|| BIR Form 1604cf || https://efps.bir.gov.ph/faces/EFPSWeb_war/forms/1604CF/1604cf_v2...

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PSOC: PSIC: 8040

Annual Information Return of BIR Form No.

Republika ng Pilipinas
Kagawaran ng Pananalapi
Income Taxes Withheld on
Compensation and Final
1604-CF
Kawanihan ng Rentas Internas July 2008 (ENCS)
Withholding Taxes

2 Amended Return?
1 For the Year (YYYY) 2022 3 No. of Sheets Attached 0
Yes No

Part I Background Information

4 TIN 001 392 867 000 5 RDO Code 17B 6 Line of Business / PUBLIC HIGHER EDUCATION
Occupation

7 Taxpayer's Name (Last Name, First Name, Middle Name for Individuals) /
8 Telephone Number
(Registered Name for Non-Individuals)
TARLAC AGRICULTURAL UNIVERSITY 0459340216

9 Registered Address 10 Zip Code

MCARTHUR HWAY MALACAMPA TARLAC 2306

11 In case of overwithholding/overremittance after the year-end adjustment on compensation, have you

released the refunds to your employees? If yes, specify the date of refund (mm/dd/yyyy)

Yes No

14 Category of Withholding Agent

12 Total Amount of Overremittance on 13 Month of First Crediting
Tax Withheld under Compensation of Overremittance Private Government

Part II Summary of Remittances

Schedule 1 R e m i t t a n c e p e r B I R F o r m N o. 1 6 0 1 - C

DATE OF NAME OF BANK/BANK TAXES TOTAL AMOUNT

MONTH ADJUSTMENT PENALTIES
REMITTANCE CODE/ROR NO., IF ANY WITHHELD REMITTED
JAN 882,890.07 -140,836.27 0.00 742,053.80

FEB 1,207,621.03 0.00 0.00 1,207,621.03

MAR 984,377.85 0.00 0.00 984,377.85

APR 1,012,680.00 0.00 0.00 1,012,680.00

MAY 1,265,090.12 0.00 0.00 1,265,090.12

JUN 1,053,651.69 0.00 0.00 1,053,651.69

JUL 757,347.31 0.00 0.00 757,347.31

AUG 786,858.00 0.00 0.00 786,858.00

SEP 845,329.08 0.00 0.00 845,329.08

OCT 864,569.85 0.00 0.00 864,569.85

NOV 1,836,240.70 0.00 0.00 1,836,240.70

DEC 3,140,305.05 0.00 0.00 3,140,305.05

TOTAL 14,636,960.75 -140,836.27 0.00 14,496,124.48

Schedule 2 R e m i t t a n c e p e r B I R F o r m N o. 1 6 0 1 - F

DATE OF NAME OF BANK/BANK CODE/ROR TOTAL AMOUNT

MONTH TAXES WITHHELD PENALTIES
REMITTANCE NO., IF ANY REMITTED
JAN 0.00 0.00 0.00

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FEB 0.00 0.00 0.00

MAR 0.00 0.00 0.00

APR 0.00 0.00 0.00

MAY 0.00 0.00 0.00

JUN 0.00 0.00 0.00

JUL 0.00 0.00 0.00

AUG 0.00 0.00 0.00

SEP 0.00 0.00 0.00

OCT 0.00 0.00 0.00

NOV 0.00 0.00 0.00

DEC 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

Schedule 3 R e m i t t a n c e p e r B I R F o r m N o. 1 6 0 2

DATE OF NAME OF BANK/BANK CODE/ROR TOTAL AMOUNT

MONTH TAXES WITHHELD PENALTIES
REMITTANCE NO., IF ANY REMITTED
JAN 0.00 0.00 0.00

FEB 0.00 0.00 0.00

MAR 0.00 0.00 0.00

APR 0.00 0.00 0.00

MAY 0.00 0.00 0.00

JUN 0.00 0.00 0.00

JUL 0.00 0.00 0.00

AUG 0.00 0.00 0.00

SEP 0.00 0.00 0.00

OCT 0.00 0.00 0.00

NOV 0.00 0.00 0.00

DEC 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

Schedule 4 R e m i t t a n c e p e r B I R F o r m N o. 1 6 0 3

NAME OF BANK/BANK TOTAL AMOUNT

QUARTER DATE OF REMITTANCE TAXES WITHHELD PENALTIES
CODE/ROR NO., IF ANY REMITTED
1ST QTR 0.00 0.00 0.00

2ND QTR 0.00 0.00 0.00

3RD QTR 0.00 0.00 0.00

4TH QTR 0.00 0.00 0.00

TOTAL 0.00 0.00 0.00

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