Financial/1604ef
P
User
user
For BIR BCS/
Use Only Item:
Republic of the Philippines
Department of Finance
Bureau of Internal Revenue
1604-EF January 2018 P1
BIR Form No.
1604-EF
January 2018
Annual Information Return
of Income Payments Subjected to Final/Expanded Withholding Tax
Enter all required information in CAPITAL LETTERS using BLACK ink. Mark all applicable boxes with an "X".
Two copies MUST be filed with the BIR and one held by the Taxpayer.
Two copies MUST be filed with the BIR and one held by the Taxpayer.
[BARCODE]
1 Taxable Year
2 Due Date (MM/DD/YYYY)
3 Amended Return?
Part I – Background Information
7 Taxpayer Identification Number (TIN)
–
RDO Code
4 Withholding Agent's Name
5 Registered Address
6 ZIP Code
7 Contact Number
8 Email Address
Part II – Schedule of Alphalist of Payees
| Seq | Payee TIN | Payee Name / Supplier | ATC | Income Payment (₱) | Tax Withheld (₱) | |
|---|---|---|---|---|---|---|
| TOTAL | 0.00 | 0.00 | ||||
We declare under the penalties of perjury that this return has been made in good faith, verified by me/us, and to the best of my/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. Further, I/we give my/our consent to the processing of my/our information as contemplated under the "Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If Authorized Representative, attach authorization letter)
For Individual:
Signature over Printed Name of Taxpayer/Authorized Representative/ Tax Agent
(Indicate Title/Designation and TIN)
(Indicate Title/Designation and TIN)
For Non-Individual:
Signature over Printed Name of President/Vice President/
Authorized Officer or Representative/Tax Agent
(Indicate Title/Designation and TIN)
Authorized Officer or Representative/Tax Agent
(Indicate Title/Designation and TIN)
Tax Agent Accreditation No. / Attorney's Roll No. (if applicable)
Date of Issue (MM/DD/YYYY)
Date of Expiry (MM/DD/YYYY)
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)
(RO's Signature/Bank Teller's Initial)
*NOTE: Please read the BIR Data Privacy Policy found in the BIR website (www.bir.gov.ph)