Republic of the Philippines

For BIR BCS/ Department of Finance

Use Only Item: Bureau of Internal Revenue
BIR Form No.
Annual Income Tax Return
1701 Individuals (including MIXED Income Earner), Estates and Trusts
January 2018 (ENCS) Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with
Page 1 an “X”. Two copies must be filed with the BIR and one held by the Tax Filer.
1701 01/18ENCS P1
1 For the Year (YYYY) 2022 2 Amended Return? Yes X No 3 Short Period Return? Yes X No

PART I – Background Information of Taxpayer/Filer

- - 0 0 0 0 0
435/32897
4 Taxpayer Identification Number (TIN) - 5 RDO Code 0 4 I
6 Taxpayer Type Single Proprietor Professional Estate Trust Compensation Earner
7 Alphanumeric Tax Code (ATC) II012 Business Income-Graduated IT Rates X II014 Income from Profession–Graduated IT Rates II013 Mixed Income–Graduated IT Rates

II011 Compensation Income II015 Business Income - 8% IT Rate II017 Income from Profession – 8% IT Rate II016 Mixed Income – 8% IT Rate
8 Taxpayer’s Name (Last Name, First Name, Middle Name)/ESTATE OF (First Name, Middle Name, Last Name)/ TRUST FAO: (First Name, Middle Name, Last Name)
V / ERNES BRIAN
9 Registered Address (Indicate complete address. If the registered address is different from the current address, go to the RDO to update registered address by using BIR Form No. 1905)

0 1 ORC H, D St. T A T
+
9A ZIP Code 1660
10 Date of Birth (MM/DD/YYYY) 11 Email Address
04 0 71970VBRIANGGMA 1c. COM
12 Citizenship 13 Claiming Foreign Tax Credits? 14 Foreign Tax Number, if applicable
F
1c 1 P I NO Yes No
15 Contact Number (Landline/Cellphone No.) 16 Civil Status (if applicable)
09085442160 Single Married Legally Separated Widow/er
17 If married, spouse has income? Yes No 18 Filing Status Joint Filing Separate Filing
19 Income EXEMPT from Income Tax? Yes No 20 Income subject to SPECIAL/PREFERENTIAL RATE? Yes No
[If yes, fill out also consolidation of ALL activities per Tax Regime (Part X)] [If yes, fill out also consolidation of ALL activities per Tax Regime (Part X)]
21 Tax 21A Method of Deduction (choose one)
Rate* Graduated Rates Itemized Deduction Optional Standard Deduction (OSD)
(choose one) (Choose Method of Deduction in Item 21A) [Sec. 34(A-J), NIRC] [40% of Gross Sales/Receipts/Revenues/Fees [Sec. 34(L), NIRC]

8% in lieu of Graduated Rates under Sec. 24(A) & Percentage Tax under Sec. 116 of NIRC
[available if gross sales/receipts and other non-operating income do not exceed Three million pesos (P3M)]
PART II – Total Tax Payable (DO NOT enter Centavos; 49 Centavos or Less drop down; 50 or more round up)
Particulars A. Taxpayer/Filer B. Spouse
22 Tax Due (From Part VI Item 5) 266000
23 Less: Total Tax Credits/Payments (From Part VII Item 10) 0

24 Tax Payable/(Overpayment) (Item 22 Less Item 23) 226000

25 Less: Portion of Tax Payable Allowed for 2nd Installment to be paid on or before October 15
(50% or less of Item 22)

26 Amount of Tax Payable/(Overpayment) (Item 24 Less Item 25)

Add: Penalties 27 Interest
28 Surcharge
29 Compromise
30 Total Penalties (Sum of Items 27 to 29)
31 Total Amount Payable/(Overpayment) (Sum of Items 26 and 30) 226000
32 Aggregate Amount Payable/(Overpayment) (Sum of Items 31A and 31B) 226000
If overpayment, mark one (1) box only. (Once the choice is made, the same is irrevocable)
To be refunded To be issued a Tax Credit Certificate (TCC) To be carried over as a tax credit for next year/quarter
I declare under the penalties of perjury that this return, and all its attachments, have been made in good faith, verified by me, and to the best of my knowledge and belief, are true and correct,
pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof. Further, I give my consent to the processing of my information as
contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If signed by an Authorized Representative, indicate TIN and attach authorization letter)
Biran
Vane
BRIAN VIERNES 33 Number of Attachments
Printed Name and Signature of Taxpayer/Authorized Representative
PART III - Details of Payment
Particulars Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
34 Cash/Bank Debit Memo
35 Check
36 Tax Debit Memo
37 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)

*NOTE: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)
 BIR Form No.

1701 Annual Income Tax Return

January 2018 (ENCS) Individuals (including MIXED Income Earner), Estates and Trusts
Page 2 1701 01/18ENCS P2
TIN Tax Filer’s Last Name
4) 65132897 0 0 0 0 0
VIERNCS
PART IV – Background Information of Spouse
1 Spouse’s Taxpayer Identification Number - - - 0 0 0 0 0 2 RDO Code
3 Filer’s Spouse Type Single Proprietor Professional Compensation Earner
4 Alphanumeric Tax Code (ATC) II012 Business Income-Graduated IT Rates II014 Income from Profession–Graduated IT Rates II013 Mixed Income–Graduated IT Rates

II011 Compensation Income II015 Business Income - 8% IT Rate II017 Income from Profession – 8% IT Rate II016 Mixed Income – 8% IT Rate
5 Spouse’s Name (Last Name, First Name, Middle Name)

6 Contact Number 7 Citizenship

8 Claiming Foreign Tax Credits? Yes No 9 Foreign Tax Number
(if applicable)
10 Income EXEMPT from Income Tax? Yes No 11 Income subject to SPECIAL/PREFERENTIAL RATE? Yes No
[If yes, fill out also consolidation of ALL Activities per Tax Regime (Part X)] [If yes, fill out also consolidation of ALL activities per Tax Regime (Part X)]
12 Tax 12A Method of Deduction (choose one)
Rate* Graduated Rates Itemized Deduction Optional Standard Deduction (OSD)
(choose one) (Choose Method of Deduction in Item 12A) [Sec. 34(A-J), NIRC] [40% of Gross Sales/Receipts/Revenues/Fees [Sec. 34(L), NIRC]

8% in lieu of Graduated Rates under Sec. 24(A) & Percentage Tax under Sec. 116 of NIRC
[available if gross sales/receipts and other non-operating income do not exceed Three million pesos (P3M)]
PART V – Computation of Tax
Schedule 1 – Gross Compensation Income and Tax Withheld (Attach Additional Sheet/s, if necessary)
On Items 1 and 2, enter the required information for each of your employer/s and mark (X) whether the information is for the Taxpayer or the Spouse. On Item 3A, enter the Total
Gross Compensation and Total Tax Withheld for the Taxpayer and on Item 3B, for the Spouse. (DO NOT enter Centavos; 49 Centavos or Less drop down; 50 or more round up)
a. Name of Employer
Taxpayer
1 Spouse b. Employer’s TIN

Taxpayer
2 Spouse b. Employer’s TIN
(Continuation of Table Above) c. Compensation Income d. Tax Withheld
1
2
Gross Compensation Income and Total Tax Withheld for
3A TAXPAYER (To Part V Schedule 2 Item 4A and Part VII Item 5A)
Gross Compensation Income and Total Tax Withheld for
3B SPOUSE (To Part V Schedule 2 Item 4B and Part VII Item 5B)
Schedule 2 – Taxable Compensation Income (DO NOT enter Centavos; 49 Centavos or Less drop down; 50 or more round up)
Particulars A. Taxpayer/Filer B. Spouse
4 Gross Compensation Income (From Part V Schedule 1 Item 3Ac/3Bc)
5 Less: Non-Taxable / Exempt Compensation
6 Taxable Compensation Income (Item 4 Less Item 5)
7 Tax Due-Compensation Income (Item 6 x applicable Income Tax Rate)
Schedule 3 – Taxable Business Income (If graduated rates, fill in items 8 to 24; if 8% flat income tax rate, fill in items 25 to 30)
3.A – For Graduated Income Tax Rates
8 Sales/Revenues/Receipts/Fees 380000
9 Less: Sales Returns, Allowances and Discounts ⑧
10 Net Sales/Revenues/Receipts/Fees (Item 8 Less Item 9) 38000 ⑧
11 Less: Cost of Sales/Services (applicable only if availing Itemized Deductions) 8

12 Gross Income/(Loss) from Operation (Item 10 Less Item 11) 380000

Less: Deductions Allowable under Existing Laws
13 Ordinary Allowable Itemized Deductions (From Part V Schedule 4 Item 18) 205006
14 Special Allowable Itemized Deductions (From Part V Schedule 5 Item 3 and/or Item 6)
15 Allowance for Net Operating Loss Carry Over (NOLCO) (From Part V Schedule 6 Item 8 and/or Item 13)
16 Total Allowable Itemized Deductions (Sum of Items 13 to 15) 20sO0O
OR
17 Optional Standard Deduction (OSD) (40% of Item 10)
18 Net Income/(Loss) (If Itemized: Item 12 Less Item 16; If OSD: Item 10 Less Item 17) 175008
Add: Other Non-Operating Income (specify below)
19 Prizes 1500
20
21 Amount Received/Share in Income by a Partner from General Professional Partnership (GPP) 945000
22 Total Other Non-Operating Income (Sum of Items 19 to 21) 952506
23 Taxable Income-Business (Sum of Items 18 and 22) 1200
1. 00

24 Total Taxable Income – Compensation & Business (Sum of Items 6 and 23) 1120000
25 Total Tax Due-Compensation and Business Income (under graduated rates)
(Item 24 x applicable income tax rate ) (To Part VI Item 1) 226008
 BIR Form No.

1701 Annual Income Tax Return

January 2018 (ENCS) Individuals (including MIXED Income Earner), Estates and Trusts
Page 3 1701 01/18ENCS P3
TIN Tax Filer’s Last Name
4) 65132897 0 0 0 0 0 VIERNES
3.B – For 8% Flat Income Tax Rate (DO NOT enter Centavos; 49 Centavos or Less drop down; 50 or more round up)
Particulars A. Taxpayer/Filer B. Spouse
26 Sales/Revenues/Receipts/Fees (net of sales returns, allowances and discounts)
Add: Other Non-Operating Income (specify below)
27
28 Total Income (Sum of Items 26 and 27)
29 Less: Allowable reduction from gross sales/receipts and other non-operating income of purely self-
employed individuals and/or professionals in the amount of P250,000 (not applicable if with compensation income)
30 Taxable Income/(Loss) (Item 28 Less Item 29)
31 Tax Due-Business Income (Item 30 x 8% Flat Income Tax Rate)
32 Total Tax Due–Compensation & Business Income (under flat rate) (Sum of Items 7and 31) (To Part VI Item 1)

Schedule 4 - Ordinary Allowable Itemized Deductions (attach additional sheet/s, if necessary)

1 Amortizations
2 Bad Debts
3 Charitable and Other Contributions
4 Depletion
5 Depreciation
6 Entertainment, Amusement and Recreation
7 Fringe Benefits
8 Interest
9 Losses
10 Pension Trusts
11 Rental
12 Research and Development
13 Salaries, Wages and Allowances
14 SSS, GSIS, Philhealth, HDMF and Other Contributions
15 Taxes and Licenses 205000
16 Transportation and Travel
17 Others (Deductions Subject to Withholding Tax and Other Expenses) [Specify below; Add additional sheet(s), if necessary]
a Janitorial and Messengerial Services
b Professional Fees
c Security Services
d
18 Total Ordinary Allowable Itemized Deductions (Sum of Items 1 to 17d) (To Part V Schedule 3.A Item 13) 205000
Schedule 5 – Special Allowable Itemized Deductions (attach additional sheet/s, if necessary)
5.A – Taxpayer/Filer Description Legal Basis Amount
1
2
3 Total Special Allowable Itemized Deductions-Taxpayer/Filer (Sum of Items 1 and 2) (To Part V Schedule 3.A Item 14A)
5.B – Spouse
4
5
6 Total Special Allowable Itemized Deductions -Spouse (Sum of Items 4 and 5) (To Part V Schedule 3.A Item 14B)
Schedule 6 - Computation of Net Operating Loss Carry Over (NOLCO)
6.A – Computation of NOLCO
Description A. Taxpayer/Filer B. Spouse
1 Gross Income
2 Less: Ordinary Allowable Itemized Deductions
3 Net Operating Loss (Item 1 Less Item 2) (To Schedule 6.A.1 Item 7A &/or Schedule 6.A.2 Item 12A)
6.A.1 – Taxpayer/Filer’s Detailed Computation of Available NOLCO
Net Operating Loss B. NOLCO Applied D. NOLCO Applied E. Net Operating Loss
C. NOLCO Expired (Unapplied)
Year Incurred A. Amount Previous Year/s Current Year
[(E)= A – (B+C+D)]
4
5
6
7
8 Total NOLCO - Taxpayer/Filer (Sum of Items 4D to 7D) (To Part V Schedule 3.A Item 15A)
 BIR Form No.

1701 Annual Income Tax Return

January 2018 (ENCS) Individuals (including MIXED Income Earner), Estates and Trusts
Page 4 1701 01/18ENCS P4
TIN Tax Filer’s Last Name
4) 65132897 0 0 0 0 0 VIERNES
(Continuation of Schedule 6)
6.A.2 – Spouse’s Detailed Computation of Available NOLCO
Net Operating Loss E. Net Operating Loss
B. NOLCO Applied D. NOLCO Applied
C. NOLCO Expired (Unapplied)
Year Incurred A. Amount Previous Year/s Current Year
[(E)= A – (B+C+D)]
9
10
11
12
13 Total NOLCO - Spouse (Sum of Items 9D to 12D) (To Part V Schedule 3.A Item 15B)
PART VI – Summary of Income Tax Due
1 Regular Rate–Income Tax Due (From Part V, Either Item 25 or Item 32) 226000
2 Special Rate–Income Tax Due (From Part X Item 17B/17F)
3 Less: Share of Other Government Agency, if remitted directly to the Agency
4 Net Special Rate–Income Tax Due/Share of National Govt. (Item 2 Less Item 3)
5 Total Income Tax Due (Sum of Items 1 & 4) (To Part II Item 22) 226000
PART VII - Tax Credits/Payments (attach proof)
1 Prior Year’s Excess Credits
2 Tax Payments for the First Three (3) Quarters
3 Creditable Tax Withheld for the First Three (3) Quarters
4 Creditable Tax Withheld per BIR Form No. 2307 for the 4 th Quarter
5 Creditable Tax Withheld per BIR Form No. 2316 (From Part V Schedule 1 Item 3Ad/3Bd)
6 Tax Paid in Return Previously Filed, if this is an Amended Return
7 Foreign Tax Credits, if applicable
8 Special Tax Credits, if applicable (To Part VIII Item 6)
9 Other Tax Credits/Payments (specify) _________________________________
10 Total Tax Credits/Payments (Sum of Items 1 to 9) (To Part II Item 23)
PART VIII – Tax Relief Availment
VIII.A – Special Rate
1 Regular Income Tax Otherwise Due (Part X Item 16B &/or Item 16F X applicable regular income tax rate)
(Part X Item 7B and/or Item 7F X
2 Tax Relief on Special Allowable Itemized Deductions applicable regular income tax rate)
3 Sub-Total – Tax Relief (Sum of Items 1 and 2)
4 Less: Income Tax Due (From Part X Item 17B and/or Item 17F)
5 Tax Relief Availment Before Special Tax Credit (Item 3 Less Item 4)
6 Add: Special Tax Credit, if any (From Part VII Item 8)
7 Total Tax Relief Availment- SPECIAL (Sum of Items 5 and 6)
VIII.B – Exempt
8 Regular Income Tax Otherwise Due (Part X Item 16A &/or 16E X applicable regular income tax rate)
(Part X Item 7A and/or Item 7E X
9 Tax Relief on Special Allowable Itemized Deductions applicable regular income tax rate)
10 Total Tax Relief Availment- EXEMPT (Sum of Items 8 and 9)
PART IX – Reconciliation of Net Income per Books Against Taxable Income (Attach additional sheet/s, if necessary)
Particulars A. Taxpayer/Filer B. Spouse
1 Net Income/(Loss) per Books
Add: Non-Deductible Expenses/Taxable Other Income
2
3
4
5 Total (Sum of Items 1 to 4)
Less: A) Non-Taxable Income and Income Subjected to Final Tax
6
7
B) Special/Other Allowable Deductions
8
9
10 Total (Sum of Items 6 to 9)
11 Net Taxable Income/(Loss) (Item 5 Less Item 10)
TABLE 1 – Tax Rates (effective January 1, 2018 to December 31, 2022) TABLE 2 – Tax Rates (effective January 1, 2023 and onwards)
If Taxable Income is: Tax Due is: If Taxable Income is: Tax Due is:
Not over P 250,000 0% Not over P 250,000 0%
Over P 250,000 but not over P 400,000 20% of the excess over P 250,000 Over P 250,000 but not over P 400,000 15% of the excess over P 250,000
Over P 400,000 but not over P 800,000 P 30,000 + 25% of the excess over P 400,000 Over P 400,000 but not over P 800,000 P 22,500 + 20% of the excess over P 400,000
Over P 800,000 but not over P 2,000,000 P 130,000 + 30% of the excess over P 800,000 Over P 800,000 but not over P 2,000,000 P 102,500 + 25% of the excess over P 800,000
Over P 2,000,000 but not over P 8,000,000 P 490,000 + 32% of the excess over P 2,000,000 Over P 2,000,000 but not over P 8,000,000 P 402,500 + 30% of the excess over P 2,000,000
Over P 8,000,000 P 2,410,000 + 35% of the excess over P 8,000,000 Over P 8,000,000 P 2,202,500 + 35% of the excess over P 8,000,000