Republic of the Philippines

For BIR BCS/ Department of Finance

Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Compensation
2316 Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld
January 2018 (ENCS) 2316 01/18ENCS
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the year 2 For the Period
2 0 2 0 1 1 2 8 12 3 1
( YYYY ) From (MM/DD) To (MM/DD)
Part I - Employee Information Part IV-B Details of Compensation Income and Tax Withheld from Present Employer

3 4 0 1 6 8 7 2 2 0 0 0 A. NON-TAXABLE/EXEMPT COMPENSATION INCOME Amount

3 TIN
27 Basic Salary (including the exempt P250,000 & below)
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code 4,889.65
or the Statutory Minimum Wage of the MWE
Martinez, Izza Joy, Bacane 0 4 4
28 Holiday Pay (MWE) 0.00
6 Registered Address 6A Zip Code
Gumamela St. Pahanocoy Bacolod City 1,022.17
29 Overtime Pay (MWE)
6B Local Home Address 6C Zip Code
30 Night Shift Differential (MWE) 0.00

6D Foreign Address 31 Hazard Pay (MWE) 0.00

32 13th Month Pay and Other Benefits
7 Date of Birth (MM/DD/YYYY) 8 Contact Number (maximum of P90,000) 449.97
0 1 1 3 1 9 9 8 9 5 0 1 0 0 1 2 0 4
33 De Minimis Benefits 0.00
9 Statutory Minimum Wage rate per day 395.00 34 SSS, GSIS, PHIC & PAG-IBIG Contributions
and Union Dues (Employee share only) 510.00
10 Statutory Minimum Wage rate per month 8591.25
Minimum Wage Earner(MWE) whose compensation is exempt from 35 Salaries and Other Forms of Compensation 0.00
11 ✔ withholding tax and not subject to income tax
36 Total Non-Taxable/Exempt Compensation
Part II - Employer Information (Present) Income (Sum of Items 27 to 35) 6,871.79
12 TIN B. TAXABLE COMPENSATION INCOME REGULAR
0 0 8 4 5 3 9 9 1 0 0 0

13 Employer's Name 37 Basic Salary 0.00

HC CONSUMER FINANCE PHILIPPINES INC
38 Representation 0.00
14 Registered Address 14A Zip Code
15F Ore Central, 9th Avenue corner 31st St.,BGC, Taguig City 1 6 3 4 39 Transportation 0.00

15 Type of Employee ✔ Main Employer Secondary Employer 40 Cost of Living Allowance (COLA) 0.00
Part III - Employer Information (Previous) 41 Fixed Housing Allowance 0.00
16 TIN
42 Others (Specify)

17 Employer's Name 42A

0.00
42B
0.00
18 Registered Address 18A Zip Code
SUPPLEMENTARY

Part IVA - Summary

43 Commission 0.00
19 Gross Compensation Income from Present 44 Profit Sharing 0.00
Employer (Sum of Items 36 and 50) 6,871.79
20 Less: Total Non-Taxable/Exempt Compensation
Income from Present Employer (From Item 36) 6,871.79 45 Fees Including Director's Fees 0.00
21 Taxable Compensation Income from Present
Employer (Item 19 Less Item 20) (From Item 50) 0.00 46 Taxable 13th Month Benefits 0.00
22 Add: Taxable Compensation Income from
Previous Employer, if applicable 0.00 47 Hazard Pay 0.00
23 Gross Taxable Compensation Income 0.00
(Sum of Items 21 and 22)
48 Overtime Pay 0.00
24 Tax Due 0.00 49 Others (Specify)
25 Amount of Taxes Withheld 49A 0.00
25A Present Employer 0.00
49B 0.00
25B Previous Employer, if applicable 0.00
50 Total Taxable Compensation Income
26 Total Amount of Taxes Withheld as adjusted (Sum of Items 37 to 49B) 0.00
(Sum of Items 25A and 25B) 0.00
I/We declare, under the penalties of perjury that this certificate has been made in good faith, verified by me/us, and to the best of my/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. Further, I/we give my/our consent to the processing of my/our
information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

51 MARIA ELENA OLLE Date Signed

Present Employer/ Authorized Agent Signature over Printed Name
CONFORME:
52 Martinez, Izza Joy, Bacane Date Signed
Employee Signature over Printed Name Amount Paid, if CTC
C/Valid ID No. Place of
of Employee issue Date of Issue
To be accomplished under substituted filing
I declare, under the penalties of perjury that the information herein stated are I declare,under the penalties of perjury that I am qualified under substituted filing of
reported under BIR Form No. 1604-C which has been filed with the Bureau of Income Tax Return(BIR Form No. 1700), since I received purely compensation income
Internal Revenue. from only one employer in the Philippines for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form No.
MARIA ELENA OLLE 1604-C filed by my employer to the BIR shall constitute as my income tax return; and that
53
Present Employer/ Authorized Agent Signature over Printed Name BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700 had been filed
pursuant to the provisions of Revenue Regulations (RR) No. 3-2002, as amended.
(Head of Accounting/ Human Resource or Authorized Representative)
54
Employee Signature over Printed Name
*NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)