Bir 2316

DLN:
Republika ng Pilipinas Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Certificate of Compensation Payment/Tax Withheld

2
BIR Form No.
2316
July 2008 (ENCS)
For Compensation Payment With or Without Tax Withheld Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year ( YYYY ) Part I Employee Information 3 Taxpayer Identification No. 4 Employee's Name (Last Name, First Name, Middle Name)
For the Period From (MM/DD) To (MM/DD) Details of Compensation Income and Tax Withheld from Present Employer Part IV-B Amount A. NON-TAXABLE/EXEMPT COMPENSATION INCOME 5 RDO Code 32 Basic Salary/ Statutory Minimum Wage 32
6 Registered Address
6A Zip Code
Minimum Wage Earner (MWE)
33 Holiday Pay (MWE) 6B Local Home Address 6C Zip Code 34 Overtime Pay (MWE) 6D Foreign Address 6E Zip Code
33 34
35 Night Shift Differential (MWE)

36 Hazard Pay (MWE) 37 13th Month Pay and Other Benefits
35
36 37
7 Date of Birth (MM/DD/YYYY)
8 Telephone Number
9 Exemption Status Single Yes 10 Name of Qualified Dependent Children Married

9A Is the wife claiming the additional exemption for qualified dependent children?
38 De Minimis Benefits
38
No 11 Date of Birth (MM/DD/YYYY) 39 SSS, GSIS, PHIC & Pag-ibig Contributions, & Union Dues
(Employee share only)
39
12 Statutory Minimum Wage rate per day 13 Statutory Minimum Wage rate per month 14
12 13
40 Salaries & Other Forms of Compensation 41 Total Non-Taxable/Exempt Compensation Income
40 41
Minimum Wage Earner whose compensation is exempt from withholding tax and not subject to income tax Part II Employer Information (Present) 15 Taxpayer Identification No. 16 Employer's Name
B. TAXABLE COMPENSATION INCOME REGULAR 42 Basic Salary 42 43
43 Representation
17 Registered Address 17A Zip Code
44 Transportation
45 Cost of Living Allowance 46 Fixed Housing Allowance 47 Others (Specify) 47A
44
45 46
Main Employer Secondary Employer Part III Employer Information (Previous) 18 Taxpayer Identification No. 19 Employer's Name
47A 47B
20 Registered Address
20A Zip Code
47B SUPPLEMENTARY 48 Commission 49 Profit Sharing 50 Fees Including Director's Fees 51 Taxable 13th Month Pay and Other Benefits 52 Hazard Pay
Part IV-A 21 Gross Compensation Income from 22 Less: Total Non-Taxable/

Exempt (Item 41)
Summary 21 22 23
48 49 50 51 52 53
Present Employer (Item 41 plus Item 55)
23 Taxable Compensation Income

from Present Employer (Item 55)
24 Add: Taxable Compensation Income from Previous Employer 25 Gross Taxable Compensation Income 26 Less: Total Exemptions 27 Less: Premium Paid on Health
and/or Hospital Insurance (If applicable)
24 25 26 27 28 29 30A
28 Net Taxable Compensation Income 29 Tax Due 30 Amount of Taxes Withheld 30A Present Employer 30B Previous Employer
53 Overtime Pay 54 Others (Specify) 54A 54B
54A 54B 55
30B
31 Total Amount of Taxes Withheld As adjusted
31
55 Total Taxable Compensation Income
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. Date Signed 56 Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME: 57
CTC No.
of Employee
Date Signed Employee Signature Over Printed Name Place of Issue Amount Paid Date of Issue
To be accomplished under substituted filing

I declare, under the penalties of perjury, that the information herein stated are reported 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 under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. 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; 58 Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700 (Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59
Employee Signature Over Printed Name
BIR Form No.
2316
July 2008 (ENCS)
Details of Compensation Income and Tax Withheld from Present Employer
en made in good faith, verified by us, and to the best of our knowledge and belief, is true and correct
Amount Paid
accomplished under substituted filing

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 No. 3-2002, as amended.

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DLN:

Republika ng Pilipinas Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

Certificate of Compensation Payment/Tax Withheld

BIR Form No.

Minimum Wage Earner (MWE)

35 Night Shift Differential (MWE)

7 Date of Birth (MM/DD/YYYY)

9 Exemption Status Single Yes 10 Name of Qualified Dependent Children Married

40 Salaries & Other Forms of Compensation 41 Total Non-Taxable/Exempt Compensation Income

B. TAXABLE COMPENSATION INCOME REGULAR 42 Basic Salary 42 43

20A Zip Code

Part IV-A 21 Gross Compensation Income from 22 Less: Total Non-Taxable/

Present Employer (Item 41 plus Item 55)

23 Taxable Compensation Income

53 Overtime Pay 54 Others (Specify) 54A 54B

31 Total Amount of Taxes Withheld As adjusted

55 Total Taxable Compensation Income

To be accomplished under substituted filing

BIR Form No.

accomplished under substituted filing

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