Professional Documents
Culture Documents
DLN:
Taxpayer PSOC:
PSIC:
Spouse PSOC:
PSIC:
BIR Form No.
Quarterly Income
Tax Return
Republika ng Pilipinas
Kagawaran ng Pananalapi
1701Q
July 2008 (ENCS)
5
9
2 Quarter
2 0 1
6
1st
3 Amended
2nd
3rd
Return
Background Information
Yes
Taxpayer/Filer
2 23
331
No
4 No. of sheet/s
attached
Spouse
6 RDO
Code
960
25B
TIN
8 RDO
Code
10
12
Registered Address
Registered Address
08
02
1970
19 Line of Business/Occupation
3022
20
II 011
ATC I I 0 1 2
SERVICE
II 013
23 Method of Deduction
Itemized Deduction
Compensation
Business
Mixed Income
21 Line of Business/Occupation
Total
Less: Cost of Sales/Services
Gross Income from Operation
Add: Other Income
Total Gross Income
Less: Deductions
Taxable Income This Quarter
Add: Taxable Income Previous Quarter/s
Taxable Income to Date
Tax Due
Less: Tax Credits/Payments
38A/B Prior Years' Excess Credits
38C/D Tax Payment/s for the Previous Quarter/s
38E/F Creditable Tax Withheld for the Previous Quarter/s
38G/H Creditable Tax Withheld Per BIR Form No. 2307
II 011
II 013
24 Method of Deduction
Itemized Deduction
No
18 Telephone Number
Spouse
26B 0.00
27B 0.00
30,000.00
15,000.00
15,000.00
0.00
15,000.00
9,800.00
5,200.00
900.00
6,100.00
305.00
28B 0.00
29B 0.00
30B 0.00
31B 0.00
32B 0.00
33B 0.00
34B 0.00
35B 0.00
36B 0.00
37B 0.00
38A
0.00
0.00
0.00
0.00
0.00
0.00
0.00
38B 0.00
305.00
0.00
0.00
0.00
0.00
305.00
39B 0.00
40B 0.00
40D 0.00
40F 0.00
40H 0.00
38C
38E
38G
38I
38K
38M
39A
40A
40C
40E
40G
41A
Compensation
Business
Mixed Income
If yes, specify
28A
29A
30A
31A
32A
33A
34A
35A
36A
37A
22
ATC I I 0 1 2
25 Are you availing of tax relief under Special Law or International Tax Treaty?
Yes
Part II
Computation of Tax
Declaration This Quarter
Taxpayer/Filer
26 Sales/Revenues/Receipts/Fees
26A 30,000.00
27
Add: Amount Received by a Partner from General
27A
0.00
28
29
30
31
32
33
34
35
36
37
38
17 Zip Code
09432251898
38D 0.00
38F
0.00
0.00
38J
0.00
38L
0.00
38N 0.00
38H
41C
41B 0.00
305.00
I declare under 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 thereof.
42
Taxpayer/Authorized Representative/Accredited Tax Agent
Signature Over Printed Name
Title/Position of Signatory
TIN of Signatory
Date of Issuance
Date of Expiry
Part III
Particulars
43 Cash/Bank
Debit Memo
44 Check
45 Tax Debit
Memo
46 Others
D e t a i l s of P a y m e n t
Date
Number
MM DD
Drawee Bank/
Agency
YYYY
Amount
43A
43B
43C
43D
44A
44B
44C
44D
45A
45B
45C
46B
46C
46D
46A
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
\mariam
P 30,000
P 70,000
P 140,000
P 250,000
P 500,000
P 10,000
P 30,000
P 70,000
P 140,000
P 250,000
P 500,000