Professional Documents
Culture Documents
DLN:
Republika ng Pilipinas Kagawaran ng Pananalapi
Taxpayer PSOC:
PSIC:
Spouse PSOC:
BIR Form No.
PSIC:
Kawanihan ng Rentas Internas For Self-Employed Individuals, Estates, and Trusts (Including those w/ both Business & Compensation Income)
Fill in all applicable spaces. Mark all appropriate boxes with an X.
1701Q
July 2008 (ENCS)
1 Part I
2012
Taxpayer/Filer
2 Quarter
X
Spouse
5 9 11
TIN
914
856
855
087
7 10 12
91 4
856
847
8 RDO Code
ACASO, ARNOLD P.
Registered Address
ACASO, ANTONIA C.
Registered Address
19
Line of Business/Occupation
20
ATC
II 01 II 01 II 01
21 Line of Business/Occupation
22
ATC
II 01 II 01 II 01
Native products/lessor
23 Method of Deduction
Native products
24 Method of Deduction X Itemized Deduction Yes Computation of Tax Taxpayer/Filer No
Itemized Deduction
25 Are you availing of tax relief under Special Law or International Tax Treaty? Part II Declaration This Quarter 26 Sales/Revenues/Receipts/Fees 27 Add: Amount Received by a Partner from General
Professional Partnership (except loans)
26A 27A 28A 29A 30A 31A 32A 33A 34A 35A 36A 37A 38A 38C 38E 38G 38I 38K 38M 39A 40A 40C 40E 40G 41A
43,026.50 43,026.50 38,938.98 4,087.52 102,500.00 106,587.52 96,994.64 9,592.88 28,768.13 38,361.01 3,754.15 2,376.88
42,095.00 42,095.00 29,466.50 12,628.50 12,628.50 7,577.10 5,051.40 16,286.45 21,337.85 1,633.79 1,128.65
28 29 30 31 32 33 34 35 36 37 38
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
28B 29B 30B 31B 32B 33B 34B 35B 36B 37B 38B 38D 38F 38H 38J 38L
if this is an Amended Return 38K/L Other Payment/s Made (please attach proof of payment-BIR Form No. 0605)
38M/N Total Tax Credits/Payments (Sum of 38A,C,E,
2,376.88 1,288.13
1,128.65 519.15
39 40
Tax Payable/(Overpayment) (37A less 38M & 37B less 38N) Add: Penalties Surcharge Interest Compromise Total Penalties (Sum of Items 40A,C,E/40B,D,F) Total Amount Payable/ (Overpayment)(39A+40G/39B+40H) Aggregate Amount Payable/(Overpayment) ( Sum of Items 41A & 41B)
41
1,377.27
41C
505.14 1,882.41
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
ACASO, ARNOLD P.
Taxpayer/Authorized Representative/Accredited Tax Agent Signature Over Printed Name Title/Position of Signatory TIN of Signatory
Tax Agent Acc. No./Atty's Roll No. (if applicable) Part III Drawee Bank/ Particulars 43 Cash/Bank Debit Memo 44 Check 45 Tax Debit Memo 46 Others
46A 46B 46C
Date of Issuance
D e t a i l s of P a y m e n t Date Number
43B 44B 45A 43C 44C 45B
Agency
43A 44A
MM DD
YYYY
43D 44D 45C 46D
Amount
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
Q
0 8 7
Telephone Number
mpensation
ed Income
f Receiving Office/
d Date of Receipt