This 3 sentence summary provides the key details from the document: The document is a Certificate of Compensation Payment and Tax Withheld form from January 2018 that was signed by an individual declaring that they received purely compensation income from only one employer in the Philippines for the calendar year. It states that taxes have been withheld by the employer and that the amount paid is consistent with a BIR Form 1604C filed by the employer, and this form will serve as the individual's income tax return.

1. Over Printed Name
oul EirU 9[ lnleflaMgtilEi-]tr.rE
Date Signed
Date Signed
Date of lssue
lilt uttlodtffittilffilt ItI
2316 01/18ENCS
Part lV-B Detalls of Compensatlon lncome and Tax Wlthheld from Present Employer
51
yf,resent
EmPloYer/
GONFORME:
52
TAT,
Place of
CTCA/aIid ID
of
I declare, r.jnder the penalties of perjury,
Over Printed Name
herein stated are reported I declare,under the penalties of perjury that I am qualified under substituted filing of
Bureau of lntemal Revenue. lncome Tax Retums(BlR Form No. 1700), since I received purely compensation income
only one employer in the Philippines for the calendar year; that taxes have been
withheld by my employer (tax due equals tax withheld); that the BIR Form
BIR Form i,lo.
2316
January 2018 (ENCS)
Certifi cate of Compensation
PaymenttTax Withheld
For Compensation Payment With or WithoutTax Withheld
Amount Paid, if cTC
under BIR Form No. '1604C which has
LISING
Over Printed Narne
16O4-C filed by my employer to ttre {5 phall cons(itrne as my income tax return;
sut BIR Form t{o 2316 shall serve tr$6{n"^p{pokrft'f BIR Form No. 17OO