Bank Debit Memo 44 Check 45 Tax Debit Memo 46 Others Drawee Bank/ Agency
43A 44A 43B 44B 45A 46A 46B

Title/Position of Signatory

TIN of Signatory

Date of Issuance

Date of Expiry Stamp of Receiving Office/

D e t a i l s of P a y m e n t Date Number MM DD
43C 44C 45B 46C

YYYY
43D 44D 45C 46D

Amount

AAB and Date of Receipt (RO's Signature/ Bank Teller's Initial

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

\mariam

BIR FORM 1701Q (ENCS)-PAGE 2 TAX TABLE If TAXABLE INCOME is: Not over P 10,000 Over P 10,000 but not over Over P 30,000 but not over Over P 70,000 but not over Over P 140,000 but not over Over P 250,000 but not over Over P 500,000 TAX DUE is: P 30,000 P 70,000 P 140,000 P 250,000 P 500,000 5% P 500 + 10% P 2,500 + 15% P 8,500 + 20% P 22,500 + 25% P 50,000 + 30% P 125,000 + 32% of the excess over of the excess over of the excess over of the excess over of the excess over of the excess over P 10,000 P 30,000 P 70,000 P 140,000 P 250,000 P 500,000

BIR Form 1701Q - Quarterly Income Tax Return

GUIDELINES AND INSTRUCTIONS

PSIC:
Republika ng Pilipinas Kagawaran ng Pananalapi

IR Form No.

1701Q
8 RDO Code

Kawanihan ng Rentas Interna

uly 2008 (ENCS)

For Self-Employed, Professionals, Esta (Including those w/ both Business & Co

No. of sheet/s attached

ame)(If applicable)

Telephone Number Compensation Business Mixed Income

onal Standard Deduction

Spouse

knowledge and belief, nder authority thereof.

N of Signatory

ate of Expiry Stamp of Receiving Office/ AAB and Date of Receipt (RO's Signature/ Bank Teller's Initial

01Q (ENCS)-PAGE 2

ess over ess over ess over ess over ess over ess over

P 10,000 P 30,000 P 70,000 P 140,000 P 250,000 P 500,000

Pilipinas g Pananalapi

ng Rentas Internas

Quarterly Income Tax Return

BIR Form No.

Professionals, Estates, and Trusts both Business & Compensation Income)

1701Q
July 1999 (ENCS)