BIR 2316 UNDERTAKING

UNDERTAKING AND CERTIFICATION OF NON-SUBMISSION OF BIR FORM 2316

As part of my requirements as a new employee, I have been requested by iQor to submit BIR Form
2316 from my previous employer. This is to enable iQor to consolidate my income for this year and
compute the correct income tax due for the year in compliance to BIR regulations. I have, however,
failed to submit the said form due to the reason stated below.

As a consequence, iQor is unable to accurately report my annual earnings and withhold the
corresponding tax due as they have no other information other than those which I have earned
from working with them. I fully understand that the correctness of the income I earned for the year
and the consequent income taxes due thereon depends on the availability and completeness of
the information I will provide to iQor. In lieu of the BIR Form 2316, I am issuing this waiver
exonerating and holding iQor free and harmless from any and all obligations arising from the limited
information that iQor has with regard to my income. I undertake that whatever taxes due from me
as a result of my failure to submit the above document will be borne by me and I will pay directly to
the Bureau of Internal Revenue (BIR) upon filing of my Income Tax Return (ITR) for this year.

I am voluntarily issuing this waiver bearing in mind its implications and legal repercussions.

Reason for non-submission:

___ No previous employer for the current year
___ BIR Form No. 2316 is unavailable

Be More with iQor

www.iQorPhilippines.com