Aligway
Aligway
Aligway
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55) 143,048.02
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41) 143,048.02
23 Taxable Compensation Income 23
from Present Employer (Item 55) 0.00 50 Fees Including Director's 50
24 Add: Taxable Compensation 24 Fees
Income from Previous Employer 0.00
25 Gross Taxable 25 51 Taxable 13th Month Pay 51
Compensation Income 0.00 and Other Benefits 0.00
26 Less: Total Exemptions 26
0.00 52 Hazard Pay 52
27 Less: Premium Paid on Health 27
and/or Hospital Insurance (If applicable) 0.00
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income 0.00
29 Tax Due 29 54 Others (Specify)
0.00
30 Amount of Taxes Withheld 54A 54A
30A Present Employer 30A 0.00
54B 54B
30B Previous Employer 30B 0.00
55 Total Taxable Compensation 55
31 Total Amount of Taxes Withheld 31 0.00 0.00
As adjusted 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.
56 MR. JOJI H. TATARA Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 KIMBERLY SERBIAL ALIGWAY Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
Place of Issue LAPU-LAPU Date of Issue 0 1 1 1 2 0 1
of Employee
08066278 131.00
CITY 9
To be accomplished under substituted filing
I declare, under the penalties of perjury, that the information herein stated are report I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue.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
58 MR. JOJI H. TATARA No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
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 KIMBERLY SERBIAL ALIGWAY
Employee Signature Over Printed Name
made in good faith, verified by us, and to the best of our knowledge and belief, is true and correct
Income Tax Returns(BIR Form No. 1700), since I received purely compensation income