Professional Documents
Culture Documents
Republika ng Pilipinas
Kagawaran ng Pananalapi
C
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY ) 2018 From (MM/DD) To (MM/DD)
Part I Employee Information Part IV-B Details of Compensation Income and Tax Withheld from Present Employer
3 Taxpayer
Identification No. 458 717 803 0000 A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
PEREY, LOVELY JOY 050 Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55) 137,561.18
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41) 19,846.35
19,846.35
23 Taxable Compensation Income 23
from Present Employer (Item 55) 117,714.83 50 Fees Including Director's 50
24 Add: Taxable Compensation 24 Fees
Income from Previous Employer
25 Gross Taxable 25 51 Taxable 13th Month Pay 51
Compensation Income 117,714.83 and Other Benefits 0.00
26 Less: Total Exemptions 26
0.00 52 Hazard Pay 52
27 Less: Premium Paid on Health 27
and/or Hospital Insurance (If applicable) 0.00
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income 117,714.83
29 Tax Due 29 54 Others (Specify)
0.00
30 Amount of Taxes Withheld 54A 54A
30A Present Employer 30A 0.00 54B 54B
30B Previous Employer 30B
55 Total Taxable Compensation 55
31 Total Amount of Taxes Withheld
As adjusted
31
0.00 Income
117,714.83
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 CARMEN KATO Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 LOVELY JOY PEREY Date Signed
CTC No. Employee Signature Over Printed Name
of Employee Place of Issue Date of Issue
To (MM/DD)
ation Income and Tax Withheld from Present Employer
Amount
COMPENSATION INCOME
11,632.09
0.00
8,214.26
0.00
19,846.35
117,714.83
0.00
0.00
117,714.83
st of our knowledge and belief, is true and correct
Amount Paid
TOTAL 72,156.37
DIVIDE BY 12 / 12
TOTAL 144,061.45
DIVIDE BY 12 / 12
TOTAL 157,680.61
DIVIDE BY 12 / 12
TOTAL 160,522.39
DIVIDE BY 12 / 12
TOTAL 139,585.14
DIVIDE BY 12 / 12
SICK LEAVE 5
VACATION LEAVE 2
SICK LEAVE 4
VACATION LEAVE 5
Republika ng Pilipinas
Kagawaran ng Pananalapi
Certificate of Compensation
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2016 From (MM/DD) To (MM/DD)
Part I Employee Information Part IV-B Details of Compensation Income and Tax Withheld from Present Employer
3 Taxpayer
Identification No. 458 717 803 0000 A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
PEREY, LOVELY JOY 050 Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
17G/F UNIT
Registered 301 SAGITTARIUS BLDG. HV 17A Zip Code
Address
44 Transportation 44
DELA COSTA ST. SALCEDO VILLAGE 1227
MAKATI Main Employer Secondary Employer 45 Cost of Living Allowance 45
Part III Employer Information (Previous)
18 Taxpayer 46 Fixed Housing Allowance 46
Identification No.
19 Employer's Name 47 Others (Specify)
47A 47A
0.00
20 Registered Address 20A Zip Code 47B 47B
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55) 180,040.51
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41) 22,030.45
22,030.45
23 Taxable Compensation Income 23
from Present Employer (Item 55) 158,010.06 50 Fees Including Director's 50
24 Add: Taxable Compensation 24 Fees
Income from Previous Employer
25 Gross Taxable 25 51 Taxable 13th Month Pay 51 0.00
Compensation Income 158,010.06 and Other Benefits
26 Less: Total Exemptions 26
50,000.00 52 Hazard Pay 52
27 Less: Premium Paid on Health 27
and/or Hospital Insurance (If applicable) 0.00
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income 108,010.06
29 Tax Due 29 54 Others (Specify)
16,102.01
30 Amount of Taxes Withheld 54A 54A
30A Present Employer 30A 16,102.01
54B 54B
30B Previous Employer 30B
55 Total Taxable Compensation 55
31 Total Amount of Taxes Withheld 31 16,102.01 158,010.06
As adjusted 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 ERICA M. SHIBAMURA Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 LOVELY JOY PEREY Date Signed
CTC No. Employee Signature Over Printed Name
of Employee Place of Issue Date of Issue
To (MM/DD)
ation Income and Tax Withheld from Present Employer
Amount
COMPENSATION INCOME
13,140.05
0.00
8,890.40
0.00
22,030.45
158,010.06
0.00
0.00
158,010.06
st of our knowledge and belief, is true and correct
Amount Paid
Republika ng Pilipinas
Kagawaran ng Pananalapi
Certificate of Compensation
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2017 From (MM/DD) To (MM/DD)
Part I Employee Information Part IV-B Details of Compensation Income and Tax Withheld from Present Employer
3 Taxpayer
Identification No. 458 717 803 0000 A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
PEREY, LOVELY JOY 050 Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
17G/F UNIT
Registered 301 SAGITTARIUS BLDG. HV 17A Zip Code
Address
44 Transportation 44
DELA COSTA ST. SALCEDO VILLAGE 1227
MAKATI Main Employer Secondary Employer 45 Cost of Living Allowance 45
Part III Employer Information (Previous)
18 Taxpayer 46 Fixed Housing Allowance 46
Identification No.
19 Employer's Name 47 Others (Specify)
47A 47A
0.00
20 Registered Address 20A Zip Code 47B 47B
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55) 193,069.80
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41) 37,431.07
37,431.07
23 Taxable Compensation Income 23
from Present Employer (Item 55) 155,638.73 50 Fees Including Director's 50
24 Add: Taxable Compensation 24 Fees
Income from Previous Employer
25 Gross Taxable 25 51 Taxable 13th Month Pay 51 0.00
Compensation Income 155,638.73 and Other Benefits
26 Less: Total Exemptions 26
50,000.00 52 Hazard Pay 52
27 Less: Premium Paid on Health 27
and/or Hospital Insurance (If applicable) 0.00
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income 105,638.73
29 Tax Due 29 54 Others (Specify)
15,627.75
30 Amount of Taxes Withheld 54A 54A
30A Present Employer 30A 15,627.75
54B 54B
30B Previous Employer 30B
55 Total Taxable Compensation 55
31 Total Amount of Taxes Withheld 31 15,627.75 155,638.73
As adjusted 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 ERICA M. SHIBAMURA Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 LOVELY JOY PEREY Date Signed
CTC No. Employee Signature Over Printed Name
of Employee Place of Issue Date of Issue
To (MM/DD)
ation Income and Tax Withheld from Present Employer
Amount
COMPENSATION INCOME
13,376.87
15,000.00
9,054.20
0.00
37,431.07
155,638.73
0.00
0.00
155,638.73
st of our knowledge and belief, is true and correct
Amount Paid