Republika ng Pilipinas Kagawaran ng Pananalapi Kawanihan ng Rentas Internas

For Compensation Payment With or Without Tax Withheld 1 For the year (YYYY) 1

Certificate of Compensation Payment/Tax Withheld

2 For the period From (MM/DD)

BIR Form No.

2316
July 2008 (ENCS)
To (MM/DD)

2012 246 624 614 000

5 RDO Code

01

01

12

31

Part I Employee Information 3 Tax Payer 3 Identification No. 4 Employee's Name (Last Name, First Name, Middle Name) 6 Registered Address 6B Local Home Address 6D Foreign Address 7 Date of Birth (MM/DD/YYYY) 8

Part IV Details of Compensation Income and Tax Withheld from Present Employer Amount A. NON-TAXABLE/EXEMPT COMPENSATION INCOME

ESTEBAN, PRINCESS SAN PEDRO

000
6A Zip Code 6C Zip Code

32

Basic Salary/ Statutory Minimum Wage Minimum Wage Earner (MWE) Holiday Pay (MWE) Overtime Pay (MWE) Night Shift Differential (MWE) Hazard Pay (MWE) 13th Month Pay and Other Benefits De Minimis Benefits Other Benefits SSS, GSIS, PHIC & Pag-ibig Contributions & Union dues (Employee share only) Salaries & Other forms of Compensation Total Non-Taxable/Exempt Compensation Income

32

33 6E Zip Code 34 Telephone number 35 36 Single Married 37

33 34 35 36 37

08

09

1984
\

9 Exemption Status

9A

Is the wife claiming the additional exemption for qualified dependent children? Yes No 11 Date of Birth (MM/DD/YYYY)

30,000.00 12,000.00 11,700.00 30,001.00 83,701.00

10

Name of Qualified Dependent Children

38 39

38 39

40 12 13 14 Statutory Minimum Wage rate per day Statutory Minimum Wage rate per month 12 13 41

40 41

Minimum Wage Earner whose compensation is exempt from withholding tax and not subject to income tax 15

B. TAXABLE COMPENSATION INCOME REGULAR 42 Basic Salary 42

Part II Employer Information (Present) 15 Taxpayer Identification No. 16 Employer's Name

244

027

271

000
43 44 17A Zip Code 45 46 Cost of Living Allowance Fixed Housing Allowance 45 46 Representation Transportation 43 44

442,832.44

MANULIFE DATA SERVICES, INC.

17 Registered Address

Manulife Bldg Technohub Diliman, QC

\

main employer

secondary employer

Part III Employer Information (Previous)-1 18 Taxpayer Identification No. 19 Employer's Name 18 47 47A 47B 20 Registered Address 20A Zip Code Others (Specify) 47A 47B

SUPPLEMENTARY Summary 21 22 23 24 25 26 27 28 29 30 Gross Compensation Income from Present Employer (Item 41 plus Item 55) Less: Total Non-Taxable/ Exempt (Item 41) Taxable Compensation Income from Present Employer (Item 55) Add: Taxable Compensation Income from Previous Employer Gross Taxable Compensation Income Less: Total Exemptions Less: Premium Paid on Health and/or Hospital Insurance (if applicable) Net Taxable Compensation Income Tax Due Amount of Taxes Withheld 30A Present Employer 30B 31 Previous Employer 21 22 23 24 25 26 27 28 29 30A 30B 31 55 Total Taxable Compensation Income 55 48 Commission 48

637,935.56 83,701.00 554,234.56

49 Profit Sharing 49

50

Fees including Director's Fees Taxable 13th Month Pay and Other Benefits Hazard Pay Overtime Pay

50

51

51 52 53

91,712.50

554,234.56 50,000.00

52 53

19,689.62

504,234.56 126,355.06 126,355.06

54 54A

Others (Specify) 54A

54B

54B

Total Amount of Taxes Withheld As adjusted

126,355.06

554,234.56

We declare, under the penalties of perjury, that this certificate has been made in good faith, verified by us, and to the best of 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. 56 MARK PAUL C. APILAN Date Signed Present Employer/Authorized Agent Signature Over Printed Name

CONFORME: 57 ESTEBAN, PRINCESS SAN PEDRO

CTC No. of Employee Employee Signature Over Printed Name Place of Issue

Date Signed Amount Paid Date of Issue To be accomplished under substituted filing

I declare, under the penalties of perjury, that the information herein stated are reported under BIR Form No. 1604CF which have been filed with the Bureau of Internal Revenue

58

MARK PAUL C. APILAN

Present Employer/Authorized Agent Signature Over Printed Name (Head of Accounting/Human Resource or Authorized Representative)

I declare, under the penalties of perjury, that I am qualified under substituted filing of Income Tax Returns (BIR Form No. 1700), since I received purely compensation income from only one employer in the Phils. for the calendar year; that taxes have been correctly withheld by my employer (tax due equals tax withheld); that the BIR form No. 1604CF 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 had been filed pursuant to the provisions of RR 3-2002, as amended. ESTEBAN, PRINCESS SAN PEDRO 59 Employee Signature Over Printed Name