Documente Academic
Documente Profesional
Documente Cultură
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
01
2016
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
10 Registered Address
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
15
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
1417
If yes, specify
Computation
Particulars
16
Telephone Number
277-9596
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
500.00
500.00
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
ENERLAS, JOVELYN
28
Treasurer/Assistant Treasurer
VOLUNTER
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
277-9596
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)
DLN:
PSOC:
PSIC:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
1601-C
July 2008 (ENCS)
(MM / YYYY)
06
2014
Yes
Part I
5
8
Amended Return?
Background
TIN
416
389
862
0000
No
Yes
Information
RDO Code
024
7 Line of Business/
Occupation
COOPERATIVE
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
Government
Yes
Part II
No
of
Tax
Tax Due
NO TRANSACTION
16A
16B
16C
17
18
19
19
20
21A
21B
14 A T C
WW 0 1 0
Amount of Compensation
15
1417
If yes, specify
Computation
Particulars
16
Telephone Number
362-2330
10 Registered Address
Private
23
Add: Penalties
Surcharge
Interest
24A
Compromise
24B
24C
24D
25
Previous Month(s)
Date Paid
Bank Validation/
(1)
(2)
ROR No.
(MM/YYYY)
(MM/DD/YYYY)
(3)
Bank Code
(4)
Section A (continuation)
Tax Paid (Excluding Penalties)
Adjustment (7)
From Year - End Adjustment of the
(5)
(6)
(7a)
JOYLYN ENERLAS
28
JENNIELYNNE-ROSE C. UY
Treasurer/Assistant Treasurer
SECRETARY
ADMINISTRATOR
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Date of Issuance
Part III
Title/Position of Signatory
TIN of Signatory
Details of Payment
Drawee Bank/
Particulars
Agency
29 Cash/Bank 29A
Stamp of
Date
Number
MM
DD
Receiving Office/AAB
YYYY
Amount
and
29B
29C
29D
Date of Receipt
Bank Teller's Initial)
Debit Memo
(RO's Signature/
30 Check
30A
30B
30C
30D
31 Others
31A
31B
31C
31D
Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
1601-C
No
OPERATIVE
Telephone Number
362-2330
11 Zip Code
1417
WW 0 1 0
Tax Due
Bank Code
Stamp of
Receiving Office/AAB
and
Date of Receipt
(RO's Signature/
Bank Teller's Initial)