Republic of the Philippines
For BIR BCS/ Department of Finance
Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Compensation
2316
Payment/Tax Withheld
January 2018 (ENCS For Compensation Payment With or Without Tax Withheld
Fill in all applicable spaces. Mark all appropriate boxes with an "X".
1 For the year 2 For the Period
2022 01 01 12 31
(YYYY) From (MM/DD) To (MM/DD
Part I - Employee Information Part IV-B Details of Compensation Income &Tax Withheld from Present Employe
3 TIN - - - 000 A. NON-TAXABLE/EXEMPT COMPENSATION INCOME Amount
4 Employees Name (Last Name, First Name, Middle Name 5 RDO Code 27 Basic Salary (including the
Pagalunan, Geberson Barut 028 exempt P250,000 & below) or the
Statutory Minimum Wage of the
6 Registered Address 6A Zip Code
28 Holiday Pay (MWE)
46 M.L QUEZON ST. BRGY KAYBUTO TANAY RIZAL
29 Overtime Pay (MWE)
6B Local Home Address 6C Zip Code
30 Night Shift Differential (MWE)
6D Foreign Address
31 Hazard Pay (MWE)
7 Date of Birth (MM/DD/YYYY) 8 Contact Number 32 13th Month Pay and Other Be 90,000.00
10/22/1998
33 De Minimis Benefits 2,750.00
9 Statutory Minimum Wage rate per day
34 SSS,GSIS, PHIC & Pag-Ibig
17,505.00
10 Statutory Minimum Wage rate per month Contributions & Union Dues
11 Minimum Wage Earner (MWE) whose compensation is exempt 35 Salaries & Other Forms of Compe
from withholding tax and not subject to income tax 36 Total Non-Taxable/Exempt
Part II - Employer Information (Present) 110,255.00
Compensation Income (Sum of Items
12 TIN 220 - 724 - 055 -
B. TAXABLE COMPENSATION INCOME REGULAR
13 Employer's Name
CA Telemarketing Inc 37 Basic Salary 208,274.31
14 Registered Address 14A Zip Code
38 Representation
No.41 Niscom Bldg. Commonwealth Ave. Brgy. Holy Spirit Quezon City 1121
15 Type of Employer Main Employer Secondary Employer 39 Transportation
Part III - Employer Information (Previous)
40 Cost of Living Allowance (CO
16 TIN - - - 000
41 Fixed Housing Allowanc
17 Employer's Name
42 Others (Specify)
18 Registered Address 18B Zip Code 42A
42B
Part IV - Summary
19 Gross Compensation Income from 422,140.42 SUPPLEMENTARY
Present Employer (Sum of Items 36 and 50)
20 Less: Total Non-Taxable/Exempt 110,255.00 43 Commission
Compensation Income from Present
Employer (From Item 36) 44 Profit Sharing
21 2
Taxable Compensation Income from 311,885.42
Present Employer (Item 19 Less Item 20) (From 45 Fees Including Director's
Item 50)
22 2
Add: Taxable Compensation Income 0.00 Fees
46 Taxable 13th Month Bene 68,044.98
from Previous Employer, if applicable
23 2
Gross Taxable Compensation Income 311,885.42 47 Hazard Pay
(Sum of items 21 and 22)
48 Overtime Pay 35,566.13
24 2
Tax Due 12,377.08
49 Others (Specify)
25 2
Amount of Taxes Withheld
49A Other Taxable Compensa
25A Present Employer 12,377.08
25B Previous Employer, if 0.00 49B
applicable
26 2
Total Amount of Taxes Withheld 12,377.08 Total Taxable Compensation Income
50 (Sum of Items 37 to 49B) 311,885.42
as adjusted (Sum of Items 25A and 25B)
I/ We declare, under the penalties of perjury that this certificate has been made in good faith, verified by me/us, and to the best of my/our knowledge and belief,
is of
truethe
and
National
correct,Internal
pursuantRevenue
to the provisions
Code, as amended, and the regulations issued under authority thereof. Further, I/we give my/our consent to the processing of my/our
*Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.
VIKKI CARR J JORDA
Date Signed
51
Present Employer/Authorized Agent Signature Over Printed Name
CONFORME: GEBERSON B. PAGALUNAN
52 Date Signed Amount Paid
Employee Signature Over Printed Name
CTC/Valid ID No.
Place of Issue Date of Issue
of Employee
I declare, under the penalties of perjury, that the information herein stated a I declare, under the penalties of perjury that I am qualified under substituted filing of Income Tax Returns (BI
under BIR Form No. 1604-C which has been filed with the Bureau of Internal Rev 1700), since I received purely compensation income from only one employer in the Phils. for the calendar year;
have been correctly withheld by my employer (tax due equals tax withheld); that the BIR Form No. 1604CF filed
employer to the BIR shall constitute as my income tax return; and that BIR Form No. 2316 shall serve the sam
purpose as if BIR Form No. 1700 had been filed pursuant to the provisions of RR 3-2002, as amended.
VIKKI CARR J JORDA
53 54 GEBERSON B. PAGALUNAN
Present Employer/ Authorized Agent Signature Over Printed Name
Employee Signature Over Printed Name
(Head of Accounting/Human Resource or Authorized Representative
