Transcription of SOCIAL SECURITY SYSTEM CONTRIBUTIONS PAYMENT FORM
{{id}} {{{paragraph}}}
Example: air traffic controller
SOCIAL SECURITY SYSTEM CONTRIBUTIONS PAYMENT FORM
Self-EmployedNon-Working SpouseVoluntaryFarmer/FishermanOFW (Foreign Address - City, Country _____ )EMPLOYER NUMBERSS NUMBER (10 DIGITS)COMMON REFERENCE NUMBER (IF ANY, 12 DIGITS)EMPLOYER NAMENAMEADDRESS( NO. & BLDG. NAME)(HOUSE/LOT & BLK. NO.)(STREET NAME)(SUBDIVISION)(BARANGAY/DISTRICT/LOC ALITY)(CITY/MUNICIPALITY)(PROVINCE)ZIP CODETAX IDENTIFICATION NUMBER (IF ANY)TELEPHONE NUMBER (AREA CODE+TEL. NO.)MOBILE/CELLPHONE NUMBERE-MAIL ADDRESSWEBSITE (FOR BUSINESS EMPLOYER)TOTAL(TO BE FILLED OUT BY EMPLOYER ONLY)Republic of the PhilippinesSOCIAL SECURITY SYSTEMCONTRIBUTIONS(THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED)TO BE FILLED OUT BY EMPLOYER AND INDIVIDUAL PAYORPAYOR's COPYPLEASE READ THE INSTRUCTIONS ATTHE BACK BEFORE FILLING OUTTHIS FORM. PRINT ALL INFORMATION IN capital LETTERS ANDUSE BLACK INK PERIODTO BE FILLED OUT BY INDIVIDUAL PAYORTO BE FILLED OUT BY EMPLOYERPAYMENT DETAILSMONTHPAYMENT FORMB usinessHouseholdSS CONTRIBUTION(TO BE FILLED OUT BY EMPLOYER & INDIVIDUAL PAYOR)EC CONTRIBUTION(TO BE FILLED OUT BYEMPLOYER ONLY)YEARCON-01181 (05-2014)PPPPPPPPPTOTAL AMOUNT OF PAYMENTPFORM OF PAYMENTTOTAL AMOUNT PAID IN WORDSCashPPostal Money OrderCheck Check NumberPAID BY Check Date Bank & Branch NameTOTAL AMOUNT PAIDPOO)SIGNATUREI hereby declare, for purposes of Sec.
social security system contributions (this is your official receipt when validated) to be filled out by employer and individual payor payor's copy please read the instructions at the back before filling out this form. print all information in capital letters and use black ink only. applicable period to be filled out by employer to be filled out ...
Loading..
Tags:
Information
Domain:
Source:
Link to this page:
Please notify us if you found a problem with this document: