Escolar Documentos
Profissional Documentos
Cultura Documentos
Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
1 For the Year (YYYY) 2 Amended Return? 3 No. of Sheet/s Attached
Yes No
Part I Background Information
Taxpayer/Filer Spouse
4 TIN 5 RDO 6 TIN 7 RDO
Code Code
8 Taxpayer's Name (For Individuals)(Last Name, First Name, Middle Name) (Estates & Trusts) 9 Spouse's Name (Last Name, First Name, Middle Name) (If applicable)
12 Date of Birth (MM/DD/YYYY) 13 Zip Code 14 Telephone Number 15 Date of Birth (MM/DD/YYYY) 16 Zip Code 17 Telephone Number
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
BIR Form 1701 (ENCS)-Page 2
Section A Sale of Goods and Services/Receipts/Profession/Compensation Income/Other Income
Schedule 1 Gross Compensation Income
Tax Withheld Compensation Income
Name of Employer TIN
Taxpayer/Filer Spouse Taxpayer/Filer Spouse
49 Total
I declare, under the 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.
105
Taxpayer/Authorized Representative/Accredited Tax Agent Title/Position of Signatory TIN of Signatory
(Signature Over Printed Name)
Tax Agent Acc. No./Atty's Roll No. (if applicable) Date of Issuance Date of expiry
Date Issued
Community Tax Certificate Number Place of Issue Amount
MM DD YYYY
106 107 108 109
BIR Form 1701 (ENCS)-Page 4
If Taxable Income is: Tax Due is: If Taxable Income is: Tax Due is:
Not over P 10,000 5%
Over P 10,000 but not over P 30,000 P 500 + 10 % of the excess over P 10,000 Over P 140,000 but not over P 250,000 P 22,500 + 25 % of the excess over P 140,000
Over P 30,000 but not over P 70,000 P 2,500 + 15 % of the excess over P 30,000 Over P 250,000 but not over P 500,000 P 50,000 + 30 % of the excess over P 250,000
Over P 70,000 but not over P 140,000 P 8,500 + 20 % of the excess over P 70,000 Over P 500,000 P 125,000 + 32 % of the excess over P 500,000