DLN:
Taxpayer PSOC:
PSIC:
Republika ng Pilipinas
Kagawaran ng Pananalapi
Spouse PSOC:
PSIC:
BIR Form No.
Quarterly Income
Tax Return
1701Q
July 2008 (ENCS)
2 Quarter
1st
3 Amended
2nd
3rd
Return
Background Information
Yes
Taxpayer/Filer
No
4 No. of sheet/s
attached
Spouse
TIN
10
11
Registered Address
12
Registered Address
6 RDO
Code
TIN
8 RDO
Code
II 011
ATC I I 0 1 2
II 013
23 Method of Deduction
Itemized Deduction
Compensation
Business
Mixed Income
21 Line of Business/Occupation
No
Compensation
Business
Mixed Income
Spouse
26B
27B
28A
29A
30A
31A
32A
33A
34A
35A
36A
37A
28B
29B
30B
31B
32B
33B
34B
35B
36B
37B
38A
38B
38C
38E
38D
38F
38G
38H
38I
38J
38K
38L
38M
38N
39A
40A
40C
40E
40G
39B
40B
40D
40F
40H
41A
18 Telephone Number
If yes, specify
II 011
II 013
24 Method of Deduction
Itemized Deduction
Total
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
27
Add: Amount Received by a Partner from General
27A
28
29
30
31
32
33
34
35
36
37
38
17 Zip Code
41B
41C
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
Republika ng Pilipinas
Kagawaran ng Pananalapi
Quarter
Tax R
Quarterly Income
Tax Return
and Trusts
nsation Income)
1701Q
July 1999 (ENCS)