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BIR Form No.

Republika ng Pilipinas Monthly Remittance Return of Value- 1600
Kagawaran ng Added Tax and Other Percentage
Pananalapi Septemb
Taxes Withheld
Kawanihan ng Rentas (ENCS)
Internas
Under RAs 1051, 7649, 8241 and 8424
1 For the Month (MM/YYYY) 2 Amended Return? 3 No. of Sheets Attached? 4 Any Taxes Withheld?
01 - January 0
Yes No Yes No

Part I Background Information

5 TIN 6 RDO Code 7 Line of Business/Occupation

8 Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals) /(Registered Name for Non-Individuals) 9 Telephone Number

10 Registered Address 11 Zip Code

12 Category of Withholding Agent 13 Are you availing of tax relief under Special Law of International Tax Treaty?

Yes No
Private Government
If yes, specify -

Part II Computation of Tax

TAX REQUIRED
NATURE OF INCOME PAYMENT ATC TAX BASE TAX RATE TO
BE WITHHELD

14
14 Total Tax Required to be Withheld and Remitted
0.00
15
15 Less:return Tax Remitted in Return Previously Filed, if this is an amended
0.00
16
16 Tax Still Due / (Overremittance)
0.00
17 Add: Penalties
Surcharge Interest Compromise

17A 17B 17D

0.00
0.00 0.00
18
18 Total Amount Still Due/(Overremittance) (Sum of items 16 & 17D) 0.00

For late filers with overremittance, extend amount of Penalties (Item 17D to 18)

ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE

Schedule II WITHHELD
(Attach additional sheet/s if necessary)
(1)
SEQ PAYEE DETAILS Total
NO.
(3) INDIVIDUAL/
CORPORATION (LAST
(2) TIN NAME, FIRST NAME, MIDDLE
NAME FOR INDIVIDUALS OR
REGISTERED NAME FOR
NON-INDIVIDUALS)
1
2
3
4
5
6
7
8
9
10
 INCOME PAYMENT/TAX WITHHELD (7) TAX (8) TAX REQUIRED
DETAILS RATE(%)
TO BE WITHHELD

(5) NATURE OF
(4) ATC (6) AMOUNT
PAYMENT

0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00
0.00