For BIR
  Use Only
 BCS/
Item
 170106/13ENCSP1
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Annual Income Tax Return
For Self-Employed Individuals, Estates and Trusts
 Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable
boxes with an "X". Two copies MUST be filed with the BIR and one held by the Tax Filer.
 		BIR Form No.
1701
July 2013(ENCS)
Page 1
1 For the year   / 20
Part I - Background Information on TAX FILER
5 Taxpayer Identification Number (TIN)   
  -     -     -  
6 RDO Code 
8 Tax Filer's Name (Last Name, First Name, Middle Name for Individual) / ESTATE of (First Name, Middle Name, Last Name) / TRUST FAO: (First Name, Middle Name, Last Name)
9 Trade Name
10 Registered Address  (Indicate complete registered address) 
11 Date of Birth (MM/DD/YYYY) 12 Email Address
13 Contact Number 14 Civil Status
  
15 If Married, indicate whether spouse has income
16 Filing Status
17 Main Line of Business  18 PSIC  19 PSOC 
Part II - Total Tax Payable
(Do NOT enter Centavos)
26 Total Income Tax Due (Overpayment) for Tax Filer and Spouse (Sum of Items 72A & 72B)
27 Less: Total Tax Credits / Payments (Sum of Items 76A & 76B)
28 Net Tax Payable (Overpayment) (Item 26 Less Item 27)
29 Less: Portion of Tax Payable Allowed for 2nd Installment to be paid on or before July 15     (Not More Than 50% of Item 26)
30 Total Tax Payable(Item 28 Less Item 29)
31 Add: Total Penalties (From Item 84)
32 TOTAL AMOUNT PAYABLE Upon Filing (Overpayment) (Sum of Items 30 & 31)
      If Overpayment, mark one box only (Once the choice is made, the same is irrevocable)
I declare under the penalties of perjury, that this annual return has been made in good faith, verifired by me, and to the best of my 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. (If Authorized Representative, attach authorization letter and indicate TIN)
  33 Number of pages filed    
Signature over printed name of Tax Filer Signature over printed name of Authorized Representative
36 Place of Issue     37 Amount, if CTC 
Part III - Details of Payment Drawee Bank/Agency Number Date(MM/DD/YYYY) Amount
38 Cash/Bank Debit Memo
39 Check
40 Others (Specify Below)
Machine Validation / Revenue Official Receipt Details (if not filed with an Authorized Agent Bank)
Stamp of Receiving Office/AAB and Date of Receipt
(RO's Signature/Bank Teller's Initial)

Attachments