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To be filled-up by BIR
DLN:
BIR Form No.
Republika ng Pilipinas
Kagawaran ng Pananalapi
Exemption and of Employer’s
Kawanihan ng Rentas Internas
2305
and Employee’s Information
Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
Type of Filer Employee (for update of "Exemption" and other employer's and employee's information)
Effective Date
Self-employed (for update of "Exemption")
(MM/ DD/ YYYY)
Part I
T a x p a y e r / E m p l o y e e I n f o r m a t i o n
3
TIN
5
Sex
4 RDO Code
Male Female
Taxpayer's Name (Last Name, First Name, Middle Name)
(MM/ DD/ YYYY)
7A
Business Address (for Self-Employed)
7C
I declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me, and to the best of my knowledge and belief,
is true and correct, pursuant to the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Taxpayer/Authorized Agent Signature over Printed Name
Part II Personal Exemptions
9
Civil Status 10 Employment Status of Spouse:
with qualified dependent child/ren
without qualified dependent child/ren
Engaged in Business/Practice of Profession
Claims for Additional Exemptions / Premium Deductions for husband and wife whose aggregate family income
does not exceed P250,000.00 per annum.
Husband claims additional exemption and premium deductions
Wife claims additional exemption and premium deductions
(Attach Waiver of the Husband)
Spouse Taxpayer Identification Number
Spouse Name ( if wife, indicate maiden name)
Spouse Employer's Taxpayer Identification Number
Part III
Additional Exemptions
Names of Qualified Dependent Child/ren (refers to a legitimate, illegitimate, or legally adopted child chiefly dependent upon & living with the taxpayer; not
more than 21 years of age, unmarried, and not gainfully employed; or regardless of age, is incapable of self
-
support due to mental or physical defect).
13A 13B 13C 13D 13E
14A 14B 14C 14D 14E
15A 15B 15C 15D 15E
16A 16B 16C 16D 16E
For Employee With Two or More Employers (Multiple Employments) Within the Calendar Year
Type of multiple employments
( If successive, enter previous employer(s); if concurrent, enter main employer)
Previous and Concurrent Employments During the Calendar Year
TIN Name of Employer/s
E m p l o y e r I n f o r m a t i o n
(If self-employed, please do not accomplish this part)
19 RDO Code
TIN
Employer's Name ( For Non-Individuals)
Employer's Name (For-Individuals) (Last Name, First Name, Middle Name)
No. (Include Building Name) Street Subdivision Barangay
District/Municipality City/Province Zip Code
I declare, under the penalties of perjury, that this certificate has been made in good faith, verified 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.
Employer/Authorized Agent Signature
Title/Position of Signatory
Stamp of Receiving Office