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Republ·ic of the Philippines
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Social Security System
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PAULO frENo RON LORENO


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coRA o~ s~oi1.,A PAz
SSS PRESIDENT
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Pay men t/Ta x Wit hhe ld
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~ ...,. S4 Overtime PIIY (MW£/ 341
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HazardP&y (MNE) Ml :==:=========::::::::;I
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' - - -- - - - - - - '137 131h Month Poy
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30.000.00
end Olher Beneflls
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Single D Mon1ed
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b1he wife d~the nddlbo rlal••e n-.,lo, for"'1ll
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1.i S\allllory MU1t1n1m wage rote per aay •,-===== === ~• c~en wlon I'--__ ___ ___ ___,
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1S SlaUtwy Mlnlnli m Woge l'ftle per month

W D Minl!rum Waoe Eimer whose OOl'l1)ensotion 11 l!lCtn1)t


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REGULAR INCOME
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= ~'2 Basic Sslo,y 42 266. 700.00

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Transportation
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47 Olhers (Specify:
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20A Zlp Code

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t,;"!1iai-1t~~ SUPPLEMENTARY
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Gtoes Cottl)e<
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iv _ _ _ _ _ _ _ _ _-1148 Corrrnlssion
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49 Profit Sharing
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8 1,928.45 \
23 Taxa bleC ~lion Income 23
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:=== ==== =,.,·==·= =~50
2A Add: Taxable ~sa tion
&ncome lrOm Prew>us E ~ r
2A Fees lneluoing 0 1red0r's
Fees
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25 Gross Taxable 25
;:::: ::::: ::::: ::::: :::::: :
t:o~a t,oo Income 320,814_05 51 Taxable 131h Month Pay
2S Less: Total EJCl!mptions 2S
and Olher BenetllS
51 1..._ _ _ _ _ _4_4_,3_2_0_._oo_ _
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50 ooo oo
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27 -Hcl&l
Less: Preniu
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Paidltar,oic:.a
on Healtht.i,) Z1 ~, I
21 NetTaxable
~•n com e
29 Tax Due

• Amcul l °' Taxes w,tnhetd


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29
56.
270, 814 _50

soA;:=========56=.=24=4=.u=====l 544
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Others (Spedty :
244 22
54
53 OvertimePay 531
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31A Present Emptoye<

388 Fre\oious ~oi,er


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308
NIIOU'1I <JI Taxes WilhMl d ......J.1
As ad~ .,..---. .. 56,244 .22
54~ !
55 Toeal
IncomeTaxable Corll)ellSBtiOn 55
320,81
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