Republic of the Philippines

For BIR BCS/ Department of Finance

Use Only Item: Bureau of Internal Revenue
BIR Form No.
Certificate of Compensation
2316 Payment/Tax Withheld
For Compensation Payment With or Without Tax Withheld
January 2018 (ENCS)
Fill in all applicable white spaces. Mark all appropriate boxes with an "X".
1 For the Year 2 For the Period
(YYYY) 2 0 2 2 0 1 0 1 To(MM/DD) 1 2 3 1
From(MM/DD)
Part I - Employee Information Part IV-B Details of Compensation Income & Tax Withheld from Present Employer
3 TIN
3 5 0 - 2 1 0 - 9 1 6 - 0 0 0 0 0 A NON-TAXABLE/EXEMPT COMPENSATION INCOME Amount

4 Employee's Name (Last Name, First Name, Middle Name) 5 RDO Code
27 Basic Salary (including the exempt P250,000 & below)
0.00
ENCOMIENDA GARRETTE JAYSON LAPORE 0 4 5 or the Statutory Minimum Wage of the MWE
28 Holiday Pay (MWE)
0.00
6 Registered Address 6A ZIP Code
18 PARK AVENUE KAMUNING QUEZON CITY 29 Overtime Pay (MWE)
0.00

6B Local Home Address 6C ZIP Code 30 Night Shift Differential (MWE)

0.00

31 Hazard Pay (MWE)

0.00
6D Foreign Address 32 13th Month Pay and Other Benefits
47582.72
(maximum of P90,000)
33 De Minimis Benefits
26126.25
7 Date of Birth (MM/DD/YYYY) 8 Contact Number
34 SSS, GSIS, PHIC & PAG-IBIG Contributions
0 7 2 7 1 9 9 8 20665.08
and Union Dues (Employee share only)
35 Salaries and Other Forms of Compensation
9 Statutory Minimum Wage rate per day 0.00
0.00
36 Total Non-Taxable/Exempt Compensation
94374.05
10 Statutory Minimum Wage rate per month Income (Sum of Items 27 to 35)
0.00

Minimum Wage Earner (MWE) whose compensation is exempt from B. TAXABLE COMPENSATION INCOME REGULAR
11
withholding tax and not subject to income tax
37 Basic Salary
419907.22
Part II - Employer Information (Present)

12 TIN
0 0 9 - 2 6 8 - 8 2 3 - 0 0 0 0 0 38 Representation
0.00

13 Employer's Name
39 Transportation
Quantrics Enterprises Inc. 0.00

14 Registered Address 14A ZIP Code

40 Cost of Living Allowance (COLA)
0.00
4th Floor,SM City San Mateo,Ge neral Luna Avenue,B 1 8 5 0

15 Type of Employer 41 Fixed Housing Allowance

X Main Employer Secondary Employer 0.00

Part III - Employer Information (Previous)

42 Others (specify)
16 TIN 42A 0.00
- - -

17 Employer's Name
42B 0.00

18 Registered Address 18A ZIP Code SUPPLEMENTARY

43 Commission
0.00
Part IVA - Summary
44 Profit Sharing
0.00
19 Gross Compensation Income from Present
514281.27
Employer (Sum of Items 36 and 50) 45 Fees Including Director's Fees
0.00
20 Less: Total Non-Taxable/Exempt Compensation
94374.05 46 Taxable 13th Month Benefits
Income from Present Employer (From Item 36) 0.00
21 Taxable Compensation Income from Present
419907.22 47 Hazard Pay
Employer (Item 19 Less Item 20) (From Item 50) 0.00
22 Add: Taxable Compensation Income from
0.00 48 Overtime Pay
Previous Employer, if applicable 0.00
23 Gross Taxable Compensation Income
419907.22 49 Others (specify)
(Sum of Items 21 and 22)
24 Tax Due 49A 0.00
34976.81

25 Amount of Taxes Withheld

34976.81 49B 0.00
25A Present Employer
25B Previous Employer, if applicable
0.00
50 Total Taxable Compensation Income
26 Total Amount of Taxes Withheld as adjusted 419907.22
34976.81 (Sum of Items 37 to 49B)
(Sum of Items 25A and 25B)
I/We declare, under the penalties of perjury that this certificate has been made in good faith, verified by me/us, and to the best of my/our 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. Further, I/we give my/our consent to the processing of my/our information as contemplated
under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes.

51
GUY NEVEU Date Signed
Present Employer/Authorized Agent Signature over Printed Name
CONFORME:

52 ENCOMIENDA GARRETTE JAYSON LAPORE Date Signed

Employee Signature over Printed Name
Amount paid, if CTC
CTC/Valid ID No.of Employee 3477126530 Place Of Issue PHILIPPINES Date Signed

To be accomplished under substituted filing

I declare, under the penalties of perjury that the information herein stated are reported under I declare, under the penalties of perjury that I am qualified under substituted filing of Income Tax
BIR Form No. 1604-C which has been filed with the Bureau of Internal Revenue. Return (BIR Form No. 1700), since I received purely compensation income from only one employer in
the Philippines for the calendar year; that taxes have been correctly withheld by my employer (tax
due equals tax withheld); that the BIR Form No. 1604-C filed by my employer to the BIR shall
constitute as my income tax return; and that BIR Form No. 2316 shall serve the same purpose as if
BIR Form No. 1700 has been filed pursuant to the provisions of Revenue Regulations (RR) No. 3-2002,
53 as amended.
GUY NEVEU
Present Employer/Authorized Agent Signature over Printed Name 54 ENCOMIENDA GARRETTE JAYSON LAPORE
(Head of Accounting/Human Resource or Authorized Representative) Employee Signature over Printed Name
*NOTE: The BIR Data Privacy is in the BIR website (www.bir.gov.ph)