Wednesday, October 20, 2021 2021 / 10

Mid Month
Branch Code : 052000
Unit Code : 052011
Agent Code : 028502
Agent Name : PARAS, MARY ANN BERDIN

STATEMENT OF ACCOUNT

FIRST YEAR COMMISSION (see Section A for details) 450.00

Traditional Business 0.00
Variable Business 0.00
Withheld Commission under Cooling Off (see Section A-1 for details) 450.00

RENEWAL COMMISSION (see Section B for details) 0.00

Traditional Business 0.00
Variable Business 0.00

BONUSES 0.00
Quarterly Volume Bonus - RP (see Section C-1 for details) 0.00
Quarterly Volume Bonus - SP (see Section C-1 for details) 0.00
Agent Persistency Bonus (see Section C-2 for details) 0.00

OVERRIDE 0.00
Agent Development Override (see Section D-4 for details) 0.00

GROUP SALES PAY 0.00

Commission (see Section E-1 for details) 0.00
Override (see Section E-2 for details) 0.00

OTHER TAXABLE EARNINGS (see Section F-1 for details) 0.00

TOTAL TAXABLE EARNINGS 450.00

WITHHOLDING TAX (45.00)

BALANCE BEFORE ADJUSTMENT 405.00

ADJUSTMENTS (405.00)
Other Non Taxable Income (see Section F-2 for details) 0.00
Other Charges (see Section F-3 for details) 0.00
Withheld Commission under Cooling Off (450.00)
Released Commission after Cooling Off (see Section F-4 for details) 0.00
Tax for Released Commission 0.00
Tax Adjustment for under Cooling Off 45.00

NET PAYOUT 0.00

AXA Philippines
34th Floor GT Tower International, 6813 Ayala Ave. cor. H.V. Dela Costa St., Makati City, Philippines 1227
Trunkline: +63 2 885 0101 • Customer Service Hotline: +63 2 5815 292(AXA) / +63 2 3231 292(AXA)
052011-4-028502 10/20/2021
PARAS, MARY ANN BERDIN Page 1 of 3
SECTION A-1
WITHHELD COMMISSION UNDER COOLING OFF
Variable

Policy Policy Plan Comm Comm Comm Comm Curr Curr NBC Cooling Off Payable on
Number Owner Name Type Premium Rate Cooling Off Rate Expiry Date
511-6618926 PANGANDOYON AGNES M MyLifeChoice Basic 1,000.00 45.00 450.00 PHP 1.0000 450.00 10/24/2021 11/5/2021

Withheld Commission under Cooling Off Variable 450.00

Total Withheld Commission under Cooling Off 450.00

AXA Philippines
34th Floor GT Tower International, 6813 Ayala Ave. cor. H.V. Dela Costa St., Makati City, Philippines 1227
Trunkline: +63 2 885 0101 • Customer Service Hotline: +63 2 5815 292(AXA) / +63 2 3231 292(AXA)
052011-4-028502 10/20/2021
PARAS, MARY ANN BERDIN Page 2 of 3
 SECTION G
YTD EARNINGS
YTD Gross Taxable Earnings 90,992.64
YTD Gross Tax (9,099.25)
YTD Net of Taxable Earnings 81,893.39

YTD Gross Non-Taxable Earnings 0.00

TOTAL EARNINGS 81,893.39

AXA Philippines
34th Floor GT Tower International, 6813 Ayala Ave. cor. H.V. Dela Costa St., Makati City, Philippines 1227
Trunkline: +63 2 885 0101 • Customer Service Hotline: +63 2 5815 292(AXA) / +63 2 3231 292(AXA)
052011-4-028502 10/20/2021
PARAS, MARY ANN BERDIN Page 3 of 3