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BCS/
Item
1702-MX06/13P1
1702-MX
Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with an X.
Two copies MUST be filed with the BIR and one held by the taxpayer.
Page 1
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
1 For X Calendar
Fiscal
2 Year Ended (MM/20YY)
3 Amended Return?
Yes
1 2 /20 1 5
Yes
No
June 2013
No
0 0 0 0
7 RDO Code
1 S T
F L R
11 Contact Number
A M I R E S
B L D G .
M A N I L A
A V E .
12 Email Address
14 PSIC Code
15 Method of Deduction
4 6 6 0 8
21 If Overpayment, mark X one box only (Once the choice is made, the same is irrevocable)
To be refunded
We declare under the penalties of perjury, that this annual return has been made in good faith, verified by us, and to the best of our 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. (If Authorized Representative, attach authorization letter and indicate TIN)
Title of Signatory
24 Place of Issue
25 Amount, if CTC
27 Check
28 Tax Debit Memo
Drawee Bank/
Agency
Number
Date (MM/DD/YYYY)
/
/
/
/
/
/
Amount
Machine Validation/Revenue Official Receipt Details (if not filed with an Authorized Agent Bank)
TIN
1702-MX06/13P2
0
Part IV Basis of Tax Relief
A Exempt
If there are more than one activities/programs under EXEMPT and SPECIAL
Tax Regimes, use as many Mandatory Attachments per Activity (Part VIII) as
necessary and mark X the box at the left.
C Special Tax Relief
B Special Rate
32 Legal Basis
33 Registered Activity/Program (Reg. No.)
/
/
35 From (MM/DD/YYYY)
36 To (MM/DD/YYYY)
/
/
/
/
/
/
/
/
/
/
A. Total Exempt
B. Total Special
C. Total Regular
0.00
Add Penalties
40 Surcharge
41 Interest
42 Compromise
43 Total Penalties (Sum of Items 40 to 42)
ATC
IC 010
IC 055
IC 030
IC 055
IC 031
IC 055
IC 040
IC 055
IC 041
IC 055
IC 020
IC 055
DESCRIPTION
DOMESTIC CORPORATION
1. a. In General
b. Minimum Corporate Income Tax (MCIT)
2. Proprietary Educational Institutions
a. Proprietary Educational Institution whose gross
income from unrelated trade, business or other
activity exceeds fifty percent (50%) of the total
gross income from all sources
b. Minimum Corporate Income Tax (MCIT)
TAX
RATE
30%
2%
10%
30%
2%
10%
2%
30%
30%
TAX BASE
ATC
Taxable Income
from All Sources
Gross Income
Taxable Income
from All Sources
2%
2%
Taxable Income
from All Sources
a. On Exempt Activities
0%
b. On Taxable Activities
30%
/
TAX BASE
exempt
1. a. In general
b. Minimum Corporate Income Tax (MCIT)
30%
2%
Gross Income
IC 080
2. International Carriers
2.5%
Gross Income
Taxable Income
from All Sources
IC 101
10%
Taxable Income
Gross Income
Taxable Income
from All Sources
IC 190
30%
Gross Income
Taxable Income
from All Sources
2%
Gross Income
TAX
RATE
IC 010
IC 055
30%
DESCRIPTION
DOMESTIC CORPORATION
7. Exempt Corporation
Taxable Income
from All Sources
Gross Income
Taxable Income
from All Sources
IC 011
IC 021
6. a. Taxable Partnership
10%
30%
10%
30%
TIN
1702-MX06/13P3
Registered Name
0
Instructions: A. Fill up the applicable columns below, if there is only one activity/program under EXEMPT and/or SPECIAL Tax Regimes.
B. Use as many Part VIII-Mandatory Attachments per Activity as necessary, if there are more than one
activities/programs under EXEMPT and/or SPECIAL Tax Regimes. Consolidated amounts from Part VIII
Mandatory Attachments PER TAX REGIME shall be reflected under the corresponding columns below.
Part VII S C H E D U L E S
Schedule 1 COMPUTATION OF TAX Per Tax Regime
Description
1 Net Sales/Revenues/Receipts/Fees
A. Total Exempt
B. Total Special
C. Total Regular
13,424,053.18
(From Schedule 3 Item 6) and (From all of Part VIII Sched B Item 1)
1,708,317.76
1,708,317.76
736,156.65
(From Schedule 5 Item 40) and (From all of Part VIII Sched B Item 6)
8)
0%
0.00
0.00
A. Total Exempt
(30% of the Net Taxable Income in Item 11A for Exempt &
Item 11B for Special Rate)
0.00
B.Total Special
C.Total Regular
TIN
1702-MX06/13P4
Registered Name
0
Schedule 3 - Sales/Revenues/
Receipts/Fees
A. Total Exempt
B. Total Special
C. Total Regular
A. Total Exempt
B. Total Special
C. Total Regular
1 Sale of Goods/Properties
2 Sale of Services
3 Lease of Properties
4 Total (Sum of Items 1 to 3)
5 Less: Sales Returns/Discounts
6 Net Sales/Revenues/Receipts/Fees
(Item4 Less Item 5)
106,408.83
11,713,612.96
11,820,021.79
104,286.37
11,715,735.42
A. Total Exempt
B. Total Special
C. Total Regular
A. Total Exempt
B. Total Special
C. Total Regular
TIN
1702-MX06/13P5
Registered Name
0
A. Total Exempt
B. Total Special
C. Total Regular
A. Total Exempt
B. Total Special
C. Total Regular
1
2
3
4 Total Other Taxable Income not Subjected to Final
Tax
(Sum of Items 1 to 3)
TIN
1702-MX06/13P6
Registered Name
0
A. Total Exempt
B. Total Special
C. Total Regular
A. Total Exempt
B. Total Special
C. Total Regular
36
37
38
39
40 Total Ordinary Allowable Itemized Deductions
(Sum of Items 1 to 39) (To Schedule 1 Item 6)
Description
Legal Basis
1
2
3
4
5 Total Special Allowable Itemized Deductions
(Sum of Items 1 to 4) (To Schedule 1 Item 7)
Schedule 7 - Computation of Net Operating Loss Carry Over (NOLCO) [only for those taxable under Sec. 27(AtoC); Sec. 28(A)
1 Gross Income
2 Less: Total Deductions Exclusive of NOLCO & Deduction Under Special Law
3 Net Operating Loss (Item 1 Less Item 2)
5
6
7
Continuation of Schedule 7A (Item numbers continue from table above)
D) NOLCO Applied Current Year
C) NOLCO Expired
4
5
6
7
8
Total NOLCO
(Sum of Items 4D to 7D)
A. Total Exempt
B. Total Special
C. Total Regular
TIN
1702-MX06/13P7
Registered Name
0
0
(Continued from Previous Page)
Description
A. Total Exempt
B. Total Special
C. Total Regular
Schedule 9 - Computation of Minimum Corporate Income Tax (MCIT) [Applicable only to those taxable under Sec 27 (A to C) & Sec. 28(A)(2)]
A) Normal Income Tax as Adjusted
C) Excess MCIT over Normal Income Tax
Year
B) MCIT
1
2
3
Continuation of Schedule 9 (Item numbers continue from table above)
F) Excess MCIT Applied
D) Excess MCIT Applied/Used
E) Expired Portion of
this Current Taxable Year
for Previous Years
Excess MCIT
1
2
3
4 Total Excess MCIT (Sum of Column for Items 1F to 3F)
Schedule 10 - Reconciliation of Net
Income per Books Against
Taxable Income
A. Total Exempt
2
3
4 Total (Sum of Items 1 to 3)
Less: A) Non-taxable Income and Income Subjected to Final Tax
5
6
B) Special Deductions
7
8
9 Total (Sum of Items 5 to 8)
10 Net Taxable Income (Loss) (Item 4 Less Item 9)
B. Total Special
C. Total Regular
TIN
June 2013
1702-MX06/13P8
Registered Name
0
1 Current Assets
1 6 0 9 0 5
2 Long-Term Investment
3 Property, Plant and Equipment Net
13 Capital Stock
4 Long-Term Receivables
5 Intangible Assets
6 Other Assets
7 Total Assets (Sum of Items 1 to 6)
3
Liabilities and Equity
8 Current Liabilities
9 Long-Term Liabilities
10 Deferred Credits
11 Other Liabilities
2 2 1 3 6 1
Stockholders
Partners
(On column 3 enter the amount of capital contribution and on the last column enter the percentage this represents on the entire ownership.)
REGISTERED NAME
TIN
Capital Contribution
% to
Total
TIN
1702-MX06/13P9
Registered Name
0
A) Exempt
A) Sale/Exchange #1
B) Sale/Exchange #2
A) Sale/Exchange #1
B) Sale/Exchange #2
1 Interests
2 Royalties
3 Dividends
4 Prizes and Winnings
A) Other Income #1
B) Other Income #2
(Specify)
A) Personal/Real Properties #1
B) Personal/Real Properties #2
(Specify)