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PUROK 4 SINAYAWAN
(CITY/MUNICIPALITY) (PROVINCE) ZIP CODE TAX IDENTIFICATION NUMBER (IF ANY)
VALENCIA CITY BUKIDNON 8709 944838-514
TELEPHONE NUMBER (AREA CODE+TEL. NO.) MOBILE/CELLPHONE NUMBER E-MAIL ADDRESS WEBSITE (FOR BUSINESS EMPLOYER)
09351504372 bpwoco_acctg@yahoo.com.ph
PAYMENT DETAILS
APPLICABLE PERIOD SS CONTRIBUTION EC CONTRIBUTION TOTAL
(TO BE FILLED OUT BY EMPLOYER & INDIVIDUAL (TO BE FILLED OUT BY (TO BE FILLED OUT BY
MONTH YEAR PAYOR)
O ) EMPLOYER
O ONLY))
O EMPLOYER
O ONLY))
O
January P P P
February
March
April
May
June
July
August 1, 100.00 1, 100.00
September
October
November
December
A Penalty P P P
D
D Underpayment
SUB-TOTAL P P P
TOTAL AMOUNT OF PAYMENT P 1, 100.00
FORM OF PAYMENT AMOUNT PAID IN FIGURES TOTAL AMOUNT PAID IN WORDS
/ Cash P 1, 100.00
Postal Money Order
Check One thousand one hundred pesos only
Check Number PAID BY
Check Date
Bank & Branch Name GERLIE E. SOLER
TOTAL AMOUNT PAID P 1, 100.00 PRINTED NAME SIGNATURE
DECLARATION OF EARNINGS OF INDIVIDUAL PAYOR
I hereby declare, for purposes of Sec. 19-A of the Social Security Law the amount of _____________________________________________
(P ______________) as my monthly earnings, which shall be the basis of my monthly salary credit to be effective until revised in my next declaration.
I affirm under the penalties of perjury, that this declaration has been made in good faith, and to the best of my knowledge and belief, is true and correct.
PUROK 4 SINAYAWAN
(CITY/MUNICIPALITY) (PROVINCE) ZIP CODE TAX IDENTIFICATION NUMBER (IF ANY)
VALENCIA CITY BUKIDNON 8709 944838-514
TELEPHONE NUMBER (AREA CODE+TEL. NO.) MOBILE/CELLPHONE NUMBER E-MAIL ADDRESS WEBSITE (FOR BUSINESS EMPLOYER)
09351504372 bpwoco_acctg@yahoo.com.ph
PAYMENT DETAILS
APPLICABLE PERIOD SS CONTRIBUTION EC CONTRIBUTION TOTAL
(TO BE FILLED OUT BY EMPLOYER & INDIVIDUAL (TO BE FILLED OUT BY (TO BE FILLED OUT BY
MONTH YEAR PAYOR)
O ) EMPLOYER
O ONLY))
O EMPLOYER
O ONLY))
O
January P P P
February
March
April
May
June
July
August 1, 100.00 1, 100.00 1, 100.00
September
October
November
December
A Penalty P P P
D
D Underpayment
SUB-TOTAL P P P 1, 100.00
TELEPHONE NUMBER (AREA CODE+TEL. NO.) MOBILE/CELLPHONE NUMBER E-MAIL ADDRESS WEBSITE (FOR BUSINESS EMPLOYER)
PAYMENT DETAILS
APPLICABLE PERIOD SS CONTRIBUTION EC CONTRIBUTION TOTAL
(TO BE FILLED OUT BY EMPLOYER & INDIVIDUAL (TO BE FILLED OUT BY (TO BE FILLED OUT BY
MONTH YEAR PAYOR)
O ) EMPLOYER
O ONLY))
O EMPLOYER
O ONLY))
O
January P P P
February
March
April
May
June
July
August
September
October
November
December
A Penalty P P P
D
D Underpayment
SUB-TOTAL P P P
TOTAL AMOUNT OF PAYMENT P
FORM OF PAYMENT AMOUNT PAID IN FIGURES TOTAL AMOUNT PAID IN WORDS
Cash P
Postal Money Order
Check
Check Number PAID BY
Check Date
Bank & Branch Name
TOTAL AMOUNT PAID P PRINTED NAME SIGNATURE
DECLARATION OF EARNINGS OF INDIVIDUAL PAYOR
I hereby declare, for purposes of Sec. 19-A of the Social Security Law the amount of _____________________________________________
(P ______________) as my monthly earnings, which shall be the basis of my monthly salary credit to be effective until revised in my next declaration.
I affirm under the penalties of perjury, that this declaration has been made in good faith, and to the best of my knowledge and belief, is true and correct.