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(To be filled up by the BIR)

DLN:

PSOC:
Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

Monthly Remittance Return


of Income Taxes Withheld
on Compensation

PSIC:
BIR Form No.

1601-C
June 2008 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an X.


1 For the Month
2 Amended Return?
3 No. of Sheets Attached
4 Any Taxes Withheld?
(MM / YYYY)
Yes
No
Yes
No
Part I
Background Information
5 TIN
6 RDO Code
7 Line of Business/
Occupation
9 Telephone Number
8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)

10 Registered Address

11 Zip Code

12 Category of Withholding Agent


Private

13 Are there payees availing of tax relief under Special law


or International Tax Treaty?
No If yes, specify
Yes
Computation of Tax
Amount of Compensation
15

Government

Part II
Particulars

14 A T C
W

W0 10

Tax Due

15 Total Amount of Compensation


16
16

Less: Non Taxable Compensation


17

17 Taxable Compensation
18
18 Tax Required to be Withheld
19

19
Add/Less: Adjustment (from Item 25 of Section A)
20

20 Tax Required to be Withheld for Remittance


21

21
Less: Tax Remitted in Return Previously Filed, if this is an amended return
22

22 Tax Still Due/(Overremittance)


23
Add: Penalties
Surcharge
23A

Interest

23B

Compromise

23C

23D
24

24 Total Amount Still Due/(Overremittance)


Section A
Previous Month(s)
(1)
(MM/YYYY)

Adjustment of Taxes Withheld on Compensation For Previous Months


Date Paid
Bank Validation/
(2)
ROR No.
(MM/DD/YYYY)
(3)

Section A (continuation)
Tax Paid (Excluding Penalties)
for the Month
(5)

Should Be Tax Due


for the Month
(6)

From Current Year


(7a)

Bank Code
(4)

Adjustment (7)
From Year - End Adjustment of the
Immediately Preceeding Year (7b)

25 Total (7a plus 7b) (To Item 19)


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.
26

27
Signature over Printed Name of Taxpayer/
Taxpayer Authorized Representative

Title/Position of Signatory

T I N of Tax Agent (if applicable)

Tax Agent Accreditation No.(if applicable)

Part III
Particulars
28 Cash/Bank
Debit Memo
29 Check 29A
30 Others 30A

Details of Payment
Date
Number
MM DD
YYYY

Drawee Bank/
Agency

Amount
28

29B

29C

29D

30B

30C

30D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Stamp of Receiving
Office and Date of
Receipt

Republika ng Pilipinas
Ka gawaran ng Pananalapi

Kawanihan ng Rentas Internas

Monthly Remittance Return


of Income Taxes Withheld

BIR Form No.

1601
July 1999 (ENCS)

(To be filled up by the BIR)

DLN:

PSOC:

Monthly Remittance Return


of Income Taxes Withheld
on Compensation

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

PSIC:
BIR Form No.

1601-C
June 2008 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an X.


1 For the Month
2 Amended Return?
3 No. of Sheets Attached
4 Any Taxes Withheld?
(MM / YYYY)
Yes
No
Yes
No
Part I
Background Information
5 TIN
6 RDO Code
7 Line of Business/
Occupation
9 Telephone Number
8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)

10 Registered Address

11 Zip Code

12 Category of Withholding Agent


Private

Government

Part II
Particulars

13 Are there payees availing of tax relief under Special law


or International Tax Treaty?
No If yes, specify
Yes
Computation of Tax
Amount of Compensation
15

14 A T C
W

W0 10

Tax Due

15 Total Amount of Compensation


16

Less:
16a Non Taxable Compensation - Minimum
Wage Earner
16b Non Taxable Compensation - Others

16A
16B

17 Taxable Compensation

17
18

18 Tax Required to be Withheld

19
19

Add/Less: Adjustment (from Item 25 of Section A)


20

20 Tax Required to be Withheld for Remittance


21

Less: Tax Remitted in Return Previously Filed,


if this is an amended return
Other Payments Made (please attach
proof of payment BIR Form No. 0605)

21A
21B

22 Total Tax Payments Made (Sum of Item Nos. 21A & 21B)

22

23 Tax Still Due/(Overremittance) (Item No. 20 less Item No. 22)

23

24

Add: Penalties
Surcharge
24A

Interest

24B

Compromise

24C

24D
25

25 Total Amount Still Due/(Overremittance)


Section A
Previous Month(s)
(1)
(MM/YYYY)

Adjustment of Taxes Withheld on Compensation For Previous Months


Date Paid
Bank Validation/
(2)
ROR No.
(MM/DD/YYYY)
(3)

Section A (continuation)
Tax Paid (Excluding Penalties)
for the Month
(5)

Should Be Tax Due


for the Month
(6)

From Current Year


(7a)

Bank Code
(4)

Adjustment (7)
From Year - End Adjustment of the
Immediately Preceeding Year (7b)

26 Total (7a plus 7b) (To Item 19)


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.
27

28
Signature over Printed Name of Taxpayer/
Taxpayer Authorized Representative

Title/Position of Signatory

T I N of Tax Agent (if applicable)

Tax Agent Accreditation No.(if applicable)

Part III
Drawee Bank/
Particulars
Agency
29B
29 Cash/Bank 29A
Debit Memo

Details of Payment
Date
Number
MM DD
YYYY

Amount

29C

29D

30 Check

30A

30B

30C

30D

31 Others

31A

31B

31C

31D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)

Republika ng Pilipinas
Ka gawaran ng Pananalapi

Kawanihan ng Rentas Internas

Monthly Remittance Return


of Income Taxes Withheld

BIR Form No.

1601
July 1999 (ENCS)

(To be filled up by the BIR)

DLN:

PSOC:

Monthly Remittance Return


of Income Taxes Withheld
on Compensation

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

PSIC:
BIR Form No.

1601-C
July 2008 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an X.


1 For the Month
2 Amended Return?
3 No. of Sheets Attached
4 Any Taxes Withheld?
(MM / YYYY)
Yes
No
Yes
No
Part I
Background Information
5 TIN
6 RDO Code
7 Line of Business/
Occupation
9 Telephone Number
8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)

10 Registered Address

11 Zip Code

12 Category of Withholding Agent


Private

Government

Part II
Particulars

13 Are there payees availing of tax relief under Special Law


or International Tax Treaty?
No If yes, specify
Yes
Computation of Tax
Amount of Compensation

15 Total Amount of Compensation


16

14 A T C
W
Tax Due

15

Less: Non-Taxable Compensation


16A Statutory Minimum Wage (MWEs)

16A

16B Holiday Pay,Overtime Pay, Night Shift


Differential Pay, Hazard Pay
(Minimum Wage Earner)
16C Other Non-Taxable Compensation

16B
16C

17 Taxable Compensation

17

18 Tax Required to be Withheld

18

19

19

Add/Less: Adjustment (from Item 26 of Section A)

20 Tax Required to be Withheld for Remittance


21

20

Less: Tax Remitted in Return Previously Filed,


if this is an amended return
Other Payments Made (please attach
proof of payment BIR Form No. 0605)

21A
21B
22

22 Total Tax Payments Made (Sum of Item Nos. 21A & 21B)
23 Tax Still Due/(Overremittance) (Item No. 20 less Item No. 22)
24

W0 10

Add: Penalties
Surcharge
24A

23

Interest

Compromise

24B

24C

24D
25

25 Total Amount Still Due/(Overremittance)


Section A
Previous Month(s)
(1)
(MM/YYYY)

Adjustment of Taxes Withheld on Compensation For Previous Months


Date Paid
Bank Validation/
(2)
ROR No.
(MM/DD/YYYY)
(3)

Section A (continuation)
Tax Paid (Excluding Penalties)
for the Month
(5)

Should Be Tax Due


for the Month
(6)

From Current Year


(7a)

Bank Code
(4)

Adjustment (7)
From Year - End Adjustment of the
Immediately Preceeding Year (7b)

26 Total (7a plus 7b) (To Item 19)


We declare, under the penalties of perjury, that this return 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.
27

Title/Position of Signatory
Tax Agent Acc. No./Atty's Roll No.(if applicable)

Part III
Drawee Bank/
Particulars
Agency
29B
29 Cash/Bank 29A
Debit Memo
30B
30 Check
30A
31 Others

28

President/Vice President/Principal Officer/Accredited Tax Agent/


Authorized Representative / Taxpayer
(Signature Over Printed Name)

31A

31B

TIN of Signatory
Date of Issuance

Treasurer/Assistant Treasurer
(Signature Over Printed Name)

Title/Position of Signatory
Date of Expiry

TIN of Signatory

Details of Payment
Date
Number
MM DD
YYYY

Amount

29C

29D

30C

30D

31C

31D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)

0 10

(To be filled up by the BIR)

DLN:

PSOC:

Monthly Remittance Return


of Income Taxes Withheld
on Compensation

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

PSIC:
BIR Form No.

1601-C
July 2008 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an X.


1 For the Month
2 Amended Return?
3 No. of Sheets Attached
4 Any Taxes Withheld?
(MM / YYYY)
2013
11
x No
x No
Yes
Yes
Part I
Background Information
5 TIN
6 RDO Code
7 Line of Business/
008
540
312
000
052
5529-Restauran
Occupation
9 Telephone Number
8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)

THE ORIGINAL AL-SHAMS RESTAURANT, INC.


10 Registered Address

11 Zip Code

66 A. Aguirre St., Brgy. BF Homes, Dist II, Paranaque


12 Category
of Withholding Agent
City

XPrivate

Government

Part II
Particulars

13 Are there payees availing of tax relief under Special Law


or International Tax Treaty?
No If yes, specify
Yes
Xm p u t a t i o n o f T a x
Co
Amount of Compensation

15 Total Amount of Compensation


16

15

Less: Non-Taxable Compensation


16A Statutory Minimum Wage (MWEs)

Tax Due

0.00

16C

0.00

17

0.00

18 Tax Required to be Withheld


19

18

Add/Less: Adjustment (from Item 26 of Section A)

20

Less: Tax Remitted in Return Previously Filed,


if this is an amended return
Other Payments Made (please attach
proof of payment BIR Form No. 0605)

21B
22

0.00

23 Tax Still Due/(Overremittance) (Item No. 20 less Item No. 22)


Add: Penalties
Surcharge
24A

23

Interest
24C

24D
25

25 Total Amount Still Due/(Overremittance)

Adjustment of Taxes Withheld on Compensation For Previous Months


Date Paid
Bank Validation/
(2)
ROR No.
(MM/DD/YYYY)
(3)

Section A (continuation)
Tax Paid (Excluding Penalties)
for the Month
(5)

0.00

Compromise

24B

Section A
Previous Month(s)
(1)
(MM/YYYY)

0.00

21A

22 Total Tax Payments Made (Sum of Item Nos. 21A & 21B)

24

0.00

19

20 Tax Required to be Withheld for Remittance


21

W0 10

45,750.00

16B

17 Taxable Compensation

45,750.00

16A

16B Holiday Pay,Overtime Pay, Night Shift


Differential Pay, Hazard Pay
(Minimum Wage Earner)
16C Other Non-Taxable Compensation

1720
14 A T C

Should Be Tax Due


for the Month
(6)

From Current Year


(7a)

0.00
Bank Code
(4)

Adjustment (7)
From Year - End Adjustment of the
Immediately Preceeding Year (7b)

26 Total (7a plus 7b) (To Item 19)


We declare, under the penalties of perjury, that this return 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.
SIMON JONAS J. CRUZ
27
28
President/Vice President/Principal Officer/Accredited Tax Agent/
Authorized Representative / Taxpayer
(Signature Over Printed Name)

Corp. Secretary

Title/Position of Signatory
Tax Agent Acc. No./Atty's Roll No.(if applicable)

Part III
Drawee Bank/
Particulars
Agency
29B
29 Cash/Bank 29A
Debit Memo
30B
30 Check
30A
31 Others

31A

31B

Treasurer/Assistant Treasurer
(Signature Over Printed Name)

TIN of Signatory
Date of Issuance

Title/Position of Signatory
Date of Expiry

TIN of Signatory

Details of Payment
Date
Number
MM DD
YYYY

Amount

29C

29D

30C

30D

31C

31D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)

0 10