Bir FORM 2305 PDF
Bir FORM 2305 PDF
Bir FORM 2305 PDF
Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
1 Type of Filer 1 Employee ( for update of "Exemption" and other employer's and employee's information)
Self-employed ( for update of "Exemption")
2 Effective Date 2
( MM / DD / YYYY )
7 Sex
Male Female
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.
8
Taxpayer/Authorized Agent Signature over Printed Name
14 Date of Certification 14
( MM / DD / YYYY ) Stamp of Receiving Office
I declare, under the penalties of perjury, that this certificate has been made in good faith, verified by me and and Date of Receipt
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.
15 16
Employer/Authorized Agent Signature Title/Position of Signatory
BIR Form 2305 (ENCS) - Page 2
Part III Personal Exemptions
17 Civil Status 18 Employment Status of Spouse:
Single/Widow/Widower/Legally Separated (No dependents) Unemployed
Head of the Family Employed
Single with qualified dependent Husband claims additional exemption
Widow/Widower with qualified dependent Wife claims additional exemption
Legally separated with qualified dependent (Attach court decision) (Attach waiver of husband)
Benefactor of a qualified senior citizen (RA No. 7432) Engaged in Business
Married Husband claims additional exemption
Wife claims additional exemption
(Attach waiver of husband)
19 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)
20 Spouse Information
Spouse Taxpayer Identification Number
20A