ALPHABETICAL LIST OF EMPLOYEES/PAYEES FROM WHOM TAXES WERE WITHHELD

Schedule 1 – Alphalist of Employees (Declared and Certified using BIR Form No. 2316)
P R E S E N T E M P L O Y E R
PERIOD OF
NAME OF EMPLOYEES TAXABLE
EMPLOYMENT
NON-TAXABLE/EXEMPT

Gross SSS, Total Non- 13th Total

Nationalit Reason Basic
Current Compensatio GSIS, Taxable/ Month Taxable
y/ of Salary
Seq Employme n PHIC, Salaries Exempt Pay & Compensation
Resident Separatio 13th (net of
. nt From To Income HDMF (P250,000 Compensatio Other Salaries and Income
Last First Middle (for n, if Month SSS,
No (MM/DD (MM/DD (present De Contributio & below) & n Income Benefits Other Forms (present
Name Name Name foreigners Status* applicabl Pay & GSIS,
) ) employer Minimis ns and Other (present (In Excess of employer)
only) e** Other Forms of PHIC,
) Benefits Union employer) of Compensatio
Benefit Compensat HDMF
Dues Threshold) n
s ion Contribution
(employee
s & Union
share
Dues)
only)
1 2a 2b 2c 3 4 5a 5b 6 7a = (7f + 7j) 7b 7c 7d 7e 7f = 7g 7h 7i 7j = (7g+7h+7i)
(7b+7c+7d+
7e)
1 ACEDERA RICHARD ATENCIO FILIPINO P 2018 2019 T 65,600 2,689.41 1,500
2 ALINABON SULESTE PILAPIL FILIPINO P 2018 2019 T 48,000 2,689.41 1,500
3 BALANLAY AIRR TENEDERO FILIPINO P 2018 2019 T 53,600 2,689.41 1,500
4 CERBITO LYDIA MONGAS FILIPINO CP 2018 2019 T 40,000 2,689.41 1,500
5 DURIAN ALMIRA BULAO FILIPINO CP 2018 2019 T 26,400 1,878.50 1,500
6 ESTUDILLO MARJELYN ONITA FILIPINO P 2018 2019 44,400 2,450 1,500
7 GALIT JOYCE PARANE FILIPINO CP 2018 2019 30,800 2,450 1,500
8 GIRAY HONEY DULA FILIPINO P 2018 2019 51,400 2,689.41 1,500
MARJORIE
9 PEDIMONTE RENATO JOLOAN FILIPINO P 2018 2019 T 21,800 2,450 1,500
10 PEDIMONTE JESSA JOY TUSING FILIPINO CP 2018 2019 T 48,400 1,547.66 1,500
11 PINCA ADILYN ACHANO FILIPINO P 2018 2019 T 58,400 2,689.41 1,500
12 TAN FIDELITA AMIGO FILIPINO CP 2018 2019 T 46,200 1,878.50 1,500
13 COLAPO MARYNELLE DUBALLAN FILIPINO P 2018 2019 19,200 1,286.25 1,500
14 INFANTE GHEA BERTOS FILIPINO P 2018 2019 22,400 1,858.33 1,500
15 NOBLE JONALD EMPALMAD FILIPINO P 2018 2019 20,000 1,547.66 1,500
O
16 ULTRA MA. LUCIA EMPALMAD FILIPINO P 2018 2019 49,600 2,668.50 1,500
O
17 BALANQUIT RENNIER ESPINA FILIPINO P 2018 2019 2,576.91 1,500
18 RUELA JOANNE TENEDERO FILIPINO CP 2018 2019 19,200 1,878.50 1,500
PAULINE
19 BALICUDCU GERICA POCALLAN FILIPINO CP 2018 2019 17,600 1,501.66 1,500
D
20 ACO RECKY M FILIPINO P 2018 2019 30,000 1,537.91 1,500
21 DILAO JUDITH ABAYON FILIPINO CP 2018 2019 35,000 2,285.41 1,500
TOTALS P P P P P P P P P P

Schedule 1 (continuation)
 P R E V I O U S E M P L O Y E R
Period of Employment NON-TAXABLE TAXABLE
Gross
Compensation 13 th
SSS, GSIS, Salaries Total Basic Salary
TIN Employment Reason of Total Taxable
Income Month PHIC, HDMF (P250,000 and NonTaxable/Exempt (net of SSS, Salaries and
(Previous Separation, if De GSIS, PHIC, 13th Month Compensation
From To Pay & Contributions below) and Compensation Other
Status*
(previous Minimis Pay & Other
Employer) (MM/DD) (MM/DD) applicable ** employer) Other Benefits
& Union Dues Other Forms of Income HDMF
Contributions Benefits
Forms of Income
(previous
Benefits (employee Compensation (previous employer) Compensation employer)
share only) & Union Dues)
8 9 10a 10b 11 12a = (12F + 12j) 12b 12c 12d 12e 12f=(12b+12c+12d+12e) 12g 12h 12i 12j =
(12g+12h+12i)

TOTALS P P P P P P P P P P

Schedule 1
(continuation)
Total Taxable Tax Withheld Year-End Adjustment (16a or 16b) AMOUNT OF TAX WITHHELD AS Substituted Filing?
ADJUSTED
Compensation Income
(Present & Previous
Tax Due
(January to December)
(January to November) Amount Withheld and Paid for in
December or Last Salary
Over Withheld Tax Refunded to
Employee
(To be reflected in BIR Form No. 2316 Yes/No ***
issued by the present employer)
Employer) Previous Employer Present Employer
13 = (7j + 12j) 14 15a 15b 16a = 14 - (15a + 15b) 16b = (15a + 15b) - 14 17=(15b+16a) OR (15b-16b) 18

P P P P P P P

*Current Employment Status: REGULAR (R) CASUAL (C) CONTRACTUAL/PROJECT-BASED (CP) SEASONAL (S) PROBATIONARY (P) APPRENTICES/LEARNERS (AL)
R = Regular -Those hired by the - Workers whose work is not - Workers whose employment has been fixed for - Workers whose - Workers on trial period during - Workers who are covered by written
C = Casual establishments on usually necessary and a specific project or undertaking, the completion employment, specifically its which the employer determines apprenticeship/ learnership
CP = Contractual/Project-Based a permanent desirable to the usual or termination of which has been determined at timing and duration, is their fitness to qualify for regular agreements with individual
S = Seasonal status. business or trade of the the time of engagement. significantly influenced by employment, based on employers or any of the entities with
P = Probationary employer. seasonal factors. reasonable standards made duly recognized programs.
AL = Apprentices/Learners known to them at the time of
engagement.

**Reason of Separation: ***Requisites of Substituted Filing:

1.) Receiving purely compensation income regardless of amount;
2.) Working for only one employer in the Philippines for the calendar year;
T = Terminated/Resigned 3.) Income tax has been withheld correctly by the employer (tax due equals tax withheld);
TR = Transferred 4.) The employee’s spouse also complies with all the three conditions stated above;
R = Retirement 5.) Employer filed to BIR Form No. 1604-C with Alphalists of Employees on or before January 31 of the following year;
D = Death 6.) Employer issues to each employee BIR Form No. 2316 (January 2018 (ENCS) or any later version) on or before January 31 of the following year or upon last payment of wage; and
7.) Employer to file/submit duplicate hard copy of BIR Form No. 2316 to the BIR not later than February 28 of the following year.