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DLN:
PSIC:
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
(Except for transactions involving onerous transfer
of real property classified as ordinary asset)
1601-E
August 2008 (ENCS)
(Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)
11 Zip Code
13 Are there payees availing of tax relief under Special Law or International Tax Treaty?
No
If yes, specify
Yes
Part II
Computation of Tax
NATURE OF INCOME PAYMENT
AT C
TAX
RATE
TAX BASE
15A
15B
15C
Add: Penalties
16
Surcharge
17B
Compromise
Interest
17A
TAX REQUIRED
TO BE WITHHELD
14
15B Advance Payments Made (please attach proof of payments - BIR Form No. 0605)
16 Tax Still Due/(Overremittance) (Item 14 less Item 15C)
17
Telephone Number
10 Registered Address
No
17C
17D
18
20
President/Vice President/Principal Officer/Accredited Tax Agent/
Authorized Representative/Taxpayer
(Signature over printed name)
Title/Position of Signatory
Part III
Drawee Bank/
Agency
Particulars
21 Cash/Bank 21A
Debit Memo
22 Check
22A
23 Others
23A
Number
Treasurer/Assistant Treasurer
(Signature Over Printed Name)
_______
TIN of Signatory
Date of Issuance
Title/Position of Signatory
TIN of Signatory
Date of Expiry
Details of Payment
Date
MM
DD
YYYY
Amount
21B
21C
21D
22B
22C
22D
23B
23C
23D
Machine Validation/Revenue Official Receipt Details (If not filed with an Authorized Agent Bank)
(RO's Signature/
Bank Teller's Initial)
TAX
RATE
AT C
IND
CORP
10%
WI 010 WC 010
15%
15%
WI 011 WC 011 EWT- payments for medical/dental /veterinary services thru hospitals/clinics/
health maintenance organizations, including direct payments to
service providers
- if the current year's income payments for the medical/dental/veterinary services
WI 021
10%
WI 030
15%
WI 031
10%
10%
15%
10%
15%
10%
15%
10%
15%
10%
15%
10%
15%
5%
5%
2%
15%
10%
TAX
RATE
AT C
IND
CORP
10%
15%
WI 141
WI 142
10%
WI 151
15%
WI 150
10%
WI 152
15%
WI 153
WI 020
1%
WI 640 WC 640
2%
WI 157 WC 157
1%
WI 158 WC 158
2%
WI 160 WC 160
15%
WI 159
10%
WI 515 WC 515
1%
1%
5%
1%
10%
WI 530
WI 535
WI 540
WI 610
WI 630
10%
WI 632 WC 632
25%
WI 650 WC 650
32%
WI 651 WC 651
WC 535
WC 540
WC 610
WC 630