Appendix 11

Agency

Detailed Statement of Income and Expenses

For the Fiscal Year Ended December ____ , 20 __

Income
Subsidy Income from National Government
Less: Reversion of Unused Notice of Cash Allocation
Income from Government Services
Income from Government Business Operation
Rent Income
Interest Income
Gain on Sale of Assets
Sales Revenue
Less: Cost of Goods Sold
Total Income
Less Expenses:
Salaries and Wages-Regular Pay
PERA
Additional Compensation
Representation Allowance (RA)
Transportation Allowance (TA)
Clothing Allowance
Christmas Bonus
Cash Gift
Productivity Incentive Bonus
Life & Retirement Insurance Contributions
PAGIBIG Contributions
PHILHEALTH Contributions
Other Personal Benefits
Traveling Expense-Local
Traveling Expense-Foreign
Electricity
Telephone/Internet
Rent Expense

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Appendix 11

Agency

Detailed Statement of Income and Expenses

For the Fiscal Year Ended December ____ , 20 __
Office Supplies Expense
Gasoline, Oil and Lubricants Expense
Building Maintenance
IT Equipment Maintenance
Motor Vehicles Maintenance
Furnitures & Fixtures Maintenance
Other Repairs & Maintenance
Grants and Donations
Bad Debts Expense
Depreciation-Buildings
Depreciation-IT Equipment
Depreciation-Office Equipment
Depreciation-Furniture & Fixtures
Depreciation-Other Property, Plant and Equipment
Bank Charges
Interest Expense
Other Financial Charges
Excess of Income Over Expenses

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