BIR 2316 (ITR) DECLARATION

Date:

Do you have any employer for the current year?

Yes
No
*** If yes, please submit 2316 (ITR) on or before November 15 of the current year,
failure to do so, will affect your annual tax computation, its implications and legal
repercussion to Bureau of Internal Revenue (BIR)

I hereby certify that I fully understand of failure to submit such 2316 (ITR) will affect my
annual tax computation, its implication and legal repercussion to Bureau of Internal
Revenue (BIR).

_____________________________________
Printed Name Over Signature/Date

*** If no, kindly fill out declaration as shown below:

I,______________________________________________, legal age with address

________________________________________________________________________
______________, to affirm that I have not been employed with any other company for
the taxable year 20___.

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

Sincerely,

_____________________________________
Printed Name Over Signature/Date