RR 15-2010We value your peace of mind in taxation …

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Certified Financial Statements

Statements of Conditions Statements of Operations Statements of Retained

Earnings Statements of Changes in

Financial Position Notes to Financial Statements

Presentations herein are ETM convictions and belief

[1] 15-2010

SALES EXEMPTSPECIAL

RATEREGULAR

RATE TOTAL

Vatable

Zero-rated VAT

VAT-exempt

TOTAL

Factual / Legal Basis(for Zero-Rated and / or Exempt sales / receipts)

i.e. The taxpayer is selling

copra, according to RR 16-2005, a sale, barter, exchange or trade of copra is considered a VAT-exempt sale.

Factual / Legal Basis(for Zero-Rated and / or Exempt sales / receipts)

i.e. In this schedule, the term

‘Zero-rated VAT sales’ means the sale to PEZA-registered taxpayers in conformity with Section 106, NIRC.

[2] 15-2010Input tax claimed for the taxable years 2010 2009

Carry forward from the previous quarter

ADD: Importation and purchase of goods and services

For resale (Inventory)

Other than resale

Subject for amortization (fixed asset)

Not subject for amortization (fixed asset)

Lodged under cost of goods sold (cost of sale)

Lodged under other accounts (adminex and opex)

TOTAL

LESS: Claimed for tax credit / refund

Disallowed per VAT law (see schedule)

Carry forward to the next quarter

[2] 15-2010 AGOODS / SERVICES

INVENTORY FIXED ASSETCOST OF

SALEADMINEX/

OPEX

Capital Goods <1.0M

Capital Goods >1.0M

Domestic Goods

Importation

Domestic Services

Non-resident Services

Not qualified for Input Tax

[3] 15-2010

Per BOC’s

Landed Cost

PAYMENTSDUTIES AND

TARIFFS

TOTALVAT

Excise Tax

Accrued Paid

TOTAL

[3] 15-2010 A

Date of Importatio

n

Import Entry

Declaration Number

Per BOC’s Landed

Cost

VAT Payments

Duties and

Tariffs

TOTAL

[4] 15-2010

EXCISEABLESAUTOMOBILE

SOIL TOTAL

Local

Imported

TOTAL

[5] 15-2010

DOCUMENTSSTAMP TAXES

TOTALAccrued Paid

Loan Agreements

Contracts of Lease

TOTAL

[6] 15-2010

TAX AUTHORITYPERIOD

COVEREDTAX TYPE AMOUNT

Quezon City 2010 Business Permit

Brgy. Tandang Sora

2010 Certification

MMDA 2010 Parking Permit

Manila 2010 Real Estate

TOTAL

[6] 15-2010 A

TAX AUTHORIT

Y

DATE PAID

OFFICIAL

RECEIPT NO.

PERIOD COVERE

D

TAX TYPE

AMOUNT

Quezon City

Brgy. Tandang

Sora

MMDA

TOTAL

[7] 15-2010

TAX TYPE TAX BASE PAYMENT

Withholding Tax Compensation

Fringe Benefit Tax

Expanded Withholding Tax

Final Withholding Tax

TOTAL

[8] 15-2010

2009 IT WTC EWT FBT VAT FWTTOTA

L

Basic

Interest

Surcharge

Penalty

TOTAL

[8] 15-2010 A

i.e. The audit findings and assessments

stated herein are based on best evidence obtainable rule but there is reason to believe that they are not only incorrect but also arrived at capriciously because the assigned Revenue Officers deliberately failed and refused and still fail and refuse to examine the records submitted to them.

[9] 15-2010

2007 IT WTC EWT FBT VAT FWTTOTA

L

Basic

Interest

Surcharge

Penalty

TOTAL

[9] 15-2010 A

i.e. The Regional Director wilfully failed and

refused and still fails and refuses to render a valid and enforceable resolution on the protest logged even if three [3] legal notices requiring him to do so had been sent to him. Thus, the taxpayer took the initiative to elevate the audit findings and assessments herein stated to the Court of Tax Appeals to protect and safeguard its interest and assets.

Presentations herein are ETM conviction and belief

If the schedule is NOT APPLICABLE

State the requirement of RR 15-2010

For the record and at the moment, this taxpayer does neither have civil nor criminal case in any judicial or quasi-judicial body.

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