Application for Certificate of Tax Exemption - Cooperatives

Application for Certificate of Tax Exemption

The Regional Director

Bureau of Internal Revenue

Revenue Region No, ______

Attn. : Chief, Legal Division

Thru ______________

Revenue District Officer

Sir :

Pursuant to Revenue Regulation 20-2001, we respectfully submit the following

requirements for the issuance of a Certificate of Tax Exemption to____
______________________________ Cooperative, to wit:

Certified true copy of Articles of Cooperation and By-Laws.

Certified true copy of Certificate of Registration / Confirmation issued by CDA.
Original copy of Certificate of Good Standing from the CDA.
Latest financial statements duly audited by an independent CPA
Certification under oath by the Chairperson / General Manager

a. The cooperative is transacting business

with members only

with both members and non-members.

b. Amount of accumulated general reserve fund and undivided net savings.

c. At least 25% of the net surplus is retained to members in the form of interest on
capital and a patronage refund.

d. List of members and the share contribution of each member.

Please acknowledge receipt thereof.

Very truly yours,

__________________
Chairman of the Board/Manager

Attachment to the application for CTE

Republic of the Philippines }

Province of _________________ ) s.s.

City/Municipality of __________ )

AFFIDAVIT

I, _____________________ of legal age and with postal address at

__________________________ after having been duly sworn to in accordance with law
do hereby depose and say :

That I am the duly elected chairman of the __________ .;

That as chairman I am aware of the operations of the above cooperation ;

That the cooperative is transacting business
with members only

with both members and non-members

That the accumulated general reserve fund and net savings of the cooperation as of
________ is ________ .
That at least 25% of the net surplus is retained to members in the form of interest
on capital and/or patronage fund.
That attached hereto is a list of members and their corresponding share capital
contribution to the cooperative.
That I am executing this affidavit to prove to the veracity of the above statements.

In witness whereof, I have hereunto set my hand this ____ day of ___________ at
_________________ , Philippines.

__________________

Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of __________ at ____________ ,

Philippines, affiant exhibiting to me his / her CTC No. ______ issued at _________ on
______________ .

NOTARY PUBLIC