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7/24/2016

BIR Form 25500

.. -

II

Gui &ines and Instructions

Psic:

Bir Form No.

Quarterly Value-Added
Tax Return

2550Q
February 2007 (ENCS)

(Cumulative For 3 Months)

For the
Year Ended
(MM/YYYY)

'

Calendar

TIN
_____

[183

From

Quarter

Fiscal

Return Period
(MM/DD/YYYY)

e
1st 2nd 3rd 4th
December

04/01/2016

06/30/2016

To,

770j

433

RDO
Code

8 No.of
sheets
attached

074

-------

09

Return?
Return?
Yes No

Line of
Business

11 Telephone Number
14412068

13

Registered Address

BRGY. PAGSANGA-AN ILOILO

Zip Code

If yes. please specify


Yes

No

PART II

Computation of Tax
Sates/Receipts for the Quarter (Exclusive of VAT)

15

Vatable Sales/Receipt

16

Sale to Government

16A

17

Zero Rated Sales/Receipts

17

18

Exempt Sales/Receipts

18

19

Total Sales/Receipts and Output Tax Due

19A

20

Less: Allowable Input Tax

- Private (see Sch. 1 )

Output Tax Due for the Quarter

15A

116,054.34

15B

13,926.52

2,059.448.56

16B

247,133.83

19B

261,060.35

0.00
0.00
2,175,02.90

20A

Input Tax Carried Over from Previous Period

20A

0.00

20B

Input Tax Deferred on Capital Goods Exceeding P1 Million from Previous Quarter

20B

0.00

200

Transitional Input Tax

200

0.00

200

Presumptive Input Tax

20D

0.00

20E

0.00

20F

0.00

0.00

21 B

0.00

0.00

21 D

0.00

1,241,982.75

21 F

149,037.93

0.00

21H

0.00
0.00

20E

Others

20F

Total (Sum of Item 20A, 20B, 20C, 20D

&

20E)

Current Transactions
Purchase of Capital Goods not exceeding P1 Million (See

21 Al B
21 OlD

2
23

1500 1

Are you availing of tax relief


14under Special Law or International Tax
Treaty?

21

Yes N

[OTHER BUILDING COMPLETION A

Taxpayer's Name (For Individual) Last Name, First Name, Middle Name/ (For Non-individual) Registered Name

FALSIS, CELIA TABACON

12

5 Short
Penod
Return?

2016

000
10

Help

F4549

Republika ng Pilipinas
Kagawaran ny Pananalapi
Kawanihan ng Rentas Intemas

Purchase of Capital Goods exceeding P1 Million (see

Purchases

21A

21 C

21E/F

Domestic Purchases of Goods Other than Capital Goods

21E

210/H

Importation of Goods Other than Capital Goods

21G

21 IIJ

Domestic Purchase of Services

211

0.00

21J

21 KJL

Services Rendered by Non-residents

21K

0.00

21 L

0.00

21 M

Purchases Not Qualified for Input Tax

21 M

0.00

21N/O

Others

21N

0.00

210

0.00

21 P

Total Current Purchases (Sum of Item 21A, 21C. 21E,


210, 211, 21K, 21M & 21N)

21 P

Total Available Input Tax (Sum of Item 20F, 2111, 21D, 21F, 21H, 21 J, 211.

&

1241
'
, 98275

210)

Less: Deductions from Input Tax


Input Tax on Purchases of Capital Goods exceeding P1 Million deferred for the succeeding period
23A
(see Sch. 3

23B
230

Input Tax on Sate to Govt. closed to expense (see Sch. 4

230

VAT Refund

23E

Others

23F

Total (Sum of Item 23A, 236, 23C, 230

Input Tax allocable to Exempt Sales (see Sch. 5

/ ICC claimed
&

23E)

22

149,037.93

23A
23B
230

0.00
-

0.00
0.00

23D

0.00

23E

000

23F

0.00

24 Total Allowable Input Tax (Item 22 less Item 23F)

24

149,037.93

25
26

25

112,022.42

26A

45,580.75

Net VAT Payable (item 19B less Item 24)


Less: Tax Credits/Payments

26A

Monthly VAT Payments

- previous two months

(I

BIR Form 25500

Sch.7)
26D
26E
26F
26G

26C

VAT withheld on Sales to Government (see

260

Sch. S )

26E

0.00

26F

000

Others

263

Total Tax CreditslPeyments(Sum of Item 26A, 26B, 26C,


26D, 26E. 26F, & 26G)
Tax Still Payable/ (Overpayment) (Item 25 less Item 26H)
Add: Penalties

26H

0.00

0.00

28 BT

0.00
-

27

Interest

Surcharge

28A
29

60,941.67

VAT paid in return previously filed, if this is an amended


return
Advance Payments made (please attach proof of
payments - SIR Form No. 0605)

26H

27
28

0.00
r

5,500.00

28C1

0.00

0.00

28D
29

5,500.00

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Total Amount Payable (Overpayment) (Sum of Item 27& 250)

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106

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REPUBLIC OF THE PHILIPPINES


DEPARTMENT OF FINANCE

BUREAU OF INTERNAL REVENUE

FILING REFERENCE NO.


IN

:183-770-433-000

Jame

FALSIS CELIA TABACON

tDO

074

orm Type

:2550Q

teference No.

:101600016205556

mount Payable
Over Remittance)

550000

ccounting Type

or Tax Period

:06/30/2016

uarter

:2

)ate Filed

. ax Type

:VT

BIR Main

Calendar

07/24/2016

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Successful Message

e7RUnq and Payment Syem

BIR eFPS has received the payment confirmation for your tax
return from LBP.
TIN

183-770-433-000

Taxpayer's Name

FALSIS, CELIA TABACON

Tax Type

Return Period

Transacting Bank

06/30/20 16

--

1F

LBP (086000)

1
Reference Number

101600016205556

Payment Transaction Number

164021405

Payment Transaction Date

07/24/2016

Actual Amount Paid

5500.00

7B Confirmation Number

[:

----------------

00072420161409266420

Please refer to the Tax Return Inquiry facility to check the status of your payment.

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