1601-C sample.xls

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  • 7/23/2019 1601-C sample.xls

    1/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

    8 +ithholdin, ",ent-s 'a#e (ast 'a#e/ First 'a#e/ Middle 'a#e for Indi0iduals)%(Re,istered 'a#e for 'on1Indi0iduals) 9 Teleph

    23314

    10 Re,istered "ddress

    12 *ate,ory of +ithholdin, ",ent 1 "re there payees a0ailin, of tax relief under 7pecial aw

    or International Tax Treaty$

    8ri0ate 9o0ern#ent &es 'o If yes/ speci fy

    Part II C o m ! u t a t i o n o f " a #

    8articulars "#ount of *o#pensation Tax ue

    15 Total "#ount of *o#pensation 15

    16 ess: 'on1Taxable *o#pensation

    16$

    16B

    ifferential 8ay/ ;

    (Mini#u# +a,e =

    16C

    1% Taxable *o#pensation 1%

    18 Tax Re>uired to be +ithheld 18

    19 "dd%ess: "d?ust#ent (fro# Ite# 26 of 7ection ") 19

    20 Tax Re>uired to be +ithheld for Re#ittance 20

    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

    if this is an a#ended return

    ther 8ay#ents Made (please attach 21B

    proof of pay#ent BIR For# 'o. @6@5)

    22

    22 Total Tax 8ay#ents Made (7u# of Ite# 'os. 2A" 2AB)

    'o. of 7heets "ttached & "ny Taxes

    % ine of Business%

    11 Cip *o

    1& " T *

    16$ 7tatutory Mini#u# +a,e (M+=s)

    16B ;oliday 8ay/0erti#e 8ay/ 'i,ht 7hift

    16C ther 'on1Taxable *o#pensation

    Republika n, 8ilipinasDa,awaran n, 8ananalapi

    Dawanihan n, Rentas Internas

    'ont()* +,mittanc, +,turnof Incom, "a#,- .it((,)d

    on Com!,n-ation

    BIR For# 'o.

    COOPERATIVE

    2 0 1 6

    0 0 0 08 6 23 8 94 1 6 0 2 4

    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

    1

    X

    B2L2 STRAWBERRY ST. !ATIVI"A" TOW!#OMES PU!TURI! VALE!$UELA

    CITY

    0 1

    1601Euly 2@@ (=

    W

  • 7/23/2019 1601-C sample.xls

    2/96

    2 Tax 7till ue%(0erre#ittance) (Ite# 'o. 2@ less Ite# 'o. 22) 2

    2& "dd: 8enalties

    7urchar,e Interest *o#pro#ise

    2&$ 2&B 2&C 2&D

    25

    25 Total "#ount 7till ue%(0erre#ittance)

    S,ction $ $du-tm,nt of "a#,- .it((,)d on Com!,n-ation or Pr,iou- 'ont(-

    8re0ious Month(s) ate 8aid Bank Galidation% Bank *ode

    (A) (2) RR 'o. (H)

    (MM%&&&&) (MM%%&&&&) ()

    S,ction $ 3continuation4

    Tax 8aid (=xcludin, 8enalties) 7hould Be Tax ue "d?ust#ent (3)

    for the Month for the Month Fro# *urrent &ear Fro# &ear 1 =nd "d?us

    (5) (6) (3a) I##ediately 8receedin

    26 Total (3a plus 3b) (To Ite# A4)

    +e declare/ under the penalties of per?ury/ that this return has been #ade in ,ood faith/ 0erified by us/ and to the best of our knowled,e

    is true and correct/ pursuant to the pro0isions of the 'ational Internal Re0enue *ode/ as a#ended/ and the re,ulations issued under authorit

    2% ='=R"7/ EG=&' 28

    8resident%Gice 8resident%8rincipal fficer%"ccredited Tax ",ent% Treasurer%"ssistant Treasurer

    "uthori

  • 7/23/2019 1601-C sample.xls

    3/96

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    5/96

    'o

    ne 'u#ber

    546

    ithheld$

    e

    1 7

    X

    /C*7)

    0 1 0

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    6/96

    #ent of the

    &ear (3b)

    nd belief/

    y thereof.

    p of

    ffice%""B

    nd

    Receipt

    i,nature%

    ler-s Initial)

  • 7/23/2019 1601-C sample.xls

    7/96

  • 7/23/2019 1601-C sample.xls

    8/96

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    9/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

    8 +ithholdin, ",ent-s 'a#e (ast 'a#e/ First 'a#e/ Middle 'a#e for Indi0iduals)%(Re,istered 'a#e for 'on1Indi0iduals) 9 Teleph

    10 Re,istered "ddress

    12 *ate,ory of +ithholdin, ",ent 1 "re there payees a0ailin, of tax relief under 7pecial aw

    or International Tax Treaty$

    8ri0ate 9o0ern#ent &es 'o If yes/ speci fy

    Part II C o m ! u t a t i o n o f " a #

    8articulars "#ount of *o#pensation Tax ue

    15 Total "#ount of *o#pensation 15

    16 ess: 'on1Taxable *o#pensation

    16$

    16B

    ifferential 8ay/ ;

    (Mini#u# +a,e =

    16C

    1% Taxable *o#pensation 1%

    18 Tax Re>uired to be +ithheld 18

    19 "dd%ess: "d?ust#ent (fro# Ite# 26 of 7ection ") 19

    20 Tax Re>uired to be +ithheld for Re#ittance 20

    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

    if this is an a#ended return

    ther 8ay#ents Made (please attach 21B

    proof of pay#ent BIR For# 'o. @6@5)

    22

    22 Total Tax 8ay#ents Made (7u# of Ite# 'os. 2A" 2AB)

    'o. of 7heets "ttached & "ny Taxes

    % ine of Business%

    11 Cip *o

    1& " T *

    16$ 7tatutory Mini#u# +a,e (M+=s)

    16B ;oliday 8ay/0erti#e 8ay/ 'i,ht 7hift

    16C ther 'on1Taxable *o#pensation

    Republika n, 8ilipinas Da,awaran n, 8ananalapi Dawanihan n, Rentas Internas

    'ont()* +,mittanc, +,turnof Incom, "a#,- .it((,)d on Com!,n-ation

    BIR For# 'o.

    3 6 2 -

    COOPERATIVE

    2 0 1 4

    0 0 0 08 6 23 8 94 1 6 0 2 4

    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

    1

    X

    B2L2 STRAWBERRY ST. !ATIVI"A" TOW!#OMES PU!TURI! VALE!$UELA

    CITY

    0 6

    !O TRA!SACTIO!

    1601Euly 2@@ (=

    W

  • 7/23/2019 1601-C sample.xls

    10/96

    2 Tax 7till ue%(0erre#ittance) (Ite# 'o. 2@ less Ite# 'o. 22) 2

    2& "dd: 8enalties

    7urchar,e Interest *o#pro#ise

    2&$ 2&B 2&C 2&D

    25

    25 Total "#ount 7till ue%(0erre#ittance)

    S,ction $ $du-tm,nt of "a#,- .it((,)d on Com!,n-ation or Pr,iou- 'ont(-

    8re0ious Month(s) ate 8aid Bank Galidation% Bank *o

    (A) (2) RR 'o. (H)

    (MM%&&&&) (MM%%&&&&) ()

    S,ction $ 3continuation4

    Tax 8aid (=xcludin, 8enalties) 7hould Be Tax ue "d?ust#ent (3)

    for the Month for the Month Fro# *urrent &ear Fro# &ear 1 =nd "d?

    (5) (6) (3a) I##ediately 8receed

    26 Total (3a plus 3b) (To Ite# A4) +e declare/ under the penalties of per?ury/ that this return has been #ade in ,ood faith/ 0erified by us/ and to the best of our knowled,

    is true and correct/ pursuant to the pro0isions of the 'ational Internal Re0enue *ode/ as a#ended/ and the re,ulations issued under autho

    2% E&&' ='=R"7 28 E=''I=&''=1R7= *. J&

    8resident%Gice 8resident%8rincipal fficer%"ccredited Tax ",ent% Treasurer%"ssistant Treasurer

    "uthori

  • 7/23/2019 1601-C sample.xls

    11/96

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    12/96

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    13/96

    'o

    ne 'u#ber

    ithheld$

    e

    2 3 3 0

    1 7

    X

    /C*7)

    0 1 0

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    14/96

    #ent of the

    &ear (3b)

    nd belief/y thereof.

    p of

    ffice%""B

    nd

    Receipt

    i,nature%

    ler-s Initial)

  • 7/23/2019 1601-C sample.xls

    15/96

  • 7/23/2019 1601-C sample.xls

    16/96

  • 7/23/2019 1601-C sample.xls

    17/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

    8 +ithholdin, ",ent-s 'a#e (ast 'a#e/ First 'a#e/ Middle 'a#e for Indi0iduals)%(Re,istered 'a#e for 'on1Indi0iduals) 9 Teleph

    10 Re,istered "ddress

    12 *ate,ory of +ithholdin, ",ent 1 "re there payees a0ailin, of tax relief under 7pecial aw

    or International Tax Treaty$

    8ri0ate 9o0ern#ent &es 'o If yes/ speci fy

    Part II C o m ! u t a t i o n o f " a #

    8articulars "#ount of *o#pensation Tax ue

    15 Total "#ount of *o#pensation 15

    16 ess: 'on1Taxable *o#pensation

    16$

    16B

    ifferential 8ay/ ;

    (Mini#u# +a,e =

    16C

    1% Taxable *o#pensation 1%

    18 Tax Re>uired to be +ithheld 18

    19 "dd%ess: "d?ust#ent (fro# Ite# 26 of 7ection ") 19

    20 Tax Re>uired to be +ithheld for Re#ittance 20

    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

    if this is an a#ended return

    ther 8ay#ents Made (please attach 21B

    proof of pay#ent BIR For# 'o. @6@5)

    22

    22 Total Tax 8ay#ents Made (7u# of Ite# 'os. 2A" 2AB)

    'o. of 7heets "ttached & "ny Taxes

    % ine of Business%

    11 Cip *o

    1& " T *

    16$ 7tatutory Mini#u# +a,e (M+=s)

    16B ;oliday 8ay/0erti#e 8ay/ 'i,ht 7hift

    16C ther 'on1Taxable *o#pensation

    Republika n, 8ilipinas Da,awaran n, 8ananalapi Dawanihan n, Rentas Internas

    'ont()* +,mittanc, +,turnof Incom, "a#,- .it((,)d on Com!,n-ation

    BIR For# 'o.

    3 6 2 -

    COOPERATIVE

    2 0 1 4

    0 0 0 08 6 23 8 94 1 6 0 2 4

    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

    1

    X

    B2L2 STRAWBERRY ST. !ATIVI"A" TOW!#OMES PU!TURI! VALE!$UELA

    CITY

    0 6

    !O TRA!SACTIO!

    1601Euly 2@@ (=

    W

  • 7/23/2019 1601-C sample.xls

    18/96

    2 Tax 7till ue%(0erre#ittance) (Ite# 'o. 2@ less Ite# 'o. 22) 2

    2& "dd: 8enalties

    7urchar,e Interest *o#pro#ise

    2&$ 2&B 2&C 2&D

    25

    25 Total "#ount 7till ue%(0erre#ittance)

    S,ction $ $du-tm,nt of "a#,- .it((,)d on Com!,n-ation or Pr,iou- 'ont(-

    8re0ious Month(s) ate 8aid Bank Galidation% Bank *o

    (A) (2) RR 'o. (H)

    (MM%&&&&) (MM%%&&&&) ()

    S,ction $ 3continuation4

    Tax 8aid (=xcludin, 8enalties) 7hould Be Tax ue "d?ust#ent (3)

    for the Month for the Month Fro# *urrent &ear Fro# &ear 1 =nd "d?

    (5) (6) (3a) I##ediately 8receed

    26 Total (3a plus 3b) (To Ite# A4) +e declare/ under the penalties of per?ury/ that this return has been #ade in ,ood faith/ 0erified by us/ and to the best of our knowled,

    is true and correct/ pursuant to the pro0isions of the 'ational Internal Re0enue *ode/ as a#ended/ and the re,ulations issued under autho

    2% E&&' ='=R"7 28 E=''I=&''=1R7= *. J&

    8resident%Gice 8resident%8rincipal fficer%"ccredited Tax ",ent% Treasurer%"ssistant Treasurer

    "uthori

  • 7/23/2019 1601-C sample.xls

    19/96

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    20/96

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    21/96

    'o

    ne 'u#ber

    ithheld$

    e

    2 3 3 0

    1 7

    X

    /C*7)

    0 1 0

  • 7/23/2019 1601-C sample.xls

    22/96

    #ent of the

    &ear (3b)

    nd belief/y thereof.

    p of

    ffice%""B

    nd

    Receipt

    i,nature%

    ler-s Initial)

  • 7/23/2019 1601-C sample.xls

    23/96

  • 7/23/2019 1601-C sample.xls

    24/96

  • 7/23/2019 1601-C sample.xls

    25/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

    8 +ithholdin, ",ent-s 'a#e (ast 'a#e/ First 'a#e/ Middle 'a#e for Indi0iduals)%(Re,istered 'a#e for 'on1Indi0iduals) 9 Teleph

    10 Re,istered "ddress

    12 *ate,ory of +ithholdin, ",ent 1 "re there payees a0ailin, of tax relief under 7pecial aw

    or International Tax Treaty$

    8ri0ate 9o0ern#ent &es 'o If yes/ speci fy

    Part II C o m ! u t a t i o n o f " a #

    8articulars "#ount of *o#pensation Tax ue

    15 Total "#ount of *o#pensation 15

    16 ess: 'on1Taxable *o#pensation

    16$

    16B

    ifferential 8ay/ ;

    (Mini#u# +a,e =

    16C

    1% Taxable *o#pensation 1%

    18 Tax Re>uired to be +ithheld 18

    19 "dd%ess: "d?ust#ent (fro# Ite# 26 of 7ection ") 19

    20 Tax Re>uired to be +ithheld for Re#ittance 20

    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

    if this is an a#ended return

    ther 8ay#ents Made (please attach 21B

    proof of pay#ent BIR For# 'o. @6@5)

    22

    22 Total Tax 8ay#ents Made (7u# of Ite# 'os. 2A" 2AB)

    'o. of 7heets "ttached & "ny Taxes

    % ine of Business%

    11 Cip *o

    1& " T *

    16$ 7tatutory Mini#u# +a,e (M+=s)

    16B ;oliday 8ay/0erti#e 8ay/ 'i,ht 7hift

    16C ther 'on1Taxable *o#pensation

    Republika n, 8ilipinas Da,awaran n, 8ananalapi Dawanihan n, Rentas Internas

    'ont()* +,mittanc, +,turnof Incom, "a#,- .it((,)d on Com!,n-ation

    BIR For# 'o.

    3 6 2 -

    COOPERATIVE

    2 0 1 4

    0 0 0 08 6 23 8 94 1 6 0 2 4

    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

    1

    X

    B2L2 STRAWBERRY ST. !ATIVI"A" TOW!#OMES PU!TURI! VALE!$UELA

    CITY

    0 6

    !O TRA!SACTIO!

    1601Euly 2@@ (=

    W

  • 7/23/2019 1601-C sample.xls

    26/96

    2 Tax 7till ue%(0erre#ittance) (Ite# 'o. 2@ less Ite# 'o. 22) 2

    2& "dd: 8enalties

    7urchar,e Interest *o#pro#ise

    2&$ 2&B 2&C 2&D

    25

    25 Total "#ount 7till ue%(0erre#ittance)

    S,ction $ $du-tm,nt of "a#,- .it((,)d on Com!,n-ation or Pr,iou- 'ont(-

    8re0ious Month(s) ate 8aid Bank Galidation% Bank *o

    (A) (2) RR 'o. (H)

    (MM%&&&&) (MM%%&&&&) ()

    S,ction $ 3continuation4

    Tax 8aid (=xcludin, 8enalties) 7hould Be Tax ue "d?ust#ent (3)

    for the Month for the Month Fro# *urrent &ear Fro# &ear 1 =nd "d?

    (5) (6) (3a) I##ediately 8receed

    26 Total (3a plus 3b) (To Ite# A4) +e declare/ under the penalties of per?ury/ that this return has been #ade in ,ood faith/ 0erified by us/ and to the best of our knowled,

    is true and correct/ pursuant to the pro0isions of the 'ational Internal Re0enue *ode/ as a#ended/ and the re,ulations issued under autho

    2% E&&' ='=R"7 28 E=''I=&''=1R7= *. J&

    8resident%Gice 8resident%8rincipal fficer%"ccredited Tax ",ent% Treasurer%"ssistant Treasurer

    "uthori

  • 7/23/2019 1601-C sample.xls

    27/96

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    28/96

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    29/96

    'o

    ne 'u#ber

    ithheld$

    e

    2 3 3 0

    1 7

    X

    /C*7)

    0 1 0

  • 7/23/2019 1601-C sample.xls

    30/96

    #ent of the

    &ear (3b)

    nd belief/y thereof.

    p of

    ffice%""B

    nd

    Receipt

    i,nature%

    ler-s Initial)

  • 7/23/2019 1601-C sample.xls

    31/96

  • 7/23/2019 1601-C sample.xls

    32/96

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    33/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

    8 +ithholdin, ",ent-s 'a#e (ast 'a#e/ First 'a#e/ Middle 'a#e for Indi0iduals)%(Re,istered 'a#e for 'on1Indi0iduals) 9 Teleph

    10 Re,istered "ddress

    12 *ate,ory of +ithholdin, ",ent 1 "re there payees a0ailin, of tax relief under 7pecial aw

    or International Tax Treaty$

    8ri0ate 9o0ern#ent &es 'o If yes/ speci fy

    Part II C o m ! u t a t i o n o f " a #

    8articulars "#ount of *o#pensation Tax ue

    15 Total "#ount of *o#pensation 15

    16 ess: 'on1Taxable *o#pensation

    16$

    16B

    ifferential 8ay/ ;

    (Mini#u# +a,e =

    16C

    1% Taxable *o#pensation 1%

    18 Tax Re>uired to be +ithheld 18

    19 "dd%ess: "d?ust#ent (fro# Ite# 26 of 7ection ") 19

    20 Tax Re>uired to be +ithheld for Re#ittance 20

    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

    if this is an a#ended return

    ther 8ay#ents Made (please attach 21B

    proof of pay#ent BIR For# 'o. @6@5)

    22

    22 Total Tax 8ay#ents Made (7u# of Ite# 'os. 2A" 2AB)

    'o. of 7heets "ttached & "ny Taxes

    % ine of Business%

    11 Cip *o

    1& " T *

    16$ 7tatutory Mini#u# +a,e (M+=s)

    16B ;oliday 8ay/0erti#e 8ay/ 'i,ht 7hift

    16C ther 'on1Taxable *o#pensation

    Republika n, 8ilipinas Da,awaran n, 8ananalapi Dawanihan n, Rentas Internas

    'ont()* +,mittanc, +,turnof Incom, "a#,- .it((,)d on Com!,n-ation

    BIR For# 'o.

    3 6 2 -

    COOPERATIVE

    2 0 1 4

    0 0 0 08 6 23 8 94 1 6 0 2 4

    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

    1

    X

    B2L2 STRAWBERRY ST. !ATIVI"A" TOW!#OMES PU!TURI! VALE!$UELA

    CITY

    0 6

    !O TRA!SACTIO!

    1601Euly 2@@ (=

    W

  • 7/23/2019 1601-C sample.xls

    34/96

    2 Tax 7till ue%(0erre#ittance) (Ite# 'o. 2@ less Ite# 'o. 22) 2

    2& "dd: 8enalties

    7urchar,e Interest *o#pro#ise

    2&$ 2&B 2&C 2&D

    25

    25 Total "#ount 7till ue%(0erre#ittance)

    S,ction $ $du-tm,nt of "a#,- .it((,)d on Com!,n-ation or Pr,iou- 'ont(-

    8re0ious Month(s) ate 8aid Bank Galidation% Bank *o

    (A) (2) RR 'o. (H)

    (MM%&&&&) (MM%%&&&&) ()

    S,ction $ 3continuation4

    Tax 8aid (=xcludin, 8enalties) 7hould Be Tax ue "d?ust#ent (3)

    for the Month for the Month Fro# *urrent &ear Fro# &ear 1 =nd "d?

    (5) (6) (3a) I##ediately 8receed

    26 Total (3a plus 3b) (To Ite# A4) +e declare/ under the penalties of per?ury/ that this return has been #ade in ,ood faith/ 0erified by us/ and to the best of our knowled,

    is true and correct/ pursuant to the pro0isions of the 'ational Internal Re0enue *ode/ as a#ended/ and the re,ulations issued under autho

    2% E&&' ='=R"7 28 E=''I=&''=1R7= *. J&

    8resident%Gice 8resident%8rincipal fficer%"ccredited Tax ",ent% Treasurer%"ssistant Treasurer

    "uthori

  • 7/23/2019 1601-C sample.xls

    35/96

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    36/96

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    37/96

    'o

    ne 'u#ber

    ithheld$

    e

    2 3 3 0

    1 7

    X

    /C*7)

    0 1 0

  • 7/23/2019 1601-C sample.xls

    38/96

    #ent of the

    &ear (3b)

    nd belief/y thereof.

    p of

    ffice%""B

    nd

    Receipt

    i,nature%

    ler-s Initial)

  • 7/23/2019 1601-C sample.xls

    39/96

  • 7/23/2019 1601-C sample.xls

    40/96

  • 7/23/2019 1601-C sample.xls

    41/96

    (To be filled up by the BIR)

    DLN: PSOC: PSIC:

    Fill in all applicable spaces. Mark all appropriate boxes with an !.

    1 For the Month 2 "#ended Return$

    (MM % &&&&)

    &es 'o &es

    Part I B a c k g r o u n d I n f o r m a t i o n

    5 TI' 6 R *ode

    ccupation

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    21 ess: Tax Re#itted in Return 8re0iously Filed/ 21$

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    CORE STRATA MULTI-PURPOSE COOPERATIVE (CSMPC)

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