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DLN:

BIR Form No.


Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2014 From (MM/DD)
01 01 To (MM/DD)
03 31
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer 0000 Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
CORTES, GLENN MARK Statutory Minimum Wage
28,570.00
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)

33 Holiday Pay (MWE) 33


1,188.10
6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34
7,758.63

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-

37 13th Month Pay 37


9 Exemption Status and Other Benefits
2,270.83
Single Married
X
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
-
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
-
(Employee share only)

40 Salaries & Other Forms of 40


-
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


39,787.56
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
004 149 434 000 -
Identification No. 42 Basic Salary 42
16 Employer's Name
43
ABENSON VENTURES INC. 43 Representation -

17 Registered Address 17A Zip Code


44 Transportation 44 -
WALTERMART BLDG EDSA QUEZON CITY
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 SALARIES & OTHER FORM 47A
-
OF COMPENSATION

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) 39,787.56
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
39,787.56 -
23 Taxable Compensation Income 23
from Present Employer (Item 55) 0.00 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 and Other Benefits
-
26 Less: Total Exemptions 26
52 Hazard Pay 52
27 Less: Premium Paid on Health 27
-
and/or Hospital Insurance (If applicable)
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
-
29 Tax Due 29 54 Others (Specify)

30 Amount of Taxes Withheld 54A 54A


-
30A Present Employer 30A
54B 54B
30B Previous Employer 30B
-
31 Total Amount of Taxes 55 Total Taxable Compensation 55
Withheld As Adjusted 31 0.00 -
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 PAUL ANDRE L. MARTIRES Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 GLENN MARK CORTES Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 PAUL ANDRE L. MARTIRES No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 GLENN MARK CORTES
Employee Signature Over Printed Name
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: DE LEON CECILIA I. DATED HIRED: April 8, 2013


STATUS: S TIN NO.: 251-339-631-000
BASIC SALARY: 13,500.00

ANNUALIZATION OF INCOME AND TAX AS OF MARCH 30, 2014

MINIMUM WAGE TAXABLE INCOME


January 1 - March 15, 2014
Basic Pay 33,230.77
COLA -
OT Pay (Net of Lates) 9,123.06
Holiday Pay 675.00
Allowances0 2,515.47
Addition / (Deductions)
Basic Pay (March 16 - 30, 2014) 6,750.00
Absences (2,336.54)

TOTALS - 49,957.76

LESS: PERSONAL EXEMPTION 50,000.00


ADDITIONAL EXEMPTION -

NET TAXABLE INCOME - (42.24)

TAX DUE:

Tax Withheld 2,515.46


TAX DUE / (REFUND) - 2,515.46

FINAL PAY COMPUTATION

BASIC PAY (8.5 days) 4,413.46


13TH MONTH PAY (33,230.77+4,218.75)/12 3,120.79
TAX REFUND 2,515.46
CHARGED MISSING ITEM (289.60)
NET FINAL PAY 9,760.11

JOURNAL ENTRIES:
SALARIES AND WAGES 4,413.46
13TH MONTH PAY 3,120.79
WITHHOLDING TAX 2,515.46
ADVANCES FROM EMPLOYEES 289.60
CASH IN BANK 9,760.11 -
DLN:
BIR Form No.
Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2014 From (MM/DD)
01 01 To (MM/DD)
03 31
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer 251 339 631 0000 Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
DE LEON, CECILIA I. Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)

33 Holiday Pay (MWE) 33


6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-

37 13th Month Pay 37


9 Exemption Status and Other Benefits
3,120.79
Single Married
X
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
-
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
-
(Employee share only)

40 Salaries & Other Forms of 40


-
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


3,120.79
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
004 149 434 000 38,012.02
Identification No. 42 Basic Salary 42
16 Employer's Name
43
ABENSON VENTURES INC. 43 Representation -

17 Registered Address 17A Zip Code


44 Transportation 44 -
WALTERMART BLDG EDSA QUEZON CITY
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 SALARIES & OTHER FORM 47A
3,160.47
OF COMPENSATION

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) 39,787.56
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
39,787.56 -
23 Taxable Compensation Income 23
from Present Employer (Item 55) 0.00 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 and Other Benefits
-
26 Less: Total Exemptions 26
52 Hazard Pay 52
27 Less: Premium Paid on Health 27
-
and/or Hospital Insurance (If applicable)
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
9,123.06
29 Tax Due 29 54 Others (Specify)

30 Amount of Taxes Withheld 54A 54A


-
30A Present Employer 30A
54B 54B
30B Previous Employer 30B
-
31 Total Amount of Taxes 55 Total Taxable Compensation 55
Withheld As Adjusted 31 0.00 50,295.55
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 PAUL ANDRE L. MARTIRES Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 GLENN MARK CORTES Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 PAUL ANDRE L. MARTIRES No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 GLENN MARK CORTES
Employee Signature Over Printed Name
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: FRANCISCO, OLIVER DATED HIRED: November 15, 2012


STATUS: S TIN NO.: 204-176-256-000
BASIC SALARY: 12,116.00

ANNUALIZATION OF INCOME AND TAX AS OF JUNE 30, 2014

TAXABLE
MINIMUM WAGE INCOME

Basic Pay 66,871.00


OT Pay (Net of Lates) 14,048.74
Holiday Pay 6,168.97
SC 13,650.56
Addition / (Deductions)
Basic Pay
COLA
OT Pay -
Absences

TOTALS 87,088.71 13,650.56

LESS: PERSONAL EXEMPTION 50,000.00


ADDITIONAL EXEMPTION -

NET TAXABLE INCOME - -

TAX DUE: -

Tax Withheld 3,763.69


TAX DUE / (REFUND) - 3,763.69

FINAL PAY COMPUTATION

13TH MONTH PAY 5,572.58


TAX REFUND 3,763.69

NET FINAL PAY 9,336.27

JOURNAL ENTRIES:
SALARIES AND WAGES -
13TH MONTH PAY 5,572.58
WITHHOLDING TAX 3,763.69
ADVANCES FROM EMPLOYEES
CASH IN BANK 9,336.27 -
DLN:
BIR Form No.
Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2014 From (MM/DD)
01 01 To (MM/DD)
06 30
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer 204 176 256 0000 Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
FRANSICO, OLIVER R. Statutory Minimum Wage
66,871.00
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
368 Lower Bicutan Taguig City 6,168.97
33 Holiday Pay (MWE) 33
6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34
14,048.74

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-
06 30 1974
37 13th Month Pay 37
9 Exemption Status and Other Benefits
5,572.58
Single Married
X
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
-
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
-
(Employee share only)

40 Salaries & Other Forms of 40


-
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


92,661.29
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
008 395 902 000
Identification No. 42 Basic Salary 42
16 Employer's Name
43
THE FORT CAFÉ AND CATERING SERVICES CORP 43 Representation -

17 Registered Address 17A Zip Code


44 Transportation 44 -
GRAND HAMPTON BGC TAGUIG
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 SALARIES & OTHER FORM 47A
13,650.56
OF COMPENSATION

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) 119,362.51
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
92,661.29 -
23 Taxable Compensation Income 23
from Present Employer (Item 55) 26,701.22 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
26,701.22 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) 2,400.00
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
0.00
29 Tax Due 29 54 Others (Specify)
0.00
30 Amount of Taxes Withheld 54A 54A
-
30A Present Employer 30A
54B 54B
30B Previous Employer 30B
-
31 Total Amount of Taxes 55 Total Taxable Compensation 55
Withheld As Adjusted 31 0.00 13,650.56
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 PAUL ANDRE L. MARTIRES Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 OLIVER FRANSISCO Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 PAUL ANDRE L. MARTIRES No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 OLIVER FRANSISCO
Employee Signature Over Printed Name
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: SISON, MICHELLE M. DATED HIRED: JULY 24, 2013


STATUS: S TIN NO.: 245-249-832-000
BASIC SALARY: 12,116.00

ANNUALIZATION OF INCOME AND TAX AS OF JUNE 30, 2014

TAXABLE
NON TAXABLE INCOME

Basic Pay 77,822.00


OT Pay (Net of Lates) 19,134.12
Holiday Pay 3,513.40
SC 52,809.32
Addition / (Deductions)
Basic Pay 2,796.00
OT Pay 223.47

TOTALS 19,357.59 136,940.72

LESS: Personal Exemption 50,000.00


Additional Exemption -
SSS,HDMF,PHIC Contribution 3,221.20

NET TAXABLE INCOME - 83,719.52

TAX DUE: 11,243.90


Tax Withheld 12,186.76

TAX DUE / (REFUND) - (942.86)

FINAL PAY COMPUTATION

BASIC PAY 2,796.00


OT PAY - net of lates (3.28 hours) 223.47
13TH MONTH PAY 6,718.17
TAX REFUND 942.86

NET FINAL PAY 10,680.49

JOURNAL ENTRIES:
SALARIES AND WAGES 2,796.00
OT PAY 223.47
13TH MONTH PAY 6,718.17
WITHHOLDING TAX 942.86
ADVANCES FROM EMPLOYEES
CASH IN BANK 10,680.49 -
DLN:
BIR Form No.
Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2014 From (MM/DD)
01 01 To (MM/DD)
07 30
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer 245 249 832 0000 Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
SISON, MICHELLE ANNE MASILANG Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
#266 DANSALAN ST., MANDALUYONG CITY
33 Holiday Pay (MWE) 33
6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-
12 09 1987
37 13th Month Pay 37
9 Exemption Status and Other Benefits
26,075.76
Single Married
X
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
-
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
3,221.20
(Employee share only)

40 Salaries & Other Forms of 40


-
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


29,296.96
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
008 395 902 000 77,396.80
Identification No. 42 Basic Salary 42
16 Employer's Name
43
THE FORT CAFÉ AND CATERING SERVICES CORP 43 Representation -

17 Registered Address 17A Zip Code


44 Transportation 44 -
GRAND HAMPTON BGC TAGUIG
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 SALARIES & OTHER FORM 47A
52,809.32
OF COMPENSATION

20 Registered Address 20A Zip Code 47B 47B


HOLIDAY PAY 3,513.40
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
-
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55)
163,016.48
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
29,296.96 -
23 Taxable Compensation Income 23
from Present Employer (Item 55) 133,719.52 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
133,719.52 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)
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
83,719.52
29 Tax Due 29 54 Others (Specify)
11,243.90
-
30 Amount of Taxes Withheld 30A 54A 54A
30A Present Employer
12,186.76
30B Previous Employer 30B 54B 54B
-
31 Total Amount of Taxes 31
11,243.90 55 Total Taxable Compensation 55
Withheld As Adjusted 133,719.52
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 PAUL ANDRE L. MARTIRES Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 MICHELLE ANNE M. SISON Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 PAUL ANDRE L. MARTIRES No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 MICHELLE ANNE M. SISON
Employee Signature Over Printed Name
DLN:
BIR Form No.
Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2013 From (MM/DD)
01 01 To (MM/DD)
12 31
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer 297 176 021 0000 Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
CARPIO, GERALDINE SANTOS 025
Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)
41 PAG ASA ST PATUBIG MARILAO BULACAN
33 Holiday Pay (MWE) 33
6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-
01 10 1988
37 13th Month Pay 37
9 Exemption Status and Other Benefits
19,168.49
Single X Married
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
-
X
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
6,900.00
(Employee share only)

40 Salaries & Other Forms of 40


9,242.01
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


35,310.50
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
004 829 946 000 151,927.57
Identification No. 42 Basic Salary 42
16 Employer's Name
43
TEXICON AGRI VENTURES CORPORATION 43 Representation -

17 Registered Address 17A Zip Code


44 Transportation 44 -
C. MERCADO ST. PANGINAY GUIGUINTO BULACAN
Main Employer Secondary Employer 45 Cost of Living Allowance 45
-
Part III Employer Information (Previous)
18 Taxpayer 46 Fixed Housing Allowance 46
Identification No.
007 203 088 000 -
19 Employer's Name 47 Others (Specify)
WOODHAVEN CORPORATION 47A 47A

20 Registered Address 20A Zip Code 47B 47B


259 MC ARTHUR HIGHWAY KARUHATAN VALENZUELA CITY
SUPPLEMENTARY
Part IV-A Summary 48 Commission 48
-
21 Gross Compensation Income from 21
Present Employer (Item 41 plus Item 55)
187,238.07
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
35,310.50 -
23 Taxable Compensation Income 23
from Present Employer (Item 55) 151,927.57 50 Fees Including Director's 50
-
24 Add: Taxable Compensation 24 Fees
Income from Previous Employer
90,411.54
25 Gross Taxable 25 51 Taxable 13th Month Pay 51
Compensation Income
242,339.11 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)
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
192,339.11
29 Tax Due 29 54 Others (Specify)
35,584.78
-
30 Amount of Taxes Withheld 30A 54A 54A
30A Present Employer
23,002.47
30B Previous Employer 30B 54B 54B
12,582.31 -
31 Total Amount of Taxes 31
35,584.78 55 Total Taxable Compensation 55
Withheld As Adjusted 151,927.57
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 PABLITO B. BERMUNDO Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 GERALDINE S CARPIO Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 PABLITO B. BERMUNDO No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 GERALDINE S CARPIO
Employee Signature Over Printed Name
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: DEL VALLE, VEE JAY CUSTODIO DATED HIRED: DEC 1, 2012
STATUS: M TIN NO.: 436-488-291-000
BASIC SALARY: 466 PER DAY

ANNUALIZATION OF INCOME AND TAX AS OF NOVEMBER 20, 2014

TAXABLE
NON TAXABLE INCOME

Basic Pay 122,791.00


De minimis (OT Pay) 30,904.51
Holiday Pay 4,821.40
SC 18,252.92 69,047.57
13TH Month Pay 11,747.08
Addition / (Deductions)
Basic Pay 4,660.00
De minimis (OT Pay) 1,328.54

TOTALS 62,233.05 201,319.97

LESS: Personal Exemption 50,000.00


Additional Exemption -
SSS,HDMF,PHIC Contribution 5,915.10

NET TAXABLE INCOME - 145,404.87

TAX DUE: 23,851.22


Tax Withheld 25,368.96

TAX DUE / (REFUND) - (1,517.74)

FINAL PAY COMPUTATION

BASIC PAY 4,660.00


OT PAY - net of lates (3.28 hours) 1,328.54
13TH MONTH PAY
TAX REFUND 1,517.74

NET FINAL PAY 7,506.28

JOURNAL ENTRIES:
SALARIES AND WAGES 4,660.00
OT PAY 1,328.54
13TH MONTH PAY -
WITHHOLDING TAX 1,517.74
ADVANCES FROM EMPLOYEES
CASH IN BANK 7,506.28 -
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: PAHATI, BENITA DATED HIRED: 10/01/2014


STATUS: M TIN NO.:
BASIC SALARY: 18,000.00

ANNUALIZATION OF INCOME AND TAX AS OF NOVEMBER 20, 2014

TAXABLE
NON TAXABLE INCOME

Basic Pay 3,750.00


Addition / (Deductions)
Basic Pay 13 days @ P591.78 7,693.27
Adjustments 953.17
13th Month Pay 713.22
Lates 0.45 hr @ 73.97 (33.29)
TOTALS 13,076.37

LESS: Personal Exemption 50,000.00


Additional Exemption -
SSS,HDMF,PHIC Contribution -
NET TAXABLE INCOME - -
TAX DUE: -
Tax Withheld
TAX DUE / (REFUND) - -
FINAL PAY COMPUTATION

BASIC PAY 7,693.27


SALARY ADJUSTMENTS 953.17
13TH MONTH PAY 713.22
NET FINAL PAY 9,359.66

JOURNAL ENTRIES:
SALARIES AND WAGES 7,693.27
OT PAY 953.17
13TH MONTH PAY 713.22
CASH IN BANK 9,359.66 -

Prepared By: Noted By:


________________ _____________
Geraldine S. Carpio Angelica Pacleb

Approved By;
_______________
Renee C. Martires
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: SANORJO, JOSELITO DATED HIRED: 16-Dec-13


STATUS: S TIN NO.:
BASIC SALARY: 466 PER DAY

ANNUALIZATION OF INCOME AND TAX AS OF NOVEMBER 20, 2014

TAXABLE
NON TAXABLE INCOME

Basic Pay 6 MOS 63,609.00


Addition / (Deductions)
Basic Pay
OT Pay 3.5 HRS 244.65
13th Month Pay 5,300.75
Lates 45 MINS 43.69
SC 1 DAY 291.33
TOTALS 5,793.04

LESS: Personal Exemption


Additional Exemption -
SSS,HDMF,PHIC Contribution -
NET TAXABLE INCOME - -
TAX DUE: -
Tax Withheld
TAX DUE / (REFUND) - -
FINAL PAY COMPUTATION

BASIC PAY -
OVERTIME PAY 244.65
SC CHARGE 291.33
13TH MONTH PAY 5,257.06
NET FINAL PAY 5,793.04

JOURNAL ENTRIES:
SALARIES AND WAGES -
OT PAY 244.65
SC 291.33
13TH MONTH PAY 5,257.06
CASH IN BANK 5,793.04 -

Prepared By:
________________
Geraldine S. Carpio

Approved By;
_______________
Renee C. Martires
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: MONDEJAN, ARIANE EDDYLEE DATED HIRED: 23-Dec-13


STATUS: S TIN NO.: 454-770-908-000
BASIC SALARY: 466 PER DAY

ANNUALIZATION OF INCOME AND TAX AS OF FEBRUARY 15, 2015

NON TAXABLE
TAXABLE INCOME TOTAL

Basic Pay 1 mo 11,650.00 11,650.00


OT Pay 1 mo 518.70 518.70
Holiday Pay 1 mo 1,700.40 1,700.40
Service Fee (SC) 1.5 mos 25,934.22 25,934.22
Addition / (Deductions) -
Basic Pay 18 days 8,388.00 8,388.00
OT Pay 13.5 hours 943.65 943.65
13th Month Pay 1,669.83 1,669.83
Lates 129 mins (125.24) (125.24)
TOTALS 1,669.83 49,009.73 50,679.57

Gross Compensation (Taxable)


LESS: Personal Exemption 50,000.00
Additional Exemption
SSS,HDMF,PHIC Contribution 686.00
NET TAXABLE INCOME -
TAX DUE: -
Tax Withheld 5,984.82
TAX DUE / (REFUND) (5,984.82)
FINAL PAY COMPUTATION

BASIC PAY 8,513.24


OVERTIME PAY 943.65
13TH MONTH PAY 1,669.83
TAX REFUND 5,984.82
NET FINAL PAY 17,111.54

JOURNAL ENTRIES:
SALARIES AND WAGES 8,513.24
OT PAY 943.65
13TH MONTH PAY 1,669.83
WITHHOLDING TAX (REFUND) 5,984.82
CASH IN BANK 17,111.54 -

Prepared By:
________________
Geraldine S. Carpio
Approved By;
_______________
Renee C. Martires
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: DANCALAN,ALYZA MARIE MONTANEZ DATED HIRED: 2-Feb-15


STATUS: S TIN NO.: 454-770-908-000
BASIC SALARY: 466 PER DAY

ANNUALIZATION OF INCOME AND TAX AS OF APRIL 2, 2015

TAXABLE
NON TAXABLE INCOME TOTAL

Basic Pay 14,452.00 14,452.00


OT Pay 1,827.02 1,827.02
Holiday Pay -
Service Fee (SC) 18,419.49 18,419.49
Addition / (Deductions) -
Basic Pay 8 days 3,728.00 3,728.00
OT Pay 4 hours 272.52 272.52
13th Month Pay 2 mos 2,032.28 2,032.28
Holiday Pay 1 day 466.00 466.00
TOTALS 41,197.31 - 41,197.31

Gross Compensation (Taxable) 3,728.00


LESS: Personal Exemption 50,000.00
Additional Exemption
SSS,HDMF,PHIC Contribution
NET TAXABLE INCOME -
TAX DUE: -
Tax Withheld 5,525.85
TAX DUE / (REFUND) (5,525.85)
FINAL PAY COMPUTATION

BASIC PAY 3,728.00


OVERTIME PAY 272.52
13TH MONTH PAY 2,032.28
HOLI
TAX REFUND 5,525.85
NET FINAL PAY 11,558.65

JOURNAL ENTRIES:
SALARIES AND WAGES 3,728.00
OT PAY 272.52
13TH MONTH PAY 2,032.28
WITHHOLDING TAX (REFUND) 5,525.85
CASH IN BANK 11,558.65 -

Prepared By:
________________
Geraldine S. Carpio
Approved By;
_______________
Renee C. Martires
DLN:
BIR Form No.
Certificate of Compensation
2316
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld July 2008 (ENCS)
Fill in all applicable spaces. Mark all appropriate boxes with an "X"
1 For the Year 2 For the Period
( YYYY )
2015 From (MM/DD) To (MM/DD)
Part I Employee Information Details ofPart IV-B
Compensation Income and Tax Withheld from Present Employer
3 Taxpayer Amount
Identification No. A. NON-TAXABLE/EXEMPT COMPENSATION INCOME
4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
32 Basic Salary/ 32
Statutory Minimum Wage
6 Registered Address 6A Zip Code Minimum Wage Earner (MWE)

33 Holiday Pay (MWE) 33


6B Local Home Address 6C Zip Code
34 Overtime Pay (MWE) 34

6D Foreign Address 6E Zip Code


35 Night Shift Differential (MWE) 35 -

7 Date of Birth (MM/DD/YYYY) 8 Telephone Number 36 Hazard Pay (MWE) 36


-

37 13th Month Pay 37


9 Exemption Status and Other Benefits
X Single Married
9A Is the wife claiming the additional exemption for qualified dependent children? 38 De Minimis Benefits 38
Yes No
10 Name of Qualified Dependent Children 11 Date of Birth (MM/DD/YYYY)
39 SSS, GSIS, PHIC & Pag-ibig 39
Contributions, & Union Dues
(Employee share only)
40 Salaries & Other Forms of 40
12 Statutory Minimum Wage rate per day 12 Compensation

13 Statutory Minimum Wage rate per month 13 41 Total Non-Taxable/Exempt 41


-
Compensation Income
14 Minimum Wage Earner whose compensation is exempt from
withholding tax and not subject to income tax B. TAXABLE COMPENSATION INCOME
Part II Employer Information (Present) REGULAR
15 Taxpayer
Identification No. 42 Basic Salary 42
16 Employer's Name
43
43 Representation -

17 Registered Address 17A Zip Code


44 -
44 Transportation

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

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)
-
22 Less: Total Non-Taxable/ 22 49 Profit Sharing 49
Exempt (Item 41)
- -
23 Taxable Compensation Income 23
from Present Employer (Item 55) - 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
- and Other Benefits
-
26 Less: Total Exemptions 26
52 Hazard Pay 52
-
27 Less: Premium Paid on Health 27
and/or Hospital Insurance (If applicable)
28 Net Taxable 28 53 Overtime Pay 53
Compensation Income
-
29 Tax Due 29 54 Others (Specify)
-
-
30 Amount of Taxes Withheld 30A 54A 54A
30A Present Employer
-
30B Previous Employer 30B 54B 54B
- -
31 Total Amount of Taxes 31 - 55 Total Taxable Compensation 55
Withheld 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 Date Signed
Present Employer/ Authorized Agent Signature Over Printed Name
CONFORME:
57 Date Signed
CTC No. Employee Signature Over Printed Name Amount Paid
of Employee Place of Issue Date of Issue

To be accomplished under substituted filing


I declare, under the penalties of perjury, that the information herein stated are reporte I declare,under the penalties of perjury that I am qualified under substituted filing of
under BIR Form No. 1604CF which has been filed with the Bureau of Internal Revenue. Income Tax Returns(BIR Form No. 1700), since I received purely compensation income
from only one employer in the Phils. for the calendar year; that taxes have been
correctly withheld by my employer (tax due equals tax withheld); that the BIR Form
58 0 No. 1604CF filed by my employer to the BIR shall constitute as my income tax return;
Present Employer/ Authorized Agent Signature Over Printed Name and that BIR Form No. 2316 shall serve the same purpose as if BIR Form No. 1700
(Head of Accounting/ Human Resource or Authorized Representative) had been filed pursuant to the provisions of RR No. 3-2002, as amended.
59 0
Employee Signature Over Printed Name
THE FORT CAFÉ AND CATERING SERVICES CORPORATION

NAME: Sofranes, Luisa Amac DATED HIRED:


STATUS: S TIN NO.: 314-658-224-000
BASIC SALARY: 481 PER DAY

ANNUALIZATION OF INCOME AND TAX AS OF JUNE 19, 2015

TAXABLE
NON TAXABLE INCOME TOTAL

Basic Pay -
OT Pay -
Holiday Pay -
Service Fee (SC) -
Addition / (Deductions) -
Basic Pay -
COLA -
OT Pay -
13th Month Pay -
Holiday Pay -
TOTALS -

Gross Compensation (Taxable) -


LESS: Personal Exemption 50,000.00
Additional Exemption
SSS,HDMF,PHIC Contribution
NET TAXABLE INCOME -
TAX DUE: -
Tax Withheld
TAX DUE / (REFUND) -
FINAL PAY COMPUTATION

BASIC PAY -
OVERTIME PAY -
13TH MONTH PAY -
HOLIDAY PAY
TAX REFUND -
NET FINAL PAY -

JOURNAL ENTRIES:
SALARIES AND WAGES -
OT PAY -
13TH MONTH PAY -
WITHHOLDING TAX (REFUND) -
CASH IN BANK -

Prepared By:
________________
Geraldine S. Carpio

Approved By;
_______________
Renee C. Martires
ITR / 2316
NAME:
TIN NO.:
ADDRESS:

DATE OF BIRTH:
EXEMPTION STATUS:
QUALIFIED DEPENDENTS:

EMPLOYER NAME:
TIN NO.:
EMPLOYER ADDRESS:

BASIC SALARY (ANNUAL):


13TH MONTH PAY:
SSS, PHIC, PAG-IBIG CONTRI:
COLA:
TRANSPORTATION:
ITR
TAXPAYER'S NAME:
TIN NO.:
BUSINESS NAME:

BUSINESS ADDRESS:

DATE OF BIRTH:
QUALIFIED DEPENDENTS:

SPOUSE:
TIN NO.:

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