Kawanihan NG Rentas Internas For Compensation Payment With or Without Tax Withheld
Kawanihan NG Rentas Internas For Compensation Payment With or Without Tax Withheld
Kawanihan NG Rentas Internas For Compensation Payment With or Without Tax Withheld
Certificate of Compensation
Payment/Tax Withheld
Republika ng Pilipinas
Kagawaran ng Pananalapi
Part I
Employee Information
3 Taxpayer
Identification No.
4 Employee's Name (Last Name, First Name, Middle Name)
Part IV-B
5 RDO Code
6A Zip Code
6C Zip Code
6E Zip Code
8 Telephone Number
9 Exemption Status
Single
To (MM/DD)
Amount
A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
6 Registered Address
2316
July 2008 (ENCS)
32 Basic Salary/
Statutory Minimum Wage
6D Foreign Address
32
33
34
35
36
37
38 De Minimis Benefits
38
39
Married
9A Is the wife claiming the additional exemption for qualified dependent children?
Yes
10 Name of Qualified Dependent Children
No
11 Date of Birth (MM/DD/YYYY)
12
13
40
41 Total Non-Taxable/Exempt
Compensation Income
41
14
42
43
43 Representation
17 Registered Address
44 Transportation
44
45
46
47 Others (Specify)
47A
47A
47B
47B
SUPPLEMENTARY
48 Commission
48
49 Profit Sharing
49
50
51
52 Hazard Pay
52
28
53 Overtime Pay
53
29
54 Others (Specify)
Main Employer
Secondary Employer
Part III
Employer Information (Previous)
18 Taxpayer
Identification No.
19 Employer's Name
20 Registered Address
Part IV-A
21 Gross Compensation Income from
Summary
21
22
23
24
27
25
26
28 Net Taxable
Compensation Income
29 Tax Due
30 Amount of Taxes Withheld
30A Present Employer
30A
30B
54A
54A
54B
54B
31
55
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
58
Present Employer/ Authorized Agent Signature Over Printed Name
(Head of Accounting/ Human Resource or Authorized Representative)
59
Employee Signature Over Printed Name