tae Fame Se 4 LANDBANK (0? (Ou-15-24 40039792 i oP Tea ONTO Tex emme seten aajak Ml «sk Mels Bach Get Coe Cee BUREAU OF THE TREASURY - BIR O[olo ici als H TRDENTFEATONNAGER Tare 9 [SM @i3io Maly isa aR los [a TewedantOree | Acorg pe Tair teten } Wie le re: Quarter (G23 are) — | Taxed Fal ort Goa) = oH o thei hB! LSS pcx ae: | ne ettyn coupror rng. “Acct. N a O042 6-88 | eel © | Senate op arpayerRepresertate | Contact Number REPRE ASH 1593091100 a Pam a4 81803224 MDDYY 5 e325 Ti: Rroane 3 i ; wABR 00 = E a PM | | noormeces eee ee sera 2) | & PESOS CENTAVOS. a es pe rie sao | Go6O 2 am | 45S re som | 60 Pere Fs Tax Papen tr ANDBANG Bes Ass Mace EAN) mm | 30. ‘CONS 18 Sa xa ANKORDI ACME NUMBER l TEFOSTORS SIGNATURE Tapers Cony aaaBIR Form No. 17014 - Page | of | pubic ofthe Philippines Department of Finance Bureau of internal Revenue Annual Income Tax Return nme tteretieenrcraearr on BRL AELNTHE| ed er a a cla Oro 3 SorPercshewn? Ove Owe PART 1- BACKGROUND INFORMATION ON TAXPAYERIFILER 6 Tepe Te ee [110 O sige Poter \o Prseasna [7 prac Tax Cate (ATC) (O wre Banas ne Gat ales © wove eae om Pleton Gc Rates O wis anes na IT Rat © 17 ee tom Ptnon Rate 18 Tapers Ware (stare, at Nae, M88 Nae Falarca, mayiya w 9 Reged Adres oe nes mp ie ett ce i AE se Be 89) [peneral santos city ed 9A zocwe 500 10 acre amcor 11 enattcoese pssria7e bBiene_rocriguez '6@yahoo. com 12 Chaonno 13 Ching Foregn Taxed? 44. ‘Fereign ar Numb reat Fino Ove Oro Le 15 Conse Muro antic 16 cw Sane foasreorz38 Qsrae eres Lega Sapte Onneonr 17 vara soi rasicone? — @ Yon One 18. Fng see Oore sing © seowate Firs O cratunss Rates win 080 at ranas @ 9 sot Gnas Rates ine Sec 24) A Percentage Te See 15th NRC. Invtane# gua niatecagt nr ton optrng rn oot xed Tron pe P31 PART I-TOTAL TAX PAYABLE sw Grins Sowa many ams Samoa Particulars ‘A) TaxpayerFiler 3B) Spouse 204 TS4T0T0O 208[ SSD 21 Less. Toa Tax Greats Payers 2A aa57300 ae [CO 22 Tax Pott verpaymet wn z0isnser za [848800 228 [0.700 23 epee Taha Aneta nme een tee SON 3q [$95 2A Aree Tax Reged ob Pld .pen FirgOveneymerwn22 iawn) 24, 5488.00 naa Penttas 28 Sictae 254, 805 inet 264, 0.00 27 conpomes oe 28 To Praia ott 1) 28 Tox Amount Payable Overpayment ret) 20a [348800 30 Aaoreate Amount PayetietOverpeymen utara wi) sof 948805 ovepaymert man eet) box ony. (Once Re coceis masa re sane is Mevcabe) O Yotentines © Tote munis Tx Cnt Coca (100) © tote carad om at tx one nn yarn Tir epic sda ane Tap rw, weal an Peay ve TDS uc ara cores paca tre ovnne be hia "ed ferepanre sateBIR Form No. 17014, Page | of | Annual Income Tax Return {mos north adie samen r n OO aeo Soguctons "FART IV - COMPUTATION OF INCOME TAK A) TaxpayerFiler B) Spouse 36 Net Seeseerveecea nse te) 38 Lees Aton Daticten- Opsona Stns Dasieten O50) een 3) 40 a1 a2 2 “4 45 Tom Teale coe aera 46 TAK DUE nsx pe Ts noe Tad 464 00g (7 IV.B - For 8% Income Tax Rate rove wren moarena pincers G0 cee POM ord oped ae al gure em) 47 SavsReveronsRecoctoos aa, _-2.17626000 478 | 00 ]48 Less Sates Rexrms, Alowarces and O'scouns ny meeenseegpeenpnen 49, Not SaesRovervenReco cs mn ime asa | ‘has. Ore Non Oprara nee bon 50 = 60a [ 3 0.00 ieee eae area eed sta 3 0.00 152 Te Omer Nerspertng hcone etn 153 Tou rma ncre ean [_——a17e28000 eB [—S~SO 520, 53a, [54 Less souwe easton yom ances nt nena ramet gq [3850 000.00 55a, 5A, | | 55 Taste nceson) an s.au Se f 71928,280.00 [ 754,107.00 [56 TAXOUE jer strona recta IVC Tax GrediteIPayments snaa 509) 57 Por vears es Greats 7A 158 Tax Poyrans tere Frat Teo 3} ore 5A, 159 commie Tax itr rine Fie Te) Ques 504, [60 Crane Tax With eR For No 207 ern Cae 60a, 27,485.00 J61 TaxPacin Renn Pevouty Fc, is an Arendes Ren eal —=i [62 Foregn Tacs. ppcae af SSS~«OD 163 ower texcrstePaymenswonif af ———~iOD 64 ets Tex CrdiePayrerts ne tet 64a | 12487500 [65 het TeabiOverpeymet puna oh nw owen aD 5A, 548800 67 ROO Coie [66 Scour Tempore erteton Nanber 7™) (68ers Sonne tee r cs r O srge Poorer Oroteeore J69. Aemere Tax Code ATC) O nora sets cone Gea Rate (O wore rer am Pte ect Rats O ts bess rome Rate © wr rere ta nin Rate 70. Sess nar Cost ae it Nae, Mee Nae) i 74 cometnurmer 72 creer TTT 173. ciamng Foreign Tax Cats? = Oven One 74 Foreign Texture: tama [ 75, % © oreuens ram wn os0 anaes © ast Grate Rls ude Sac 24) &Pocrage Tex nr Sc Et Me NRC, eesmaon latte # gos siateoats ar er novo hate do hat xe Tee ilo pes PMTax Return Receipt Confirmation 1m. ebirforms-noreply@bir gov.ph To. ailene_rodriguez16@yahoo.com Date: Monday, April 15, 2024 at 08:47 AM GMT+8 This confirms receipt of your submit ion with the following details subject to validation by BIR: File name: 9159309 11000-1701A-122023 xml Date received by BIR: 15 April 2024 Time received by BIR: 08:28 AM Penalties may be imposed for any violation of the provisions of the NIRC and issuances thereof. FOR RETURNS WITH TAX PAYABLE: Please pay through any of the following ePayment Channels: Land Bank of the Philippines Link.BizPortal + LBP ATM Cards + Bancnet ATM/Debit Cards + PCHC PayGate or PESONeT (RCBC, Robinsons Bank, UnionBank, PSBank, BPI, Asia United Bank) DBP PayTax Online + Credit Cards (MasterCard/Visa) + Bancnet ATM/Debit Cards Unionbank of the Philippine: + Unionbank Online (for Unionbank Individual and Corporate Account Holders) + UPAY via InstaPay (For individual Non-Unionbank Account Holders) ‘Taxpayer Agent! Tax Software Provider-TSP + (GcashiPayMayalMyEG) This a system-generated email. Please do not reply. Bureau of Internal RevenueRepublic ofthe Philippines ForBiR ecs/ Department of Finance 10848 Use Ont om ‘Bureau of Internal Revenue 2307 | ancaarseaes IRENE tanuary 2018 (ENCS) payer Wnuication Numba (TIN) Ps Nas [ant Wars Ft Rare Mae | SALARDA, MAYLYN W. Payers Name [Lan Name, Frat Nama, Gas Name far ndadual OR Rog ‘SUN LIFE OF CANADA (PHILI INES), INC. sored Adress ‘and Floor Sun Life Centre, Sth Ave. cor. Rizal Drive, Bonifacio Global City Fort Bonifacio Taguig City Teoone Payee Sabato spud a tong Tax Noni oe Insurance agents & insurance acjustors(f ‘fee income forthe curent year not 219,300.96 246,200.82 sou71940 ag.ar1.18 34405.55, ‘exceed PM) r waa Moray Payments Sabjea ts WANTTETAG of Business Tax (Government & Private) tah We declare under the penalties of peyury that is caricate has been made a gaod ath, verified by us and to the best of our knowedge and bet fe Woe ond sec, pursuant tothe provisions ofthe Nations ntemal Revenue Codo, 2s amended, and the reguations issued uncer author there. Further, we ive our consent 0 the processing of our incrmation as contemplated under ha “Data Privacy Act of 2012 (R.A. NO. 10173) forage and af purposes, A Me FINANCE MANAGER 103.376-771-00000 :ONAR. OLAN TielDesignatin of Sinatory TINO! Signatory ‘Sanature ver Pred Nave of PayorPayars Aurea Ropresertaive’Tax Ager {indicate Tie/Desgnation snd TIN) Data of sue Date oT maeoorerey ‘Sigratore over Printed Name of PayeaPayee's Authorized RepreserianeT@x Root ‘indicate TaeDesignaton and TIN) Date of ssue Date oT aaworrr9 paren, NOTE” The BIR Data Privacy inte BIR webata (nV GOV AT TIERepublic ofthe Philippines Foran acs! Depertnent of Fiance ses4s ey her Dares of toned Rerone ai Pom 5 “ Certificate of Creditable Tax DR EET | 2307, Withheld at Source la a 1 Forte Perea ronfo,4]0,1]2, 0,2, 3] Mmonrr~y TLe 6] 3, 0]2, 0, 2,3 ]munorven Fai Fas 2 Texpoyer eration Namba (70 > 1, *f1*,3,°]-]°)1,*]a]e,0, 0,00 ‘Paes Name [ast Nara Ft Name, Mle Rare for inca! OR Ragisored Name Tor Rar "SALARDA, MAYLYN W. 4 Registered Adress 4A 21P Code 5 Foveign Ades, applicable Taxpayer deriication Number TIN) 2,0, 4]-[9, 6, 2]-]5)2,2]-]0, 0,0, 0,0 "Pavarsia (at Nemo, Fret Nar, Mile Nas fr Ina OF Regstared Nave for Non-iu za ‘SUN LIFE OF CANADA (PHILIPPINES), INC. © Aga cee ZIP Code ‘2nd Floor Sun Life Centre, Sth Ave. cor. Rizal Drive, Bonifacio Global City Fort Bonifacio Taguig City 1824 = Income Payments ond Taxes income Payments Subjectto Expanded | gre. |rarmamrarine SERENE Trax Withheld forthe ‘Withholaing Tax ae . Total ‘Quarter Ingurence agens& ieuranceaxjusters (if (oss income or me curent year se net | vnora | 71,100.08 15971653 11045091 341.27652 7983.82 ‘exceed PM) foal Ba arEs Tossa Money Payments Subject to Withalaing cof Business Tax (Government & Private) rah ‘We declare under he penalties of perjury thal ths cortficate hae boon mado in good ath, veld by us, end to thebestof our knowadpe and bales tue and Jor. pursuant othe provisions of the Nabonal oral Revere Code, as amended, andthe regulations saved onder author thereat. Furtar, we give cur caneent th esa or nomaton Coverdale rer Dea Py A201 (R.A No 1017) rent al pe A Med FINANCE MANAGER s02s70-71.00000 AAR. OU rasbeenesta Seto wetagrac Se er PT a of Pyar Pars Asta RSSTS TETRA indeate Taebeara ara TM Ta get Ra TAT es Ta TET _Atoveys Rok No. (ppc) nore aeoorrrry ‘Snare over Pied Name of Payee Payee's Auoiaed Representa Tax Apert (noite The/Designaton 3d TIN) Tax Raat Reaeaiaon WaT Date of fsue Daisy ‘cera’ Rot No. (appt) munarry9 uwoorrnen NOTE: The BIR Daia Privacy Im the BR WabeTo (wIAT DE GOV PATRepublic ofthe Philippines FesiR acs! Deparment of Finance Use One ‘Bureau of Internal Revenue BIR Fom Ne 2307 Certificate of Creaitable Tax IIR WAHT ET January 2018 (ENCS) s1as6 2307 OUIBENCS, ih z rae 1. Forthe Period From 0) 7] 0) 4] 2, 0) 2, 3/(™MDDYYY) Tole, e] 2,0] 2,0, 2, 3 |munony 2 Taxpayer lderiication Number (TN) 274, 5[919, 3) °fe]*,*, 1] 21°, 0,0, 0,0 7 Payee's Nam [Law Name, Fiat Nama, Rar fr inutual OR Reginored Nae Tor Mn.) =e ‘SALARDA, MAYLYN W. | 4, Ronitore Adress 4A ZIP Code = bit SS Foveign Aderess, apptcabio ] (6 Taxpayer ldericaton Number (TIN) 21°) 4)-1 9,6) 2) | 5,2) 2])-]°, 0,0, 0,0 7 Paar Nae nat Nera Ft Nar, Mis Nar fr inshon OR Roserod Nar fr Non-ina Saw ‘SUN LIFE OF CANADA (PHILIPPINES), INC. 8 Rogstored Adress 20 Code 2nd Floor Sun Life Centre, Sth Ave. cor. Rizal Drive, Bonifacio Global City Fort Bonifacio Taguig City 1824 Income Payments Subject to Expanded a a “Tx Withheld forthe esas arc [TarManraraa tadonh ote | gon of 9] rag = Insurance agents & insurance aduatrs(¢ (Fors income forthe curent year aérot | wio7o | 27320733 273,061.21 169,950.04 716,008.58 35,800.43 ‘exceed P 3M) [Fema 776,008 58 aec0as Wionay Payianis Subject t Winholaing of Business Tax (Government & Private) [roma othe processing fou ntrmation as contemplated under tho “OatePrivacy Act of 2012 (R.A No. 10173) or lg end lanl purposes, ‘We decare under the ponais of potury tht tis erfiate has boon made in good faith, verfed by us, and fo the bet of our knowdge and bel, sre and [correct pursuant othe provision ofthe Natonal intemal Revenve Code, 2s ariancea, andthe reglabons lasses uncer author there. Further, we give our concen A: Med FINANCE MANAGER 409.376.771-00000 NAR. OLAN “TiveDsegnaton of Signatory “TN of Signatory ‘Signatire aver Priried Name of PayorPayors Authored Repressrtaive Tax Age {ndcate TiieDesgration ond TIN) Tax Age RESTS Na Dato of eeu Bae oT _Atoneys Ro No. appeal) corer awoorryy ‘Sonate ver Printed Nanve of Payee Payee's Artrisd Represeniave/Tax Apert {nscate TileDesgration nd TIN), Tax Reet aes Na Dato of esue Date TE _Atrneys Ro No. applicable) uoorerre aucoreren, NOTE: Tho BIR Data Privacy oh Whe BR wabato {wna BG PHT 30Repubite ofthe Philippines Fora acs) Department of Finance 10046 theory how eres rer Rarene 2307 Certificate of Creditable Tax RUPE January 2018 (ENCS) Withheld at Source 2307 O1/\BENCS_ 1 Forthe Period From] 1, 0/0, 1] 2) 0, 2) 3 |(MMDDYYYYY) Tol) 23) +] 2) 0) 2) 3 moor 1 Toney Keren Nob 0 TMM Mle °° Papa's Re (Lan Ware, Fiat Nama, Mili Nar fr dual OR Rexitared Nar ar Nop. = [ SALARDA, MAYLYN W. 4 Registered Address — 4A 2iP Code AAZP Code Liu 5 Fovegn Address, Mepplcabie 16 Taxpayer lentiicaton Number (IN) 2) 0) )2]9) 6) 2] -]5) 2,2] =] 0, 0) 0 0,0 7 ayers Nears Laat Name, Fat Name, Me Naw for Invi OR Regtered Narr Tor Non inaeeua] ‘SUN LIFE OF CANADA (PHILIPPINES), INC, 8 Registered Address A ZIP Code 2nd Floor Sun Life Centre, Sth Ave, cor. Rizal Drive, Bonifacio Global City Fort Bonifacio Taguig City Lye834 Income Payments Subject to Expanded Tax Withheld forthe meant arc [artanrat ie [anon afe | SreMon oPhT—y arous Insurance agents & insurance adjuster (goss ncome forthe curent year iénat | wio7o | 8228630 17992623 168,71087 42967349 21aa147 ‘exceed P 3M) ota wae Bae Money Payienis Subject wo Wining of Business Tax (Government & Private) ota ‘We decare under the penalis of perjury that this ceria has been aden good fath verified by us, and fe th bes of cur Knowadge ar bel, ee and pursuant othe provisions ofthe National Inieml Revenve Code, as amended, andthe regulations issued under auneny herect. Further, we give our consent 0 tha processing of cur Information os contomplald Under the “Data Prvcy Act of 2012 (RA No. 10173) for legate and lawl purposes A Mr FINANCE MANAGER NAR. OLAN “TweiDesignaion of Sonatry ‘Signature ove Pied Name of PayorPayors Authored Represestatve/Tax Agent _(ntcateTale/Designton ond TIN), Tax Ran Resign WaT Dato of tev Data oT ‘ory’ Rol No. (apptable) uuoorenry, enorrevy ‘Sanstre over Printed Nave of Payee Payee's Autioized Ragrosertave Tax Apert (Mnlest Tle/Designaton ang TIN) Tai gen Pesan HoT Date of fave Das TET _vomey’s Ro No. appicable auneDorewry, awoorrnry NOTE The BIR Data Privacy lh The SR wabate (wrnT GOVT arRepublic ofthe Philippines ForBiR es) Department of Finance 18048 Cow tow Buran of ternal Revenue OR Fom No " 2307 Certificate of Creditable Tax I TORR EA | ,30l, Withheld at Source ! prea aT 1 Forthe Peed ren[ to] 0,1] 2) 0, 2, 8] muoown Tels 2]3, 4]2, 02 3 ]omoorrny Pau 7 Toomer Wonticaton Naber (TN) mec 2,1 *Po]e,°, 9,0, 6 Pa Rar ati Ft Ra ES Rata Oe Nee Nn SALARDA, MAYLYN W . 4 fastened Adis wm Gaie C bo ‘5 Fornign Address, applicable ee © Towpoye eration Naber TAD 2,0, P|) «,5]-[2,3,*]]% 0 0, 0,0 Bats a anti, tN Mat fT OF Pg te Te aos | ‘SUN LIFE ASSET MANAGEMENT COMPANY, INC. 2 Runsioed Adda Pres Unio Sn if evr, Av cor Rial Drive Bonfoto Global Oyen bentecio Tesuis wy ]{ 142 4 Income Payments Subic to Expanded | gre [rarnanivaTiie | Bnd Monthof ie] Sea ony oe Tem wit ert ‘notang Tax ona 4 Mento Tot coer Teuton ers Eros aor yes reams re cue you tne = a : i cs Serb nervetRegeered eracecr | we | 28 a2 008 mr) Fear 08 7 ney Payments Subject to WAnoTag of Business Tax (Government & Private) frown ‘We decor under tho penalties of para tet tis corteato hae boon made in good fat, verified by us, and to he best of our knowedge and Deis tue and J-onec. pursuant tthe provisions o! he National Item Revenue Cade, as amended, and the equations issued under author there. Further, we give ou consent ic he processing of our nfomaten ae contemplated under tha “Osta Privacy Act of 2012 (R.A. No. 10173) fo lagtimate and lawl purposes. A Me FINANCE MANAGER 103.376-771-00000 NAR. OLAN “TWieDesignaton of Signatory TINof Signatory ‘Signature over Pied Name of Payor Payor's Authorized Raprosetalve7Tax Age {inscate Te;Dosgraton a TIN) Tax gant ReseSTaon NT Dal of tsue Das TET amuoorrrr, ‘Signals over Prd Narva of PayoaPayeas ALToaed RaprosariaIeTax Agent {eteateTierDesignation and TIN) Dale of sue Date TO amwoorrry umnonry, NOTE Tre BIR Data Pivasy SH HEM WoO DT OTT Ta