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Tcj be accQ mpli stied undg substit uted fi 11 ng.......................................................................................................

METRO-DASMA
'~ i I declare.underthe penalties of perjuryttiat I amgudifed under substituted fling of
ENRICOR.TORRESJR
BIR Form
Empioyee No. Over frinted Nare
agnature
Certificate of Compensation
2316
Repub lb: a ng Pilipinas Kagayvaran
ng Pananal^ii
Kayvenihan ng Rentas Internas
Payment/Tax Withheld
For Compensation Payment With or Without TaxWithheld July 2OO0CENCS)

1
For the Year 2 For the Period 0
(YYYY) 20141 ► From (MMDD) (08 To (MM/DD) 11231 1
Part I Employee Infor mil on Part IV-B 6
El* tai I cof Compen aUon hoom* and Tai '/Ulili^ld from Fro wntBnployor

Amount
3 Taxpayer Identification
No. 258 933 1 421 000 1 ■ J 1
A. NGN-TA3{ABLE/EKEMPT COMPENSATION INCOME
4 Employee's
* Name (List Name, First Name, Middle Hame^ 5 RDO Code 1

32 Basic Salary/
TORRES JR, ENRICO ROYOL Statutory Minimum Wage 0.00
6 Registered Address EA Zip Code Ivfninun tfifege Eaner (MU'i.i'E)

c/0 IQOR PHILIPPINES INC.


SB Local Home Address 6C Zip Code
Holiday PayCMWE)
0.00
BIk 5 Lot 23 Tierra Vista Sudb. Langkaan Dasmarina 34 □ vertim e P ay (lyWE) 3i
Muntinluna Citv_________________________________ 0.00
GD Foreign Address______________________________________ 6E Zip Code

____I____k____I
Night Shift Differential (fyWE) 0.00
____
7 Date of Birth (MM/DD/WYV) Hazard Pay (lyW^
109 118 I 19 , 891 0.00
13th Month Pay and 37
3 Exemption Status □*□ Single Other Benefits 3,041.86
BA Is the wi fe claiming the addifio nal e xempfi
I Married De Minimis Benefits
________________________________________ qualified dependent children?
No
12,970.10
10 Name of (Qualified Dependent Children 11 Das ofBirth (MM/DB/YYYY)
33 SSS, eSIS, PHIC aPag-ibig 33
1 1 1 1 1 Contributions, a Union Dues
3,803.50
1 1 1 1 1 (Brployee shae only)
1 1 1 1 1

12 Stautory Minimum Wage rae per day 12


1 1 1 1 1 40 Salaries a Other Forms of
Compensation
40 0.00
43 Staaory Minimum Wage rae per morth 13 41 Total NorrTaxable/Exempt 41
Compensation Income 19,815.46
14 Minimum Wage Earner imhose compensaion is eKema ftom
tax and na s to income tax E. TAMABLE COMPENSATION INCOME
REGULAR
FSrt II Employer hformiion fFTesent I
15 Taxpayer
Identification
16 Employer's Name
►234 I 1988 1175 I 1 . . . 1 42 Basic Salary
& Other Inc.
42
49,214.19
No.
I
IQOR PHILIPPINES INC? 43 Representation 43
0.00
17 Registered Address 17AZip Code
44
BUILDING 36 & 37, BERTAPHIL II COMPOUND, J. A. SANTOS
> AVE. CLARK, PAMPANGA________________________________
44 Trans p ortaion
0.00
CTl Main Employer
0.00
a.
45 Cost of Living Allowance 45
Fart III_________________Emi er hformaionSecondary Employer
us
46 Fi>sed Housing Allowance 46
IS Ta::p ay er Identification
0.00
No.
13 Employers Name 1 .. 47 I Others ('Specify')
47A 474
0.00
30 Registered Address 20A Zip Code 47E 47E
0.00
SUPPLEMENTARY
Ffert IV-A Summary
4S Commission 43
0.00
2 Gross Corrpensaticn hccfre fem 2 73,302.45
1 fresent Errdover fkem 41 plus item 1
2 Less: Total Not> Taxable/ 2 19,815.46 43 Profit Sharing 43 0.00
2 Ejerrpt fkem41') 2
2 Taxable Compensation Income 2 53,486.99
3 tom Piesent Brrployer (Item 55) 3 S 0.00
2 Add: TaxableCompetTsation 2 _______0.00 50 Fees Including Director's Fees
O
1 Income from Previous Employer 4
2 Oross Taxable 2 53,486.99 51 Taxable 13th Month Pay and 5 0.00
5 Compensation Income 5 Other Benefits 1
2 Less: Total Exemptions 2 50,000.00
6 6 0.00
2 Less: Premium Paid on Health nib 2 0.00 52 Hazard Pay $
7 HasplU kvkrm Clfniplcatifc) 7
2 Net Taxable 2 3,486.99 53 Overtime Pay 53 4,272.80
3 Compensation Income 3
2
3
Tax Due
3
2 174.35 54 Others (Specify)

Amourrt of Taxes Withheld


3Q
5
174.35 0.00
S 3QA Present Employer 4 [54A
A
SO
A
5
4 0.00
I54E 0.00
336 Previous Employer B E
3 Total Amount of Taxes 'Withheld 3 174.35
55 Total Taxable Compensation
Income
55 53,486.99
1 As adjusted 1
We declare, underthe irirry.fhathis certilcae has been made in good ^hh, yeriled by us, and to the best of orr knowledge and belia, isfnje and correct
pursuant tothe provisions c (aFTrfepnafcRevenue Code, as amended, and regulaiors issued under authorftythereof. I
56 M. the SAMS^tTTyp FINANCE)
■ 1,1 , ,
ftssent Btiployerf Arfhctii^d Agent Sigratre Over FVirted tbme
CUNFUKMt:
57 ENRICO R. TORRES JR Date Signed [
CTC No. or Briplovee agnaure Over Printed Na™ I Anoua Pad
Bvproyvv Race of Issue Dae of Issue F

I deolaiE, under the pennies a perjury, tfiathe infbimaicn herein stasd as reported
under BIR Fonn No. 16D4CF which has been filed with the Bcneau of htemal Revenue. hcome Tai RettmsfBIR Fortn No. 17DD'), since I received pcrely compensation income
tom only one employer ri the Phils, tor the calendar vear;1hat fates have been correctly
withheld by my errployer (tax due egu^s tax withheld^ tfiatthe BIR Form No. 16D4CF
53____________________________________________________________ tied by my errployerto the BIR shal constitute as myincometax lettm; and that BIR Fornn
Piesent &rployei/ Arthoriied Agent Sigrahre Over Rinted bbme No. 2316 shall serve the same purpose as if BIR Form No. 17DD had been tied
(Head of Accounthg/ Human Resource or Auhorized Representative) pursuant to the provisions of RR No. 3-2[)02, as arended.
SB

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