For BIR Use Only

BCS/ Item 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. 2 Amended Return?

170106/13ENCSP1 BIR Form No.

1701
June 2013 (ENCS) Page 1

1 For the Year 12 (MM/20YY) 4 Alphanumeric Tax Code (ATC)

/20 1 3

Yes

X No

3 Short Period Return?

Yes

No

II 011 Compensation Income

II 012 Business Income / Income from Profession

X

II 013 Mixed Income

Part I – Background Information on TAXPAYER/FILER

5 Taxpayer Identification Number (TIN) 10 3 7 9 5 - 9 4 7 - 0 0 0 0 6 RDO Code 7 Tax Filer Type Single Proprietor Professional Estate Trust 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)

S A N G A
9 Trade Name

C A T H E R I N E E N T E R P R I

I L L O

T E E - J

S E S
C R A M E

10 Registered Address (Indicate complete registered address)

7 2 W E S T R O A D 2 Q U E Z O N C I T Y
11 Date of Birth (MM/DD/YYYY) 12 Email Address

S A N

J U A N

0 9

/

1 0

/

1 9 8 6
14 Civil Status Single
With Income

13 Contact Number

0 2 7 2 2 2 9 2 2
15 If Married, indicate whether spouse has income 17 Main Line of Business

X

Married

Legally Separated
16 Filing Status Joint Filing

Widow/er
Separate Filing

With No Income

T R A D I N G X Itemized Deduction 20 Method of Deduction [Sec. 34 (A-J), NIRC]
21 Method of Accounting X Cash 22 Income Exempt from Income Tax? 24 Claiming Additional Exemptions? Accrual
Yes Yes No No

18 PSIC

19 PSOC

Optional Standard Deduction (OSD) 40%