2316

DLN:
Republika ng Pilipinas Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Certificate of Compensation Payment/Tax Withheld

2
BIR Form No.
2316
July 2008 (ENCS)
For Compensation Payment With or Without Tax Withheld Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2012 ( YYYY ) Part I Employee Information 3 Taxpayer 255 577 985 Identification No. 4 Employee's Name (Last Name, First Name, Middle Name)
0000
5 RDO Code
For the Period 01 12 1 2 12 From (MM/DD) To (MM/DD) Details of Compensation Income and Tax Withheld from Present Employer Part IV-B Amount A. NON-TAXABLE/EXEMPT COMPENSATION INCOME 32 Basic Salary/ Statutory Minimum Wage
Minimum Wage Earner (MWE)
NIDUA, JOANNA
6 Registered Address
053B
6A Zip Code
32
33 Holiday Pay (MWE) 6B Local Home Address 6C Zip Code 34 Overtime Pay (MWE) 6D Foreign Address 6E Zip Code
33 34
35 Night Shift Differential (MWE)

36 Hazard Pay (MWE) 37 13th Month Pay and Other Benefits
35
36 37
7 Date of Birth (MM/DD/YYYY)
8 Telephone Number
9 Exemption Status
15,000.00 0.00 9,450.00
x the additional exemption for qualified dependent children? 9A Is the wife claiming
Yes 10 Name of Qualified Dependent Children No 11 Date of Birth (MM/DD/YYYY)
Single
Married
38 De Minimis Benefits
38
39 SSS, GSIS, PHIC & Pag-ibig Contributions, & Union Dues

(Employee share only)
39
12 Statutory Minimum Wage rate per day 13 Statutory Minimum Wage rate per month 14
12 13
40 Salaries & Other Forms of Compensation 41 Total Non-Taxable/Exempt Compensation Income
40 41
0.00 24,450.00
Minimum Wage Earner whose compensation is exempt from withholding tax and not subject to income tax Part II Employer Information (Present) 15 Taxpayer 007 281 790 0000 Identification No. 16 Employer's Name
B. TAXABLE COMPENSATION INCOME REGULAR 42 Basic Salary 42 43
0.00
PEST INTELX ASIA CO.

17 Registered Address 17A Zip Code
43 Representation
44 Transportation
45 Cost of Living Allowance 46 Fixed Housing Allowance 47 Others (Specify) 47A 20A Zip Code 47B SUPPLEMENTARY 48 Commission
44
45 46
SOUTH GATE BLDG. FINANCE DRIVE MainPARK Employer Secondary Employer BUSINESS ALABANG,MUNTINLUPA Part III Employer Information (Previous) CITY MANILA 18 Taxpayer
Identification No. 19 Employer's Name
47A 47B
0.00
Part IV-A 21 Gross Compensation Income from 22 Less: Total Non-Taxable/

Exempt (Item 41)
Summary 21 22 23 24 25 26 27 28 29 30A 30B
48 49 50 51 52 53
Present Employer (Item 41 plus Item 55)
240,000.00 24,450.00
49 Profit Sharing 50 Fees Including Director's Fees 51 Taxable 13th Month Pay and Other Benefits 52 Hazard Pay 53 Overtime Pay 54 Others (Specify) 54A 54A 54B 55
23 Taxable Compensation Income

from Present Employer (Item 55)
215,550.00 215,550.00 75,000.00 0.00 0.00 22,637.50 0.00 0.00
24 Add: Taxable Compensation Income from Previous Employer 25 Gross Taxable Compensation Income 26 Less: Total Exemptions 27 Less: Premium Paid on Health
and/or Hospital Insurance (If applicable)
0.00
28 Net Taxable Compensation Income 29 Tax Due 30 Amount of Taxes Withheld 30A Present Employer 30B Previous Employer
54B 55 Total Taxable Compensation Income
31 Total Amount of Taxes Withheld As adjusted
31
215,550.00
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
CTC No.
CONFORME: 57 JOANNA
of Employee
Employee Signature Over Printed Name Place of Issue
NIDUA
Date Signed Amount Paid Date of Issue
To be accomplished under substituted filing

I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of Income Tax Returns(BIR Form No. 1700), since I received purely compensation income under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. 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 No. 1604CF filed by my employer to the BIR shall constitute as my income tax return; 58 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
JOANNA NIDUA
Employee Signature Over Printed Name
DLN:

For the Period 0 11 2 From (MM/DD) To (MM/DD) Details of Compensation Income and Tax Withheld from Present Employer Part IV-B 2
For the Year 2012 ( YYYY ) Part I Employee Information 3 Taxpayer 224 423 096 Identification No. 4 Employee's Name (Last Name, First Name, Middle Name) 1
0000
5 RDO Code
A. NON-TAXABLE/EXEMPT COMPENSATION INCOME 32 Basic Salary/ Statutory Minimum Wage

NICOLAS, MAY SHELLE

053B
6A Zip Code
32
33 34 35
8 Telephone Number
36 Hazard Pay (MWE) 37 13th Month Pay
36 37
9 Exemption Status Single Yes 10 Name of Qualified Dependent Children

9A Is the wife claiming the additional exemption for qualified dependent children?
and Other Benefits
Married 38 De Minimis Benefits 38 No 11 Date of Birth (MM/DD/YYYY) 39 SSS, GSIS, PHIC & Pag-ibig 39 Contributions, & Union Dues
40 Salaries & Other Forms of 12 Statutory Minimum Wage rate per day 13 Statutory Minimum Wage rate per month 14 Part II 15 Taxpayer Identification No. 16 Employer's Name 12 13 Compensation 41 Total Non-Taxable/Exempt Compensation Income Minimum Wage Earner whose compensation is exempt from withholding tax and not subject to income tax Employer Information (Present)
40
41
B. TAXABLE COMPENSATION INCOME REGULAR
007
281
790
0000
42 Basic Salary 43 Representation
42 43

44 Transportation
44
Part III
SOUTH GATE BLDG. FINANCE DRIVE BUSINESS PARK ALABANG,MUNTINLUPA Main Employer Secondary Employer CITY MANILA
Employer Information (Previous)
45 Cost of Living Allowance 46 Fixed Housing Allowance 47 Others (Specify)
45 46
18 Taxpayer Identification No. 19 Employer's Name
47A 20 Registered Address 20A Zip Code 47B SUPPLEMENTARY Part IV-A 21 Gross Compensation Income from 22 Less: Total Non-Taxable/
Exempt (Item 41)
47A 47B
Summary 21 22 23 24 25 26 27 28 29
48 Commission
48
240,000.00 24,450.00 215,550.00

49 Profit Sharing 49

50 Fees Including Director's Fees 51 Taxable 13th Month Pay and Other Benefits 52 Hazard Pay
50
215,550.00 50,000.00 0.00 0.00 28,887.50 0.00
51
52
53 Overtime Pay 54 Others (Specify) 54A 54B
53
54A 54B 55
30A 30B
31 Total Amount of Taxes Withheld 31 As adjusted
0.00
55 Total Taxable Compensation 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
Present Employer/ Authorized Agent Signature Over Printed Name
Date Signed
CONFORME: 57
CTC No.
of Employee
Date Signed Employee Signature Over Printed Name Place of Issue Date of Issue

I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. I declare,under the penalties of perjury that I am qualified under substituted filing of 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
Present Employer/ Authorized Agent Signature Over Printed Name (Head of Accounting/ Human Resource or Authorized Representative)
No. 1604CF filed by my employer to the BIR shall constitute as my income tax return; and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700 had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59
BIR Form No.
2316
July 2008 (ENCS) To (MM/DD) Amount COMPENSATION INCOME
12 1 2
ation Income and Tax Withheld from Present Employer
2,000.00
st of our knowledge and belief, is true and correct
Amount Paid
rjury that I am qualified under substituted filing of
1700), since I received purely compensation income
hils. for the calendar year; that taxes have been
tax due equals tax withheld); that the BIR Form
to the BIR shall constitute as my income tax return;
erve the same purpose as if BIR Form No. 1700
sions of RR No. 3-2002, as amended.
ignature Over Printed Name
DLN:

0000
5 RDO Code

DE MESA, LALAINE
053B
6A Zip Code
32
33 34 35
8 Telephone Number
36 37
9 Exemption Status
and Other Benefits Single Yes Married 38 De Minimis Benefits 38 No 11 Date of Birth (MM/DD/YYYY) 39 SSS, GSIS, PHIC & Pag-ibig 39 Contributions, & Union Dues
10 Name of Qualified Dependent Children
40
41
007
281
790
0000
42 43

44 Transportation
44
Part III
45 46
Exempt (Item 41)
47A 47B
Summary 21 22 23 24 25 26 27 28 29
48 Commission
48
240,000.00 24,450.00 215,550.00


50
215,550.00 50,000.00 0.00 0.00 28,887.50 0.00
51
52
53
54A 54B 55
30A 30B
0.00
215,550.00
56
Date Signed
CONFORME: 57
CTC No.
of Employee
LALAINE DE MESA
Date Signed
Date of Issue

58
59
LALAINE DE MESA
BIR Form No.
2316
12 1 2
15,000.00 0.00 9,450.00
0.00
24,450.00
0.00
0.00
0.00
0.00
215,550.00
Amount Paid
DLN:

0000
5 RDO Code

RABOCARSAL, RICA
053B
6A Zip Code
32
33 34 35
8 Telephone Number
36 37
9 Exemption Status Single Yes 10 Name of Qualified Dependent Children Married

and Other Benefits 38 De Minimis Benefits 38
15,000.00
No 11 Date of Birth (MM/DD/YYYY) 39 SSS, GSIS, PHIC & Pag-ibig 39 Contributions, & Union Dues
40
41
24,450.00
007
281
790
0000
42 43

44 Transportation
44
Part III
45 46
Exempt (Item 41)
47A 47B
Summary 21 22 23 24 25 26 27 28 29
48 Commission
48
36,000.00
276,000.00 24,450.00 251,550.00


50
251,550.00 50,000.00 0.00 0.00 37,887.50 0.00
51
52
53
54A 54B 55
30A 30B
0.00
56
Date Signed
CONFORME: 57
CTC No.
of Employee
RICA RABOCARSAL
Date Signed
Date of Issue

58
59
RICA RABOCARSAL
BIR Form No.
2316
12 1 2
15,000.00
9,450.00
24,450.00
36,000.00
251,550.00
Amount Paid
RABOCARSAL

2316

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2316

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DLN:

Republika ng Pilipinas Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

Certificate of Compensation Payment/Tax Withheld

BIR Form No.

35 Night Shift Differential (MWE)

7 Date of Birth (MM/DD/YYYY)

15,000.00 0.00 9,450.00

39 SSS, GSIS, PHIC & Pag-ibig Contributions, & Union Dues

40 Salaries & Other Forms of Compensation 41 Total Non-Taxable/Exempt Compensation Income

B. TAXABLE COMPENSATION INCOME REGULAR 42 Basic Salary 42 43

PEST INTELX ASIA CO.

Part IV-A 21 Gross Compensation Income from 22 Less: Total Non-Taxable/

Summary 21 22 23 24 25 26 27 28 29 30A 30B

Present Employer (Item 41 plus Item 55)

23 Taxable Compensation Income

215,550.00 215,550.00 75,000.00 0.00 0.00 22,637.50 0.00 0.00

54B 55 Total Taxable Compensation Income

31 Total Amount of Taxes Withheld As adjusted

Employee Signature Over Printed Name Place of Issue

Date Signed Amount Paid Date of Issue

To be accomplished under substituted filing

Employee Signature Over Printed Name

Republika ng Pilipinas Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

Certificate of Compensation Payment/Tax Withheld

A. NON-TAXABLE/EXEMPT COMPENSATION INCOME 32 Basic Salary/ Statutory Minimum Wage

NICOLAS, MAY SHELLE

35 Night Shift Differential (MWE)

7 Date of Birth (MM/DD/YYYY)

36 Hazard Pay (MWE) 37 13th Month Pay

9 Exemption Status Single Yes 10 Name of Qualified Dependent Children

and Other Benefits

B. TAXABLE COMPENSATION INCOME REGULAR

42 Basic Salary 43 Representation

PEST INTELX ASIA CO.

45 Cost of Living Allowance 46 Fixed Housing Allowance 47 Others (Specify)

18 Taxpayer Identification No. 19 Employer's Name

Present Employer (Item 41 plus Item 55)

240,000.00 24,450.00 215,550.00

23 Taxable Compensation Income

215,550.00 50,000.00 0.00 0.00 28,887.50 0.00

53 Overtime Pay 54 Others (Specify) 54A 54B

31 Total Amount of Taxes Withheld 31 As adjusted

55 Total Taxable Compensation Income

To be accomplished under substituted filing

BIR Form No.

ation Income and Tax Withheld from Present Employer

st of our knowledge and belief, is true and correct

rjury that I am qualified under substituted filing of

1700), since I received purely compensation income

hils. for the calendar year; that taxes have been

tax due equals tax withheld); that the BIR Form

to the BIR shall constitute as my income tax return;

erve the same purpose as if BIR Form No. 1700

sions of RR No. 3-2002, as amended.

ignature Over Printed Name

Republika ng Pilipinas Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

Certificate of Compensation Payment/Tax Withheld

A. NON-TAXABLE/EXEMPT COMPENSATION INCOME 32 Basic Salary/ Statutory Minimum Wage

35 Night Shift Differential (MWE)

7 Date of Birth (MM/DD/YYYY)