BIR Form 1700

Annual Income Tax Return (BIR Form No. 1700)

Republika ng Pilipinas

Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

For Individuals Earning Purely Compensation Income (Including Non-Business/Non-Profession Income)

Enter all required information in CAPITAL LETTERS using BLACK Ink. Mark applicable boxes with an “X”. Two copies MUST be filed with the BIR and one held by the Tax Filer.

Part I – Background Information on Tax Filer and Spouse

1 For the Year 2 Amended Return? Yes No 3 Joint Filing? Yes No 4 Source of Compensation Income Income II 011 Income II 041

5 Taxpayer Identification Number (TIN) 6 RDO Code 7 PSOC Code

8 Tax Filer’s Name

9 Address

10 Date of Birth 11 Email Address

12 Contact Number 13 Civil Status Single Married Legally Separated Widow/er

14 Claiming Additional Exemptions? Yes No 15 If YES, enter number of Qualified Dependent Children

16 Spouse’s Name

17 Spouse’s TIN 18 Contact Number

19 Date of Birth 20 Email Address

21 Claiming Additional Exemptions? Yes No 22 If YES, enter number of Qualified Dependent Children

Part II – Total Tax Payable (Do NOT enter Centavos)

23 Tax Filer’s Tax Due 24 Spouse’s Tax Due

25 Total Income Tax Due 26 Less: Tax Filer’s Tax Credits/Payments

27 Spouse’s Tax Credits/Payments 28 Net Tax Payable (Overpayment)

29 Less: Portion of Tax Payable Allowed for 2nd Installment 30 Add: Total Penalties

31 TOTAL AMOUNT PAYABLE Upon Filing (Overpayment)

I declare under the penalties of perjury, that this annual return has been made in good faith, verified by me, and to the best of my knowledge and belief, is true and correct, pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.

Part III – Details of Payment

36 Details of Payment Cash Check

Drawee Bank/Agency Amount

Date Number

Machine Validation/Revenue Official Receipt Details (if not filed with an Authorized Agent Bank)

Part IV – Computation of Tax

TIN Tax Filer’s Last Name

Gross Compensation Income and Tax Withheld

1 Name of Employer Tax Filer Spouse Employer’s TIN Compensation Income Tax Withheld

2 Name of Employer Tax Filer Spouse Employer’s TIN Compensation Income Tax Withheld

3 Name of Employer Tax Filer Spouse Employer’s TIN Compensation Income Tax Withheld

4A Total Gross Compensation Income and Total Tax Withheld for Tax Filer

1. Total Compensation Income 2. Total Tax Withheld

4B Total Gross Compensation Income and Total Tax Withheld for Spouse

1. Total Compensation Income 2. Total Tax Withheld

Computation of Gross Taxable Compensation

5 Non-Taxable/Exempt Income 6 Gross Taxable Compensation Income

7 Premium on Health and/or Hospitalization Insurance 8 Personal Exemption

9 Additional Exemption 10 Total Deductions

11 Net Taxable Compensation 12 Other Taxable Income

13 Total Taxable Income 14 Total Income Tax Due

Computation of Tax Credits/Payments

15 Tax Withheld per BIR Form No. 2316 16 Tax Paid in Return Previously Filed

17 Foreign Tax Credits 18 Other Payments/Credits

19 Total Tax Credits/Payments 20 Net Tax Payable (Overpayment)

21 Net Tax Payable (Overpayment) for Tax Filer and Spouse 22 Less: Portion of Tax Payable Allowed for 2nd Installment

23 Total Tax Payable (Overpayment) for Tax Filer & Spouse

24 Surcharge 25 Interest 26 Compromise

27 Total Penalties 28 Total Amount Payable Upon Filing

Part V – Supplemental Information

TIN Tax Filer’s Last Name

A - Gross Income/Receipts Subjected to Final Withholding

1 Interests

2 Royalties

3 Dividends

4 Prizes and Winnings

5 Fringe Benefits

6 Compensation Subject to 15% Preferential Rate

II) Sale/Exchange of Real Properties

7 Description of Property

8 OCT/TCT/CCT/Tax Declaration No.

9 CAR No.

10 Actual Amount/Fair Market Value/Net Capital Gains

11 Final Tax Withheld/Paid

III) Sale/Exchange of Shares of Stock

12 Kind (PS/CS) / Stock Certificate Series No.

13 CAR No.

14 Number of Shares

15 Date of Issue

16 Actual Amount/Fair Market Value/Net Capital Gains

17 Final Tax Withheld/Paid

IV) Other Income

18 Other Income Subject to Final Tax Under Sec. 57(A)/127/Others

19 Actual Amount/Fair Market Value/Net Capital Gains

20 Final Tax Withheld/Paid

21 Total Final Tax Withheld/Paid

B - Gross Income/Receipts Exempt from Income Tax

1 Proceeds of Life Insurance Policy

2 Return of Premium

3 Retirement Benefits, Pensions, Gratuities, etc.

I) Personal/Real Properties Received thru Gifts, Bequests, and Devises

4 Description of Property

5 Mode of Transfer

6 CAR No.

7 Actual Amount/Fair Market Value

II) Other Exempt Income/Receipts

8 Other Exempt Income/Receipts Under Sec. 32(B) of the Tax Code

9 Actual Amount/Fair Market Value/Net Capital Gains

10 Total Income/Receipts Exempt from Income Tax

Other Information

Table 1 - Current Address

Unit/Room Number/Floor Building Name

Lot Number Block Number Phase Number House Number Street Name

Subdivision/Village Barangay

Municipality/City Province Zip Code

Table 2 - Qualified Dependent Children

Last Name First Name and Middle Initial Date of Birth Mark if Mentally/Physically Incapacitated