BIR Form No.

1701A Page 1 of 1

BIR Form No. Annual Income Tax Return

1701A Individuals Earning Income PURELY from Business/Profession
[Those under the graduated income tax rates with OSD as mode of deductions
January 2018 (ENCS) OR those who opted to avail of the 8% flat income tax rate]
Page 1 Enter all required information in CAPITAL LETTERS using BLACK ink. Mark all applicable boxes with
an "X". Two copies MUST be filed with the BIR and one held by the Tax Filer.

1 For the Year (MM/YYY) 12 2019 2 Amended Return? Yes No 3 Short Period Return? Yes No

PART I - BACKGROUND INFORMATION ON TAXPAYER/FILER

4 Taxpayer Identification Number (TIN) 5 RDO Code 6 Taxpayer Type
298 - 865 - 047 - 000 057 Single Proprietor Professional

7 Alphanumeric Tax Code (ATC) II012 Business Income-Graduated IT Rates II014 Income from Profession-Graduated IT Rates
II015 Business Income-8% IT Rate II017 Income from Profession-8% IT Rate
8 Taxpayer's Name (Last Name, First Name, Middle Name)
ABRAHAM, WILMA, OBIAS
9 Registered Address (Indicate complete address. If the registered address is different from the current address, go to the RDO to update registered address by using BIR Form No. 1905)
110 ILLE DE FRANCE STREE PH4A SRVII BGY DON JOSE, SANTA ROSA, LAGUNA
9A Zip Code 4026
10 Date of Birth (MM/DD/YYYY) 11 Email Address
12/27/1987 woabraham7@gmail.com
12 Citizenship 13 Claiming Foreign Tax Credits? 14 Foreign Tax Number, if applicable
FILIPINO Yes No
15 Contact Number (Landline/Cellphone No.) 16 Civil Status
09176881578 Single Married Legally Separated Widow/er

17 If married, spouse has income? Yes No 18 Filing Status Joint Filing Separate Filing

19 Tax Graduated Rates with OSD as method 8% in lieu of Graduated Rates under Sec. 24(A) & Percentage Tax under Sec. 116 of the NIRC,
Rate
of deduction [available if gross sales/receipts and other non-operating income do not exceed Three million pesos (P3M)]

PART II - TOTAL TAX PAYABLE (DO NOT enter Centavos; 49 Centavos or less drop down; 50 or more round up)
Particulars A) Taxpayer/Filer B) Spouse
20 Tax Due (Either
(Either from
from Part
Part IV.A
IV.A Item
Item 46
46 OR
OR Part
Part IV.B
IV.B Item
Item 56)
56) 20A 0.00 20B 0.00
21 Less: Total Tax Credits/Payments (From
(From Part
Part IV.C
IV.C Item
Item 64)
64) 21A 8,382.00 21B 0.00
22 Tax Payable/(Overpayment) (Item 20 Less Item 21)(From
(From Part
Part IV
IV Item
Item 65)
65) 22A -8,382.00 22B 0.00
Less: Portion of Tax Payable Allowed for 2nd Installment to be paid on or before October 15 (50% or less of
23 Item 20) 23A 0.00 23B 0
24 Amount of Tax Required to be Paid upon Filing/(Overpayment) (Item 22 Less Item 23) 24A -8,382.00 24B 0.00
Add: Penalties 25 Surcharge 25A 0.00 25B 0
26 Interest 26A 0.00 26B 0
27 Compromise 27A 0.00 27B 0
28 Total Penalties (Sum of Items 25 to 27) 28A 0.00 28B 0.00
29 Total Amount Payable/(Overpayment) (Sum of Items 24 and 28) 29A -8,382.00 29B 0.00
30 Aggregate Amount Payable/(Overpayment) (Sum of Items 29A and 29B) 30 -8,382.00
If overpayment, mark one(1) box only. (Once the choice is made, the same is irrevocable)
To be refunded To be issued a Tax Credit Certificate (TCC) To be carried over as a tax credit for next year/quarter
I declare under the penalties of perjury that this return, and all its attachments, have been made in good faith, verified by me, and to the best of my knowledge and belief, are true
and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, I give my consent to the
processing of my information as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If Authorized Representative, attach
authorization letter and indicate TIN)

31 Number of Attachments 0
__________________________________________________________________
Printed Name and Signature of Taxpayer/Authorized Representative & TIN

PART III - DETAILS OF PAYMENT

Particulars Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
32 Cash/Bank Debit Memo

33 Check

34 Tax Debit Memo

35 Others (specify below)

Stamp of Receiving Office/AAB and Date of Receipt (RO's Signature/Bank

Machine Validation/Revenue Official Receipt Details (If not filed with an Authorized Agent Bank)
Teller's Initial)

*NOTE: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)

file:///C:/Users/Wilma%20A/AppData/Local/Temp/%7BB4873BD2-773B-42A7-B3DC-4... 12/2/2020
BIR Form No. 1701A Page 1 of 1

BIR Form No.

1701A Annual Income Tax Return

Individuals Earning Income PURELY from Business/Profession
January 2018 (ENCS) [Those under the graduated income tax rates with OSD as mode of deductions
Page 2 OR those who opted to avail of the 8% flat income tax rate]

TIN Taxpayer/Filer's Last Name

298 865 047 000 ABRAHAM
PART IV - COMPUTATION OF INCOME TAX
If Optional Standard Deductions (OSD), fill in items 36 to 46; if 8%, fill in items 47 to 56
IV.A - For Graduated Income Tax Rates A) Taxpayer/Filer B) Spouse
36 Sales/Revenues/Receipts/Fees 36A 167,645.00 36B 0.00
37 Less: Sales Returns, Allowances and Discounts 37A 0.00 37B 0.00
38 Net Sales/Revenues/Receipts/Fees (Item 36 Less Item 37) 38A 167,645.00 38B 0.00
39 Less: Allowable Deduction - Optional Standard Deduction (OSD) (40% of Item 38) 39A 67,058.00 39B 0.00
40 Net Income (Item 38 Less Item 39) 40A 100,587.00 40B 0.00
Add: Other Income (specify below)
41 41A 0 41B 0.00
42 42A 0 42B 0.00
(add more...)
Amount Received/Share in income by a Partner from General Professional
43 Partnership (GPP) 43A 0 43B 0.00
44 Total Other Income (Sum of Items 41 to 43) 44A 0 44B 0.00
45 Total Taxable Income (Sum of Items 40 and 44) 45A 100,587.00 45B 0.00
46 TAX DUE (Item 45 x Applicable Tax Rate based on Tax Table below)(To
(To Part
Part IIII -- Item
Item 20)
20) 46A 0.00 46B 0.00
IV.B - For 8% Income Tax Rate (Those whose sales/receipts/others did not exceed P3M and opted at the initial quarter for this rate)
47 Sales/Revenues/Receipts/Fees 47A 0 47B 0.00
48 Less: Sales Returns, Allowances and Discounts 48A 0 48B 0.00
49 Net Sales/Revenues/Receipts/Fees (Item 47 Less Item 48) 49A 0.00 49B 0.00
Add: Other Non-Operating Income (specify below)
50 50A 0 50B 0.00
51 51A 0 51B 0.00
(add more...)
52 Total Other Non-operating Income (Sum of Items 50 and 51) 52A 0 52B 0.00
53 Total Taxable Income (Sum of Items 49 and 52) 53A 0.00 53B 0.00
Less: Allowable reduction from gross sales/receipts and other non-operating income of PURELY self-
54 employed individuals and/or professionals in the amount of P 250,000 54A 0 54B 0.00
55 Taxable Income/(Loss) (Item 53 Less Item 54) 55A 0.00 55B 0.00
56 TAX DUE (Item 55 x 8% Income Tax Rate)(To
(To Part
Part IIII -- Item
Item 20)
20) 56A 0.00 56B 0.00
IV.C - Tax Credits/Payments (attach proof)
57 Prior Year's Excess Credits 57A 0.00 57B 0
58 Tax Payments for the First Three (3) Quarters 58A 0.00 58B 0
59 Creditable Tax Withheld for the First Three (3) Quarters 59A 7,157.00 59B 0
60 Creditable Tax Withheld per BIR Form No. 2307 for the 4th Quarter 60A 1,225.00 60B 0
61 Tax Paid in Return Previously Filed, if this is an Amended Return 61A 0.00 61B 0.00
62 Foreign Tax Credits, if applicable 62A 0.00 62B 0.00
63 Other Tax Credits/Payments (specify) 63A 0.00 63B 0
64 Total Tax Credits/Payments (Sum of Items 57 to 63)(To
(To Item
Item 21)
21) 64A 8,382.00 64B 0.00
65 Net Taxable/(Overpayment) (Item 46 OR 56 Less Item 64)(To Part II - Item 22) 65A -8,382.00 65B 0.00
PART V - BACKGROUND INFORMATION ON SPOUSE
66 Spouse's Taxpayer Identification Number (TIN) 67 RDO Code 68 Filer's Spouse Type
- - - Single Proprietor Professional

69 Alphanumeric Tax Code (ATC) II012 Business Income-Graduated IT Rates II014 Income from Profession-Graduated IT Rates
II015 Business Income-8% IT Rate II017 Income from Profession-8% IT Rate
70 Spouse's Name (Last Name, First Name, Middle Name)

71 Contact Number 72 Citizenship

73 Claiming Foreign Tax Credits? Yes No 74 Foreign Tax Number, if applicable

75 Tax Graduated Rates with OSD as method 8% in lieu of Graduated Rates under Sec. 24(A) & Percentage Tax under Sec. 116 of the NIRC,
Rate
of deduction [available if gross sales/receipts and other non-operating income do not exceed Three million pesos (P3M)]

file:///C:/Users/Wilma%20A/AppData/Local/Temp/%7BB4873BD2-773B-42A7-B3DC-4... 12/2/2020
Tax Return Receipt Confirmation
1 message

<ebirforms-noreply@bir.gov.ph> Wed, 2 Dec 2020 at 12:49 am

To: woabraham7@gmail.com

This confirms receipt of your submission with the following details subject to validation by BIR:
File name:      298865047000-1701A-122019.xml
Date received by BIR:   2 December 2020
Time received by BIR:   12:32 AM
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