Republic of the Philippines

For BIR BCS Department of Finance

Use Only Ttem:

BIR Fom No.

Bureau of Internal Revenue
Certificate of Compensation
2316
January2018 (ENCS) Payment/Tax Withheld 2316 01/18ENCS
For Compensation Payment With orWithoutTax Withheld
FIl Un all applicable spaces. Mark all appropriate boxes wth an X
1 For the Year For the Period
2021
Part I- Employee Information
From (MM/DD) To (MMDD) 13
Part V-B Details of Compensation Income &Tax Withheld from Present Employer
TIN
A. NON-TAXABLEJEXEMPT COMPENSATION INCOME Amount
L
4Employee's Name (Last Namo, First Nome, Middle Name). 5 RDO Code 27 Basic Salary (inchuding the exempt P250,000 &below)
or the Statutory Minimum Wage of the MWE
CANETE NICANOR VILLANUEVA Holiday Pay (MWE)
6 Registered Address 6AZIP Code28
GAndah
6BLocal Home Address
llomnsm Cd:6C
102
ZIP Code
Overtime Poy (WE)

2 Cmoh ulmwlhd e730 NightShiltDifrential(MWE)

6DForeian Address 31 Hazard Pay (MWE)
32 13th Month Pay and Other Benefits
7 Date ofBith MMDDYYYm 8 Contact Number (maximum of P90,000) L4B 742 0o
./llcoltae 0 7 1a17 94249 |33 De Minimis Benefis

9 Statutory Minimum Wage rate per day 34 SSS, GSIs, PHIC &PAG-IBIG Controuons 26, 827. 76
and Union Dues (Employee share only)
10 Statutory Minimum Wage rate per month 35 Salaries and Other Forms of Compensation2a,000 DO
Minimum Wage Eamer (MWE) whose compensation is exempt from
withholding tax and not subject toincometax 36 Total Non-Taxable/Exempt Compensation
Income (Sum of lems 27 to 35)
40567. 76
PartlI-Employer Information (Presen)
2 TIN
q01 5 6 0g0 B.TAXABLECOMPENSATIONINCOMEREGULAR
13Emplovers Name 37 Basic Salary
do2.492 44
14Registered Address 14AZIP Code38 Repre[entation

AN ner AtART hibL39 Transportation

15 Type of Employer Main Employer Secondary Employer
0 Cost of Living Allowance (COLA)
Part lll-EmployerInformation (Previous)
6 IN FExed Housing Allowance

42 Others
(specify)
17 Emplovers Name
42A

18 Reaistered Address 18AZIP Code 42B

sUPPLEMENTARY
Part IVA-Summary 3 Commission
19 Gross Compensation Income from Present 4 3 , 052. 29
Employer (Sum of lfems 36 and 50) 44 Profit Sharing
20 Less: Tolal Non-Taxable ExemptCompensalon 40, 569. 76
Income from Present Employer (From ltem 30) 45 Fees Including Directors Fees
21 Taxable Compensation Income from Present
Employer (ltem 19 Less ltem 20) (From Item 50) BO2, 482, 44- 46 Taxable 13th Month Benefits
22 Add Taxable Compensation Income from
Previous Employer, if applicable 47 Hazard Pay
23 Gross Taxable Compensation Income B02, 482. 44
(Sum of ftems 21 and 22)
48 Overtime Pay
Tax Due 49 Others (speciy)
25 Amount of Taxes Withheld 49A
25A Present Employer 10
47*

25BPrevious Employer, if applicable 10,76, 98

26 Total Amount of Taxes Withheld as aduste, 9 6 . 49 50 Total Taxable Compensation Income

(Sum of Items 25A and 25B) (Sum of ltems 37 to 498) 02, 482. 44
we declare, under the penalues ol perjury har tnis Ceruicate nas been made in g00d Talth, veriied by me/us, and to the best of my/our knowledge and belef, Is true and corect, pursuant to
the provisions of the National IntemalRevenue Code, as amended, and the regulatlions issued under authority thereol. Further, IMwe give mylour consent to the processing ot myour nomauon
as contermplated under the Dala Pivacy ACt o1 2012 (KA. NO, 101/5)or legiimate and lawul purposes,

51 GERL CANA DaleSignedpa 292

Present Employer/Authorized Ageqt Signatyfg over Printed Name

cONFORME:
NICA ANET
Employee Signaturg over Printed Name
Date Signed
a l20121 Amount pald, if CTC

CTCValid 1D No. C n74 ST) Place of

ofEmployee Issue ibmamm, C Date 1ssued 2d2

Tobe accomplished under substituted filing
Tdeclare; under the penalties of perjury that the information herein stated are Tdeclare, Under tne penalues of penury tnat am qualined under subSutured niing Or ncome1ax Retum
(BIR Form No. 1/00), Since I receivea purely compensauon nco TO O
reported under BlR Form No. 1604-C which has been filed with the Bureau of
Internal Revenue. for
the thBIR
ecalendar
Form No.year,
that fled
1604-C
taxesbynave
my been
corecuy
employer to thewe
byy
BiR spall
eoyer
conspe as my income tax reum, and that i
BIR
Form No. 2316 shall serve the same purpose a s BIR Form NO. 1/p0naseen fied pursuant to the provislons
of Revenue Regulations (RR) No. -2004, as enoe UA/
R ANAS
Present Employer/Authorized Agent Signature over Printed Name
(Head ot ACCOunting/Human Resource or Authorized Representative) 54 NICAR| CANETE
Employee Signature pver Printed Nam
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