Scribd
Upload
2K views1 page

Sss r5 PDF

This document is a payment return form for social security contributions from employers in the Philippines to the Social Security System. It provides instructions for employers to complete the form to make payments for their employees' monthly social security contributions. Employers are to remit contributions on or before the 5th of each month to avoid penalties and must submit a contribution collection list within 5 days of the end of each quarter.

Uploaded by

HERMAN DAGIO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2K views1 page

Sss r5 PDF

This document is a payment return form for social security contributions from employers in the Philippines to the Social Security System. It provides instructions for employers to complete the form to make payments for their employees' monthly social security contributions. Employers are to remit contributions on or before the 5th of each month to avoid penalties and must submit a contribution collection list within 5 days of the end of each quarter.

Uploaded by

HERMAN DAGIO
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Republic of the Philippines SBR NO.

POST MARK/SBR DATE TELLER’S INITIAL

SOCIAL SECURITY SYSTEM


R-5 CONTRIBUTIONS AMOUNT
REV. 02-98 PAYMENT RETURN
DATE
(TO BE SUBMITTED IN QUADRUPLICATE)
(THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED)
EMPLOYER’S ID NUMBER EMPLOYER’S REGISTERED NAME

ADDRESS POSTAL CODE


(NO. & STREET) (BARANGAY)

(CITY/PROVINCE) TEL. NO.


(TOWN/DISTRICT)

APPLICABLE PERIOD SOCIAL SECURITY EMPLOYEE COMPENSATION


CONTRIBUTION TOTAL
INSTRUCTIONS MONTH YEAR CONTRIBUTION

JANUARY
1. CHECK THE BOX TO INDICATE THE TYPE OF
PAYOR FEBRUARY
REGULAR EMPLOYER MARCH
HOUSEHOLD EMPLOYER APRIL
2. INDICATE THE YEAR FOR WHICH PAYMENT MAY
IS APPLICABLE.
JUNE
3. REMIT YOUR EMPLOYEE’S/HOUSEHOLD
HELPER’S MONTHLY CONTRIBUTIONS ON
JULY
OR BEFORE THE 5TH DAY OF THE
AUGUST
FOLLOWING MONTH TO AVOID THE 3%
PENALTY PER MONTH FOR LATE PAYMENT. SEPTEMBER
4. REMIT YOUR PAYMENT EITHER: OCTOBER
a) THROUGH SSS ACCREDITED BANK; OR NOVEMBER
b) BY REGISTERED MAIL
DECEMBER
5. MAKE ALL CHECKS AND POSTAL
MONEY ORDERS PAYABLE
PENALTY PAYMENT

TO SSS
UNDER
ADD

PENALTY REFERENCE NUMBER

6. ATTACH YOUR EXTRA COPY


PAYMENT

OF THIS FORM AND SPECIAL


LESS
OVER

BANK RECEIPT WHEN


SUBMITTING THE
CORRESPONDING
CONTRIBUTION FORM R-3
(CONTRIBUTION COLLECTION
LIST) OR R-3 TAPE/ DISKETTE. TOTAL REMITTANCE P P P
7. SUBMIT YOUR FORM R-3 WITHIN FIVE (5)
FORM OF PAYMENT AMOUNT TOTAL AMOUNT IN WORDS:
DAYS AFTER THE APPLICABLE QUARTER CASH P______________________
OR YOUR R-3 TAPE/DISKETTE ON OR
BEFORE THE 10TH DAY OF THE MONTH CHECK P______________________
FOLLOWING THE APPLICABLE MONTH
TO THE NEAREST SSS OFFICE OR BANK NAME : _____________________________ CERTIFIED CORRECT:
THROUGH POSTAL SERVICES OFFICE.
CHECK NO. : ______________________________
8. INDICATE YOUR PENALTY REFERENCE
NUMBER, IF ANY, FOR PAYMENT OF DATE : ______________________________
PENALTIES.
TOTAL P______________________ SIGNATURE OVER PRINTED NAME

You might also like