Annual Income Tax Return: I I 0 1 1 I I 0 1 2 I I 0 1 1 I I 0 1 2 I I 0 1 3
Annual Income Tax Return: I I 0 1 1 I I 0 1 2 I I 0 1 1 I I 0 1 2 I I 0 1 3
Annual Income Tax Return: I I 0 1 1 I I 0 1 2 I I 0 1 1 I I 0 1 2 I I 0 1 3
Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
1 For the Year (YYYY) 2 Amended Return? 3 No. of Sheet/s Attached
Yes No
Part I Background Information
Taxpayer/Filer Spouse
4 TIN 5 RDO 6 TIN 7 RDO
Code Code
8 Taxpayer's Name (For Individuals)(Last Name, First Name, Middle Name) (Estates & Trusts) 9 Spouse's Name (Last Name, First Name, Middle Name) (If applicable)
12 Date of Birth (MM/DD/YYYY) 13 Zip Code 14 Telephone Number 15 Date of Birth (MM/DD/YYYY) 16 Zip Code 17 Telephone Number
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
/mariam
L
49 Total
74 Commission
75 Outside Services
I declare, under the 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 thereo
105
Taxpayer/Authorized Representative/Accredited Tax Agent Title/Position of Signatory TIN of Signatory
(Signature Over Printed Name)
Tax Agent Acc. No./Atty's Roll No. (if applicable) Date of Issuance Date of expiry
Date Issued
Community Tax Certificate Number Place of Issue Amount
MM DD YYYY
106 107 108 109
BIR Form 1701 (ENCS)-Page 4
If Taxable Income is: Tax Due is: If Taxable Income is: Tax Due is:
Not over P 10,000 5%
Over P 10,000 but not over P 30,000 P 500 + 10 % of the excess over P 10,000 Over P 140,000 but not over P 250,000 P 22,500 + 25 % of the excess over P 140,000
Over P 30,000 but not over P 70,000 P 2,500 + 15 % of the excess over P 30,000 Over P 250,000 but not over P 500,000 P 50,000 + 30 % of the excess over P 250,000
Over P 70,000 but not over P 140,000 P 8,500 + 20 % of the excess over P 70,000 Over P 500,000 P 125,000 + 32 % of the excess over P 500,000
ompensation Income
Spouse
Partnership)
xable Sales/Receipts
Spouse
Spouse
Spouse
oss Receipts/Income
Spouse
Spouse
Spouse
Spouse
come
Spouse
TIN of Signatory
Date of expiry
Amount
BIR Form 1701 (ENCS)-Page 4
Tax Due is: