Professional Documents
Culture Documents
1 For the year (YYYY) Part 1 4 Taxpayer Identification Number (TIN) 6 Taxpayer's Name Last Name 7 Registered Address
Amended Return?
Yes
Joint Filing?
Yes
RDO Code
First Name
Middle
(Unit/Room Number/Floor)
(Building Name)
(Lot Number
Block Number
Phase Number
House/Building Number)
(Street Name)
(Subdivision/Village)
(Barangay)
(Municipality/City) 8 Date of Birth (MM/DD/YYYY) 11 Contact Number 13 Line of Business 15 Method of Deduction Itemized Deduction [Secs. 34 (A to J), NIRC] 9 Gender 12 E-mail Address 14 Alphanumeric Tax Code (ATC) Optional Standard Deduction (OSD) - 40% of Gross Sales/Receipts/ Revenues/ Fees [Section 34(L), NIRC, as amended by R.A. No. 9504] Spouse 18 Spouse's Name Last Name 19 Taxpayer Identification Number (TIN) 21 Date of Birth (MM/DD/YYYY) 24 Line of Business 26 Method of Deduction
29 -
II 011
Compensation Income
II 012
First Name 20 RDO Code 23 E-mail Address 25 Alphanumeric Tax Code (ATC) Optional Standard Deduction (OSD) - 40% of Gross Sales/Receipts/ Revenues/Fees [Section 34(L), NIRC, as amended by R.A. No. 9504] II 011 Compensation Income II 012 Business Income/Income from Profession Yes No
Middle
22 Contact Number
Date of Bir
1 2 3 4
30 Are you availing of tax relief under Special Law or International Tax Treaty?
Yes
No
Annex "B-2"
BIR Form No.
1701
November 2011 (ENCS)
TO BE FILED IN THREE (3) COPIES: (1) BIR FILE COPY (2) BIR ENCODING COPY (3) TAXPAYER FILE COPY
No
Middle Name
(Building Name)
(Street Name)
(Barangay)
(Zip Code)
II 013
Mixed Income
Middle Name
II 013
Mixed Income
Part II 31 Income Tax Due under Regular Rate (from Item 69C/ 69D of Part V) 32 Add: Income Tax Due under Special Rate (from Item 69A/ 69B of Part V) 33 Total Income Tax Due (Sum of Items 31A & 32A/ 31B & 32B) 34 Aggregate Income Tax Due (Sum of Item 33A & 33B) 35 Less: Tax Credits/Payments (attach proof) 35A/B Prior Year's Excess Credits 35C/D Tax Payment for the First Three Quarters 35E/F Creditable Tax Withheld for the First Three Quarters 35G/H Creditable Tax Withheld per BIR Form No. 2307 for the 4th Quarter 35I/J Tax withheld per BIR Form No. 2316 35K/L Tax Paid in Return Previously Filed, if this is an Amended Return 36M/N Foreign Tax Credits 35O/P Other Payments/Credits, specify____________________________ 35Q/R Total Tax Credits/Payments (Sum of Items 35A, C, E, G, I, K, M & O/ 35B, D, F, H, J, L, N & P) 36 Net Tax Payable/(Overpayment) (Item 33A less 35Q/ 33B less 35R) 37 Aggregate Tax Payable/(Overpayment) (Sum of Item 36A & 36B) 38 Add: Penalties
35A 35C 35E 35G 35I 35K 35M 35O 35Q 36A 37
35B 35D 35F 35H 35J 35L 35N 35P 35R 36B
Taxpayer/Filer 38A
Spouse 38E
38B 38F
38C 38G
38D
38H 39
39 Aggregate Penalties (Sum of Item 38D & 38H) 40 Total Amount Payable/(Creditable/Refundable) (Sum of Item 36A & 38D/ 36B & 38H) 41 Aggregate Amount Payable/(Creditable/Refundable) (Sum of Item 40A & 40B) 42 Less Portion of Tax Payable Allowed for 2nd Installment Payment to be paid on or before July 15 (not less than 50% of Item 33A/ 33B) 43 Amount of Tax Required to be Paid Upon Filing this Return (Item 40A less 42A/ 40B less 42B) 44 Net Aggregate Amount of Tax Required to be Paid/(Creditable/Refundable) Upon Filing of this Return (Sum of Item 43A & 43B) If overpayment, mark one box only: Part III 45 Total Tax Relief/Savings (from Item 98J/ 98K of Part VII) 46 Aggregate Amount of Tax Relief/Savings (Sum of Item 45A & 45B) Part IV Particulars Cash/Bank 47 Debit Memo 48 Check 49 Tax Debit Memo 50 Others 50A Details of Payment Drawee Bank/Agency 47A 48A 47B 48B 49A 50B Number 47C 48C 49B 50C Date (MM/DD/YYYY) 47D To be Refunded To be issued a Tax Credit Certificate (TCC) To be carried over, as tax credit for the next year/quarter Availment of Tax Income Incentives/Exemptions 42A 43A 40A
41
40B
44
42B 43B
Taxpayer/Filer 45A 46
45B
Amount
Spouse
Stamp of Receiving Office/AAB and Date of Receipt Amount (RO's Signature/Bank Teller's Initial)
Part V Taxpayer/Filer 51 Gross Compensation Income (from Schedule 1) 52 Less: Non-Taxable/Exempt Compensation 53 Gross Taxable Compensation Income (Item 51A less 52A/ 51B less 52B) 54 Less: Deductions 54A/B Premium on Health and/or Hospitalization Insurance (not to exceed P 2,400/year) 54C/D Personal Exemption/Exemption for Estate and Trust 54E/F Additional Exemption 54G/H Total Deductions (Sum of Items 54A, C & E/ 54B, D & F) 55 Total Compensation Income/(Excess of Deductions) (Item 53A less 54G/ 53B less 54H) 56 Sales/Revenues/Receipts/Fees (net of sales returns, allowances and discounts) 57 Add: Other Taxable/Exempt Income from Operations, not subject to Final Tax
56A
Breakdown of Income (attach additional sheet/s, if necessary) EXEMPT SPECIAL RATE Spouse Taxpayer/Filer
Spouse
51A 52A 53A
RE Taxpayer/Filer
56B
56C
56D
56E
57A/B/C/D/E/F
57G/H/I/J/K/L
57M/N/O/P/Q/R Total (Sum of Item 57A & 57G/ 57B & 57H/ 57C & 57I/ 57D & 57J/ 57E & 57K/ 57F & 57L)
58 Total Sales/Revenues/Receipts/Fees (Sum of Item 56A & 57M/ 56B & 57N/ 56C & 57O/ 56D & 57P/ 56E & 57Q/ 56F & 57R) 59 Less: Cost of Sales/Services 60 Net Sales/Revenues/Receipts/Fees (Item 58 less 59) 61 Add: Non-0perating Taxable Income 62 Gross Income (Sum of Item 60 & 61) 63 Less: Deductions 63A/B Optional Standard Deduction (OSD) OR 63C/D/E/F/G/H Regular Allowable Itemized Deductions Special Allowable Itemized Deductions Description 63I/J/K/L/M/N 63O/P/Q/R/S/T 63U/V/W/X/Y/Z Allowance for NOLCO (from Item 83) Legal Basis
63A
63C
63D
63E
63F
63G
Total Allowable Itemized Deductions (Sum of Items 63C, I, O & U/ 63D, J, P & V/ 63AA/AB/AC/AD/AE/AF 63E, K, Q & W/ 63F, L, R & X/ 63G, M, S & Y/ 63H, N, T & Z) Net Income (Item 62A less 63AA/ 62B less 63AB/ 62C less 63AC/ 62D less 63AD/ 64 62E less 63AE/ 62F less 63AF) (to Item 90 of Part VI-Schedule 3) Less: Excess of Deductions over Taxable Compensation Income (from Item 55A/55B) 65
66 Taxable/Exempt Business Income/Income from Profession (Item 64 less 65) 67 Total Taxable Income (Sum of Item 55 & 66) 68 Applicable Tax Rate (i.e. special/regular rate) 69 Income Tax Due (refer to Tax Table below) (to Item 32A & 32B/ 31A & 31B) 70 Less: Share of Other Agencies 71 Income Tax Due to National Government Under Special Rate (Item 69A less 70A/ 69B less 70B)
66A 67A
66B 67B
66E 67E
69C
If Taxable Income is: Not over P 10,000 Over P 10,000 but not over P 30,000 Over P 30,000 but not over P 70,000 Over P 70,000 but not over P 140,000
Tax Due is: 5% P 500 + 10% of the excess over P 10,000 P 2,500 + 15% of the excess over P 30,000 P 8,500 + 20% of the excess over P 70,000
TAX TABLE If Taxable Income is: Over P 140,000 but not over P 250,000 Over P 250,000 but not over P 500,000 Over P 500,000
P 22,500 + 25% of the exces P 50,000 + 30% of the exces P 125,000 + 32% of the exces
63B
63H
68C
68D
%
69D
Tax Due is: P 22,500 + 25% of the excess over P 140,000 P 50,000 + 30% of the excess over P 250,000 P 125,000 + 32% of the excess over P 500,000
Part VI Schedule 1 Name of Employer 72 73 74 75 Total Compensation Income/Tax Withheld (Sum of Item 72 to 74) (to Item 51) Schedule 2 76 Gross Income 77 Less: Total Deductions exclusive of NOLCO & Deductions under Special Laws 78 Net Operating Loss Carry Over (to Schedule 2A) Schedule 2A Net Operating Loss Year Incurred 79 80 81 82 79A 80A 81A 82A Amount 79B 80B 81B 82B
SCHEDULES Gross Compensation Income and Tax Withheld (attach additional sheet/s, if necessary) TAXPAYER/FILER Taxpayer Identification Number (TIN) Compensation Income 72A 73A 74A 72B 73B 74B 75A Computation of Net Operating Loss Carry Over (NOLCO)
Tax Withheld
Compensation Inc
Computation of Available Net Operating Loss Carry Over (NOLCO) (attach additional sheet/s, if necessary) Net Operating Loss Carry Over (NOLCO) Applied Previous Year Applied Current Year
Expired
83 Total (Sum of Items 79C, 80C, 81C & 82C) (to Item 63U/V/W/X/Y/Z) Schedule 3
Reconciliation of Net Income per Books Against Taxable Income (attach additional sheet/s, if necessary) Special Rate Taxpayer/Filer Spouse 84A
Regular Ra Taxpayer/Filer
84B
84C
85A 86 Total (Sum of Items 84A & 85A/ 84B & 85B/ 84C & 85C/ 84D & 85D) 87 Less: Total Non-taxable Income and Income Subjected to Final Tax 87A 88 Special Deductions (e.g. direct labor, training, etc.) 88A 89 Total (Sum of Items 87A & 88A/ 87B & 88B/ 87C & 88C/ 87D & 88D) 90 Net Income (Item 86A less 89A/ 86B less 89B/ 86C less 89C/ 86D less 89D) (from Item 64C & 64D/ 64E & 64F) Part VII Certificate of Registration/BIR Ruling/MOA/Others (A) 91 92 93 94 95 96 97 98 Total (Sum of Items 91J to 97J/ 91K to 97K) (to Item 45)
Legal Basis (Special Law-R.A. No./Particular Sec. in the Tax Code of 1997, as amended
85B 86B
85C 86C
86A
87B
87C
89A 90A
Details of Income Tax Incentives/Exemptions (attach additional sheet/s, if necessary) Effectivity Date of Incentive Exemption (state exact dates) From (MM/DD/YYYY) To (MM/DD/YYYY) (C) (D) Nature and Extent of Incentive/Exemption (E) Amount of Income Tax Payable under Regular Rate Taxpayer/Filer (F) Spouse (G) Amount of Actual Income Tax Paid Taxpayer/Filer (H) Spouse (I)
(B)
necessary) SPOUSE Compensation Income Tax Withheld 72E 73E 74E 75D
76 77 78
sheet/s, if necessary) Expired 79E 80E 81E 82E Net Operating Loss Unapplied
85D 86D
87D
essary) Amount of Actual Income Tax Paid Spouse (I) Amount of Tax Relief/Savings Taxpayer/Filer ( J ) = (F less H) Spouse ( K ) = (G less I)
98
Part VIII -
For Eatate and Trust (Engaged in Trade and Business) Name 99A 100A 101A
Payments to Heirs/Beneficiaries (attach additional sheet/s, if necessary) Taxpayer Identification Number (TIN) 99B 100B 101B 102
Amount
99 100 101 102 Total Payment to Heirs/Beneficiaries (Sum of Items 115B, 116B & 117B)
I declare, under the penalties of perjury, that this annual 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 re
103 Signature over Printed Name of Taxpayer/Authorized Representative (attach authorization) /Accredited Tax Agent (ATA) Position and TIN of Authorized Representative/ATA
Tax Agent Accreditation No./Atty's Roll No. (if app Issue Date Expiry Date 106 Date of Issue (MM/DD/YYYY)
105
Place of Issue
Supplemental Information (attach additional sheet/s, if necessary) TAXPAYER/FILER Final Tax Withheld/paid Exempt
108B
Actual Amount
108E
108 Interests
108C
108D TAXPAYER/FILER Actual Amount/Fair Market Final Tax Withheld/Paid Value/Net Capital Gains
109 Royalties 110 Dividends 111 Prizes and Winnings 112 Fringe Benefits 113 Compensation Subject to 15% Preferential Rate 114 Sale/Exchange of Real Properties
Description of Property (e.g., land, building, improvement)
114A 114H 114B 114I
114E 114L
114F 114M
Number of Shares
115E 115N
115G 115P
115H 115Q
116 Other Income Subject to Final Tax Under Sec. 57(A) of the Tax Code, as amended (specify)
116A 116B
116C 117A
116D
117 Total Final Tax Withheld/Paid (Sum of Items 108b to 113B, 114E, 114L, 115G, 115P & 116C/ 108E, 109D to 113D, 114G, 114N, 115I, 115R & 116E)
Gross Income/Receipts Exempt from Income Tax
Actual Amount/Fa
118B 119B 120B
118 Proceeds of Life Insurance Policy 119 Return of Premium 120 Retirement Benefits, Pensions, Gratuities, etc. 121 Personal/Real Properties Received thru Gifts, Bequests, and Devises
Description of Property (e.g., cash, land, building, improvement)
121A 122A 121B
121E 122C
122 Other Exempt Income/Receipts Under Sec. 32 (B) of the Tax Code, as amended (specify)
123 Total Income/Receipts Exempt from Income Tax (Sum of Items 63A to 65A, 66D & 67B/ 63B to 65B, 66E & 67C)
123A
123B
rovisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
107 Amount SPOUSE Final Tax Withheld/Paid Actual Amount/Fair Market Value/Net Capital Gains
109D 110D 111D 112D 113D 108F
114G 114N
115I 115R
116E 117B