BIR Form No. 1701Qv2018 Page | of 2 Rapa he Pins Foran oss ‘Department of Se : sre feral Revenue aor Quarterly Income Tax Return 1701Q or Indiviguals, Estates and Trusts Dibaba nur 201 2NC3) | ee at eget orton CAPITAL LETTERS wag LACK i Mat al peal bees Paget "wit an XC Two copies MUST be fie win the BI and one Pek by Br Tax Fer ‘QW a To) 3 ewe =) Se CERT SRSRGRSIRG REGOTTGR SH TRTPATERTLER "5 Taxpayer Identification Nurber (TIN) a 6 ROOCede fous 7 tomer + See Popa reset eae Deen NOR NC) , eeaeaaTi nen nae woken (9 Teper Nar thn nnn emer nA1 tae ene Lae Ath, ia 10 Fegan at cara RAT RSTO RES —— eee 0A Ze cose r= 44 Date ct BmsMunrrryy) 42 Ema ese ao = 13. curso “14 Fon Tax Nanber epebe) 418. Chang Foon Tx Gas? ro =o vee NO 16 tm 6A menadot Oecuon . ia: Sut Reaper Taegan 2(Gne tid tne MC] opera Setar Den O80) HON (See nection an 184) cgaySaeteoitnmn i Te seu Swen gon seesrecept 8 cer nn-operaing Incas in feu t Graduated Rates under Sac. 242K) & Percentage Tax under Sec. 116 a MIRC, ws Fresca) anendod ovate ton lear ont ar oer rr-opereng ezne co re ected Tre mion pes PART I- BACKGROUND INFORMATION ON SPOUSE wpico), 7 Samet rr 18 RoOcee 19. Fars Some Tne ‘Siole Popretor rotesonal compensation Earner 20 AIC wizteranvanecnetaitti thon anda Rte wae aa oe 24 Spt Na ate ane ea 22 Oman 28 Frei Tax be, ese 24 Casnng Fron Tax Cn? erceeraeertt er ee Ne 25 1x 25A Motodt Detcion Fe, rats eT Tate sae 2 (Chena Tenize Desicon (Sac SAI, MIRC] Opin Snr Duan O80) HO ot (088 atc eaten tam 2A) ‘nes SaeaRecnptsRovensaF es [See 3H) Some rea Tota) eon goss lees & sharon peng ncn in lac Goce Rats under Sc 242) 8 Pecntage Tact Sc. 116 tba NC, (tts) onan vlan netacots on ober nner rete ore sons Tre i e808 (FMI “TOTAL TAX PAYABLE tot wn Comes ora oso TORS) Particulars ‘AY TaxpayerFilor B) Spouse 26 Taxoow 26a om 268 18 278 | 288 |= 298 |-———rs 308 |" ee | PART IV - DETAILS OF PAYMENT Faicaare oot Taber See OTT Treat 3 Gentex deters [P| i r 33a r r Ee — 34_TexDett ee r i i 35 ones sec 2 I r Vacenomnwr Gc Rene Ova rated nen Aor Agta) arp Rec OM en,BIR Form No. 1701Qv2018 Page 1 of 1 Quarterly Income Tax Return for Individuals, Estates and Trusts ‘Declaration this Quartor ersten pintere ecko atone oe 30 SareRereveuRenegnFess paar aon a 5 il 6 37 Let Cow ot etarce mn tary eDe 3A [= 378 (a 38 cro eamerae tar Operon nan) 384 [= 308 2 139 Tot low tose Desctons 394 | 398 40 open Sur Deaton (060) ur tn) 404 -——e 408 ———1w 44 et reas) Ths Oia 8 4 | 418 5 ‘aa 42 Tobie cman) Prove Oras [-—s 28 1 43 Non Operate 45 Yaa Toh ncometLony) To Date unc [46 axe re hea nn | 148, hot Nan Opaatg ce mf 484 | ——or 438 149 Tol neonate oe me) 494 |= 488 (5 [50 Ao You Tent een Povn Sn oe ow eae 51 Comte Taste nao) a Mes ur ensteesewes) SYA [a 518 rr 52 wears aaa aS 524 a 528 |r» [53 toc bomarios) Yum eines SA |" 538 on 84 tedeormeem iat S44 [ss us [7 a aa 95 PrrTow Ecos Oe aa ar 56 TocPormcs trou Pen arn sa | ——ow 8 57 cre Tarte rex Pre Orn 574 | 3m 50 create Tera ur OF. 20 ri har saa |———w 8 |r 80 Terruavinen Pray Pe Haan ered Re sa .-—— 6 ———r= 0 rar Te cm tepcte 04 |-—— 02 ——r [1 ore trCnsmraynrs ean -———— 14 18 ——w [62 Yaa YercreaPayer ent ie 9, 63 Tar ryOvepermer peer e A oan 165 net 6a [= 166 consume 864 [x [67 1 Prats metre sh — file:///C:/Users/ADMIN/AppData/Local/Temp/%7BACA73A24-12E9-4142-92EC-41... 10/11/2021sors, 11:17 PM (Gmail - Tax Retum Receipt Confmation Mi Gmail ‘Artyn Domingo Tax Return Receipt Confirmation ebirforms-noreply@bir.gov.ph Mon, Oct 11, 2021 at 11:01 PM To: hope.ard18@gmail.com = ‘This confirms receipt of your submission with the following details subject to validation by BIR: File name: — 600793039000-1701Qv2018-202103.xmi Date received by BIR: 11 October 2021 Time received by BIR: 10:40 PM Penalties may be imposed for any violation of the provisions of the NIRC and issuances thereof. FOR RETURNS WITH PAYMENT, PLEASE PROCEED TO PAY: VIA ELECTRONIC MEANS thru @ Development Bank of the Philippines’ (DBP) pay Tax online (for holders of Visa/Mastercard Credit Card and/or BancNet ATM/Debit Card); or @ Land Bank of the Philippines’ (LBP) Link. Biz Portal (for taxpayers who have ATM account with LBP and/or holders of BancNet ATM/Debit/prepaid card or taxpayer utlizing PESoNet facility for depositors of RCBC, Robinsons Bank, Union Bank and BPI); or : @ Union Bank online web and Mobile Payment Facility (for taxpayer who has an account with Union Bank of the lippines); or © Mobile Payment (GCash/PayMaya) OR VIA MANUAL MEANS, Please print this e-mail together with the RETURN and proceed to the: (© AUTHORIZED AGENT BANK (AB) assigned in the RDOs where you are registered: or @ in areas where there are no ABs, please proceed to the Revenue Coltection Officer (RCO) under the Revenue District Office where you are registered. The assigned RCO will receive your payment and issue the eOR using Mobile Revenue Colleetion Officer System (MRCOS). This is a system-generated email. Please do not reply. Bureau of Internal Revenue DISCLAIMER This email and its attachments may be confidential and are intended solely {or the use of the individual or entity to whom it is addressed. Ifyou are not the intended recipient of this email and its attachments, you must take no action based upon them, nor must you disseminate, distribute or copy this e-mail. Please contact the sender immediately if you believe you have received this email in error. E-mail transmission cannot be guaranteed to be secure or error-free. The recipiont should check this email and any attachments forthe presence of Viruses. The Bureau of Internal Revenue does not accept liability for any errors or omissions in the contents ofthis message which arise as a result of e-mail transmission. tps:/imail google. com/malVw07k=2bb42P34b08 view=pllsearch=a8&permmsgid=meg-P%3A17133356368787872098simpl=msq%3A1713335... 1/2