SS Number 33-4415917-7 33-2885109-3 33-5521807-8 33-0416388-5 03-7652460-5 33-6254689-8

Loan Date Type Granted Name of Borrower BATUCAN, GILBERT G. S 11-27-2009 CASIPLE, ROSILO M. S 03-13-2008 FERRER, MA. THERESA B. S 07-24-2008 RICO, ROSEMARIE V. S 11-27-2009 MARQUEZ, ENRIQUE B. S 11-04-2009 SOLA,SHIELA L. S 11-05-2009 ****NOTHING FOLLWOS****

Amount of Loan 20,000.00 16,000.00 9,500.00 24,000.00 24,000.00 23,000.00

Amount Due Current 958.32 700.00 831.24 1,150.00 1,150.00 1,006.24 5,795.80

SS Number 33-4415917-7 33-2885109-3 33-5521807-8 33-0416388-5 03-7652460-5 33-6254689-8

Loan Date Type Granted Name of Borrower BATUCAN, GILBERT G. S 11-27-2009 CASIPLE, ROSILO M. S 03-13-2008 FERRER, MA. THERESA B. S 07-24-2008 RICO, ROSEMARIE V. S 11-27-2009 MARQUEZ, ENRIQUE B. S 11-04-2009 SOLA,SHIELA L. S 11-05-2009 ****NOTHING FOLLWOS****

Amount of Loan 20,000.00 16,000.00 9,500.00 24,000.00 24,000.00 23,000.00

Amount Due Current 958.32 700.00 831.24 1,150.00 1,150.00 1,006.24 5,795.80

SS Number 33-4415917-7 33-2885109-3 33-5521807-8 33-0416388-5 03-7652460-5 33-6254689-8

Loan Date Type Granted Name of Borrower BATUCAN, GILBERT G. S 11-27-2009 CASIPLE, ROSILO M. S 03-13-2008 FERRER, MA. THERESA B. S 07-24-2008 RICO, ROSEMARIE V. S 11-27-2009 MARQUEZ, ENRIQUE B. S 11-04-2009 SOLA,SHIELA L. S 11-05-2009 ****NOTHING FOLLWOS****

Amount of Loan 20,000.00 16,000.00 9,500.00 24,000.00 24,000.00 23,000.00

Amount Due Current 958.32 700.00 831.24 1,150.00 1,150.00 1,006.24 5,795.80

GISTRATION/REMITTANCE FORM MEMBERSHIP REGISTRATION/REMITTANCE FORM

PRIVATE EMPLOYER GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY ERNMENT AGENCY

M1-1
REGION CODE

MONTH

YEAR

LOCAL GOVERNMENT UNIT

AUGUST
FOR GOVERNMENT EMPLOYER TELEPHONE NO/S AGENCY CODE

2011
BRANCH CODE

NAME OF EMPLOYER

EMPLOYER SSS ID NO.

PATENTPROSE TRADEMARK ASSISTANCE SERVICES

ADDRESS OF EMPLOYER 1013-A EDSA, Veterans Village, Proj. 7, Quezon City

FOR PRIVATE EMPLOYER TIN

03-9115379-2
ZIP CODE

158-125-801
NAME OF EMPLOYEES First Name MIKAELA ROSELLE Middle Name) CERVANIA V.

372-2464
C O N T R I B U T I O N S

PAG-IBIG ID No./DATE OF BIRTH

( Family Name
1 2

EMPLOYEE 100.00 100.00

EMPLOYER 100.00 100.00

TOTAL 200.00 200.00

07/17/87

NAVAL FELICIDARIO

X-X-X-X-X NOTHING FOLLOWS X-X-X-X

No. of Employees on this page

No. of Employe es if last page

TOTAL FOR THIS PAGE TOTAL FOR THIS PAGE

200.00 200.00

200.00 200.00

400.00 400.00

FOR Pag-IBIG USE ONLY

PFR/VALIDATION No.TICKET DATE AMOUNT MM DD YY

= P

CERTIFIED CORRECT BY: 400.00 SIGNATURE OVER PRINTED NAME DATE PAGE NO. NO. OF PAGES

COLLECTING BANK TICKET DATE MM DD

REMARKS RECONCILED BY CHECKED BY

ROSEMARIE V. RICO
OFFICIAL DESIGNATION YY

ACCOUNTANT

HDMF

MONTHLY REMITTANCE SCHEDULE

FOR MULTI-PURPOSE LOAN
X
PRIVATE EMPLOYER LOCAL GOVERNMENT UNIT GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY FOR PRIVATE EMPLOYER EMPLOYER SSS ID No. FOR GOV'T EMPLOYER

P2-4
YEAR AUGUST 2011
REGION CODE

MONTH

NAME OF EMPLOYER

AGENCY BRANCH CODE CODE

PATENTPROSE TRADEMARK ASSISTANCE SERVICES

ADDRESS OF EMPLOYER 1013- A EDSA Veterans Village, Project 7, Quezon City Promissory Pag-IBIG ID No. Note (Family Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 33 34 35 No. of employees on this page 1 No. of employees on this page 1 GRAND TOTAL (if last page) PRF No. DATE AMOUNT 261.44 COLLECTING BANK REMARKS For Pag-IBIG USE ONLY TOTAL FOR THIS PAGE NERA

03-9115379-2
ZIP CODE 1256 TELEPHONE NO/S. 372-2464 Monthly Amortization 261.44 USE CODE REMARKS

NAME OF BORROWERS First Name Middle Name) CHERRYL ANNE MALUBAY

* * * * *Nothing Follows* * * *

CODES 261.44 A - Resigned/ Separated B - Deceased 261.44 CERTIFIED CORRECT BY: C - Retired D - Leave w/o pay E - Other (specify)

MM DD YY P

SIGNATURE OVER PRINTED NAME ROSEMARIE V. RICO OFFICIAL DESIGNATION ACCOUNTANT

PAGE No.NO. OF PAGES

TICKET DATE RECONCILED BYCHECKED BY

MM DD YY

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

EGISTRATION/REMITTANCE FORM MEMBERSHIP REGISTRATION/REMITTANCE FORM

PRIVATE EMPLOYER GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY ERNMENT AGENCY

M1-1
YEAR

MONTH

LOCAL GOVERNMENT UNIT

NAME OF EMPLOYER

EMPLOYER SSS ID NO.

PP

AUGUST
AGENCY CODE

2011
BRANCH CODE REGION CODE

DYNA-MIX NOVEL, ENT.

ADDRESS OF EMPLOYER 1013-A EDSA Veterans Village, Project 7, Quezon City

FOR PRIVATE EMPLOYER TIN

03-9186626-7
ZIP CODE

FOR GOVERNMENT EMPLOYER TELEPHONE NO/S

158-125-801
NAME OF EMPLOYEES First Name MARY PAULINE DENUWALDO RUBEN Middle Name) MARQUEZ GALOYO CUYUGAN

372-2464
C O N T R I B U T I O N S

PAG-IBIG ID No./DATE OF BIRTH

( Family Name
1 2 3

EMPLOYEE 100.00 100.00 100.00

EMPLOYER 100.00 100.00 100.00

TOTAL 200.00 200.00 200.00

06/29/62 04/13/82 06/19/60

RONQUILLO ANASITO RONQUILLO, JR.

******NOTHING FOLLOWS*******

No. of Employees on this page

No. of Employe es if last page

TOTAL FOR THIS PAGE TOTAL FOR THIS PAGE

300.00 300.00

300.00 300.00

600.00 600.00

FOR Pag-IBIG USE ONLY

PFR/VALIDATION No. TICKET DATE AMOUNT MM DD YY COLLECTING BANK TICKET DATE MM DD REMARKS RECONCILED BY CHECKED BY YY

= P

CERTIFIED CORRECT BY: 600.00 SIGNATURE OVER PRINTED NAME DATE PAGE NO.NO. OF PAGES

ROSEMARIE V. RICO
OFFICIAL DESIGNATION

ACCOUNTANT

HDMF

MONTHLY REMITTANCE SCHEDULE

FOR MULTI-PURPOSE LOAN X PRIVATE EMPLOYER LOCAL GOVERNMENT UNIT NAME OF EMPLOYER GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY
FOR PRIVATE EMPLOYER

P2-4

MONTH AUGUST
FOR GOV'T EMPLOYER

YEAR 2011

EMPLOYER SSS ID No.

AGENCY BRANCH REGION CODE CODE CODE

DYNA-MIX NOVEL, ENT. 03-9186626-7 ADDRESS OF EMPLOYER ZIP CODE 1013- A EDSA Veterans Village, Project 7, Quezon City 1150 Promissory NAME OF BORROWERS Pag-IBIG ID No. Note (Family Name First Name Middle Name) 0070-625941-06 P07J34077RM 1 ANASITO DENUWALDO GALOYO 2 ***********NOTHING FOLLOWS************** 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 No. of No. of TOTAL FOR employees employees THIS PAGE on this page 1 on this page 1 For Pag-IBIG USE ONLY GRAND TOTAL (if last page) PRF No. DATE AMOUNT MM DD YY P 624.39 CERTIFIED CORRECT BY: COLLECTING BANK REMARKS SIGNATURE OVER PRINTED NAME ROSEMARIE V. RICO TICKET DATE RECONCILED BY CHECKED BY OFFICIAL DESIGNATION MM DD YY ACCOUNTANT THIS FORM CAN BE REPRODUCED. NOT FOR SALE

TELEPHONE NO/S. 372-2464 Monthly USE REMARKS Amortization CODE 624.39

624.39

624.39

CODES A - Resigned/ Separated B - Deceased C - Retired D - Leave w/o pay E - Other (specify)

PAGE No. OF PAGES NO.

REGION

GISTRATION/REMITTANCE FORM MEMBERSHIP REGISTRATION/REMITTANCE FORM

PRIVATE EMPLOYER GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY ERNMENT AGENCY

M1-1
YEAR

MONTH

LOCAL GOVERNMENT UNIT

August
FOR GOVERNMENT EMPLOYER TELEPHONE NO/S AGENCY CODE

2011
BRANCH CODE REGION CODE

NAME OF EMPLOYER

EMPLOYER SSS ID NO.

ROPA INNOVATIVE MARKETING

ADDRESS OF EMPLOYER 1013-A EDSA Veterans Village, Project 7, Quezon City

FOR PRIVATE EMPLOYER TIN

03-9119456-0
ZIP CODE

158-125-801
NAME OF EMPLOYEES First Name ROSEMARIE LEODEGARIO JACK LARRY Middle Name) CANONOY MOSCOSO TELIN TELIN

372-2464
C O N T R I B U T I O N S

PAG-IBIG ID No./DATE OF BIRTH

( Family Name
1 2 3 4

EMPLOYEE 100.00 100.00 100.00 100.00

EMPLOYER 100.00 100.00 100.00 100.00

TOTAL 200.00 200.00 200.00 200.00

05/09/69 06/22/74 03/22/63 10/30/70

ANTIQUE MONTERO, JR. GALOYO GALOYO

x x x NOTHING FOLLOWS X X X

No. of Employees on this page

No. of Employee s if last page

TOTAL FOR THIS PAGE TOTAL FOR THIS PAGE

400.00 400.00

400.00 400.00

800.00 800.00

FOR Pag-IBIG USE ONLY

PFR/VALIDATION No. TICKET DATE AMOUNT MM DD YY COLLECTING BANK TICKET DATE MM DD REMARKS RECONCILED BY CHECKED BY YY

= P

CERTIFIED CORRECT BY: 800.00 SIGNATURE OVER PRINTED NAME DATE PAGE NO.NO. OF PAGES

ROSEMARIE V. RICO
OFFICIAL DESIGNATION

ACCOUNTANT

MONTHLY REMITTANCE SCHEDULE

FOR MULTI-PURPOSE LOAN
X
PRIVATE EMPLOYER LOCAL GOVERNMENT UNIT GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY FOR PRIVATE EMPLOYER EMPLOYER SSS ID No. FOR GOV'T EMPLOYER

MONTH August

YEAR 2011

NAME OF EMPLOYER

AGENCY BRANCH CODE CODE

ROPA INNOVATIVE MARKETING

ADDRESS OF EMPLOYER 1013- A EDSA Veterans Village, Project 7, Quezon City Promissory Pag-IBIG ID No. Note (Family Name 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 33 34 35 No. of employees on this page 4 No. of employees on this page 4 GRAND TOTAL (if last page) PRF No. DATE
MM DD YY

03-9119456-0
ZIP CODE 1256 NAME OF BORROWERS First Name LARRY JACK ROSEMARIE LEODEGARIO Middle Name) TELIN TELIN CANONOY MOSCOSO TELEPHONE NO/S. 372-2464 Monthly Amortization 1,148.72 1,148.72 1,314.88 1,341.84 USE CODE REMARKS

GALOYO GALOYO ANTIQUE MONTERO, JR.

x-x-x-x NOTHING FOLLOWS x-x-x

TOTAL FOR THIS PAGE 4,954.16 CODES A - Resigned/ Separated B - Deceased 4,954.16 4,954.16 CERTIFIED CORRECT BY: SIGNATURE OVER PRINTED NAME ROSEMARIE V. RICO OFFICIAL DESIGNATION ACCOUNTANT
PAGE No.NO. OF PAGES

For Pag-IBIG USE ONLY AMOUNT P REMARKS

CHECKED BY

C - Retired D - Leave w/o pay E - Other (specify)

COLLECTING BANK TICKET DATE

MM DD YY
RECONCILED BY

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

HDMF

P2-4

REGION CODE

REMARKS

CODES

D - Leave w/o pay E - Other (specify)

NO. OF PAGES

M CAN BE REPRODUCED. NOT FOR SALE

REGISTRATION/REMITTANCE FORM MEMBERSHIP REGISTRATION/REMITTANCE FORM

PRIVATE EMPLOYER GOVERNMENT CONTROLLED CORP. NATIONAL GOVERNMENT AGENCY ERNMENT AGENCY

M1-1
YEAR

MONTH

LOCAL GOVERNMENT UNIT

August
FOR GOVERNMENT EMPLOYER TELEPHONE NO/S AGENCY CODE

2011
BRANCH CODE REGION CODE

NAME OF EMPLOYER

EMPLOYER SSS ID NO.

VERSA VANTAGE TRADING

ADDRESS OF EMPLOYER 1013-A EDSA Veterans Village, Project 7, Quezon City

FOR PRIVATE EMPLOYER TIN

03-9166516-7
ZIP CODE

158-125-801
NAME OF EMPLOYEES First Name RONIE GILBERT RODEL EDWIN RONNIE WILFREDO, JR. NOEL MORIS SHIELA ROSILO RENE SARA ENRIQUE LAVERNE MARCO RODEL KRESTA ANDREA Middle Name) MENAJE GUIDENG SUCUANO MARAYAN OMANAD PARAGUIZUN CABANIT GUINTO LARIDA MENAJE RODRIGUEZ ILAW BELTRAN LUMIO LADDRAN VALDEZ MATEUM

372-2464
C O N T R I B U T I O N S

PAG-IBIG ID No./DATE OF BIRTH 0070-510594-06 0070-510595-04 0070-510596-02 0070-510597-11 0070-510599-07 0070-631509-10 0070-510601-02 0070-510602-11

( Family Name
1 2 3 4 5 6 7 8 9

EMPLOYEE 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00

EMPLOYER 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00 100.00

TOTAL 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00 200.00

CASIPLE BATUCAN LERUM ESOLE TUPLANO PEREZ VALDEZ CARANTO SOLA

0070-510603-09
0070-579112-02 10/09/62 11/07/64 08/29/62 03/10/81 09/07/84 08/05/75 0017-388518-07

10 CASIPLE 11 MACASPAC 12 VASQUEZ 13 MARQUEZ 14 BARREDO 15 CANCERAN 16 TAGALA 17 LAGMAY

X-X-X-X-X-X NOTHING FOLLOWS X-X-X-X-X-X-X

No. of Employees on this page

18

No. of Employe es if last page

18

TOTAL FOR THIS PAGE TOTAL FOR THIS PAGE

1,700.00 1,700.00

1,700.00 1,700.00

3,400.00 3,400.00

FOR Pag-IBIG USE ONLY

PFR/VALIDATION No.TICKET DATE AMOUNT MM DD YY COLLECTING BANK TICKET DATE MM DD REMARKS RECONCILED BY CHECKED BY YY

= P

CERTIFIED CORRECT BY:

3,400.00

SIGNATURE OVER PRINTED NAME

DATE PAGE NO. NO. OF PAGES

ROSEMARIE V. RICO
OFFICIAL DESIGNATION

ACCOUNTANT

HDMF

MONTHLY REMITTANCE SCHEDULE

FOR MULTI-PURPOSE LOAN
X PRIVATE EMPLOYER GOVERNMENT CONTROLLED CORP. MONTH NATIONAL GOVERNMENT AGENCY FOR PRIVATE EMPLOYER AUGUST YEAR 2011

P2-4

Atrium of Makati, Makati Ave. Makati City GOVERNMENT UNIT LOCAL Tel. Nos. 811-4401 to 27 (Connecting all departments) NAME OF EMPLOYER

EMPLOYER SSS ID No. OR GOV'T F AGENCY BRANCH REGION EMPLOYER CODE CODE CODE VERSA VANTAGE TRADING 03-9166516-7 ADDRESS OF EMPLOYER ZIP CODE TELEPHONE NO/S. 1013- A EDSA Veterans Village, Project 7, Quezon City 1256 372-2464 Promissory NAME OF EMPLOYEES Monthly USE REMARKS Pag-IBIG ID No. Note (Family Name First Name Middle Name) Amortization CODE 0070-510594-06 1 CASIPLE RONIE MENAJE 728.60 0070-510595-04 2 BATUCAN GILBERT GUIDENG 735.08 0070-631509-10 P07H92579NM 3 PEREZ WILFREDO, JR. PARAGUIZIN 668.48 0070-510601-02 P07H81036RM 4 VALDEZ NOEL CABANIT 742.12 0070-510602-11 P07H81045RM 5 CARANTO MORRIS GUINTO 735.08 0070-510599-07 P07H81026RM 6 TUPLANO RONNIE OMANAD 658.04 0070-510597-11 7 ESOLE EDWIN MARAYAN 744.48 0070-579112-02 P07H72525RM 8 CASIPLE ROSILO MENAJE 1,157.28 9 LERUM RODEL SUCUANO 758.88 x-x-x-x NOTHING FOLLOWS x-x-x-x-x

No. of employees on this page

No. of employees 10 on this page For Pag-IBIG USE ONLY DATE AMOUNT MM DD YY P

TOTAL FOR THIS PAGE 10 GRAND TOTAL (if last page) 6,928.04 6,928.04 CERTIFIED CORRECT BY: SIGNATURE OVER PRINTED NAME ROSEMARIE V. RICO OFFICIAL DESIGNATION ACCOUNTANT 6,928.04

PRF No.

CODES A - Resigned/ Separated B - Deceased C - Retired D - Leave w/o pay E - Other (specify)

COLLECTING BANK

REMARKS

TICKET DATE ECONCILED BY R CHECKED BY MM DD YY

PAGE No. OF PAGES NO. 1 1

THIS FORM CAN BE REPRODUCED. NOT FOR SALE

BIR FORM 1702 (ENCS) - PAGE 2 Section A Schedule 1 Gross Income Schedule of Sales/Revenues/Receipts/Fees Special Rate Taxable Amount Creditable Tax Withheld 36 Sale of Goods/Properties 37 Sale of Services 38 Lease of Properties 39 Total 40 Less: Sales Returns/Discounts Schedule of Cost of Sales (Trading / Manufacturing) Amount under Special Rate 42 Merchandise/Finished Goods Inventory, Beginning 43 45 Add: Purchases of Merchandise/Cost of Goods Manufactured Less: Merchandise/Finished Goods Inventory, End Schedule of Cost of Sales (Service) Amount under Special Rate 47 Direct Charges - Salaries, Wages and Benefits 48 Direct Charges - Materials, Supplies, and Facilities 49 Direct Charges - Depreciation 50 Direct Charges - Rental 51 Direct Charges - Outside Services 52 Direct Charges - Others 53 Total Cost of Services (Sum of Items 47 to 52) (to Item 15) Schedule 4 Nature of Income 54 55 56 57 58 59 60 61 Total Other Income (to Item 17) Section B Computation of Minimum Corporate Income Tax (MCIT) of Current Year 2% Schedule of Taxable Other Income Special Rate
Creditable Tax Withheld Creditable Tax Withheld

Regular Rate Taxable Amount

41 Net Sales/Revenues/Receipts/Fees (to Item 14) Schedule 2 Amount under Regular Rate

44 Total Goods Available for Sale 46 Cost of Sales (to Item 15) Schedule 3 Amount under Regular Rate

Regular Rate
Creditable Tax Withheld Taxable Amount

Taxable Amount

62 Total Gross Income for MCIT purposes 63 Tax Rate 64 Minimum Corporate Income Tax (to Item 23) Section C Year 65 66 67 68 69 Section D 70 Taxable Income 71 Add: Income Exempt from Tax Income Excluded from Gross Income Income Subject to Final Tax Net Operating Loss carry-over deducted 72 Total 73 Less: Dividends actually or constructively paid Income Tax Paid for the taxable year 74 Improperly Accumulated Taxable Income 75 Tax Rate 76 Improperly Accumulated Earnings Tax (to Item 28) Computation of Improperly Accumulated Earnings Tax

Computation of Excess Minimum Corporate Income Tax (MCIT) of Previous Year Normal Income Tax MCIT Excess of MCIT overExcess MCIT applied Balance MCIT Expired Portion as adjusted Normal Income Tax this Year still allowable of Excess MCIT as adjusted as Tax Credit

10%

BIR FORM 1702 (ENCS) - PAGE 3 Section E Deductions

EXEMPT Nature of Expense / Deduction 77 Salaries and Allowances 78 Fringe Benefits 79 SSS, GSIS, Medicare, HDMF and
Other Contributions

Special Rate

TAXABLE Regular Rate

80 Commissions 81 Outside Services 82 Advertising 83 Rental 84 Insurance 85 Royalties 86 Repairs & Maintenance 87 Representation & Entertainment 88 Transportation & Travel 89 Fuel and Oil 90 Communications, Light and Water 91 Supplies 92 Interest 93 Taxes & Licenses 94 Losses 95 Bad Debts 96 Depreciation 97 Amortization of Intangibles 98 Depletion 99 Charitable Contribution 100Research and Development 101Amortization of Pension Trust Contribution 102Miscellaneous 103Total Expenses (Sum of Items 77 to 102)
(to Item 19A, B & C)

Section F

Reconciliation of Net Income Per Books Against Taxable Income Special Rate Regular Rate

104Net Income/(Loss)per books.. 105 Add: Non-deductible Expenses/Other Taxable Income

106Total (Sum of Items 104 & 105) 107 Less: Non-taxable Income and Income subjected to Final Tax

108 Net Taxable Income/(Net Loss) (Item 100 less Item 103 ) Special Deductions:

109

Total (Sum of Items 107 & 108)

110Net Taxable Income/(Net Loss) (Item 106 less Item 109) We declare, under the penalties of perjury, that this 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. 111 112 Treasurer/Asst. Treasurer/Authorized Representative President/Vice President/Authorized Representative (Signature over printed Name) Community Tax Certificate Number 113 114 Place of Issue 115 (Signature over printed Name) Date Issued MM DD YYYY Amount 116

BIR FORM 1702 (ENCS) - PAGE 4

OperationATC Code
01

Description

DOMESTIC CORPORATION IC 010 1. In General

Tax Rate

Tax Base

Operation ATC Code

13 01 IC 011 IC 010

Description

7. Exempt Corporation a. On Exempt Activities0% b. On Taxable Activities *same rate Taxable Income On

Tax Rate

Tax Base

a. IC IC IC IC IC 055 370 030 031 040

02 02 04

IC 041

08

IC 020

IC 055 IC 370

### 34% ### 33% Taxable Income 14 IC ### 32% from All sources b. Minimum Corporate Income Tax 2% Gross Income c.Improperly Accumulated Earnings Tax 10% Improperly Accumulated Taxable Income 2. Proprietary Educational 10% On Taxable Income from All sources Institutions 09 IC 3. Non-stock, Non-Profit Hospitals Taxable Income from All sources 10% On 4. GOCC, Agencies & Instrumentalities On Taxable a. ### 34% Income from ### 33% All sources IC ### 32% IC b. Minimum Corporate Income Tax Gross Income 2% On 10 IC c.Improperly Accumulated Earnings Tax 10% Improperly Accumulated Taxable Income IC 5. National Gov't & LGU's a. ### 34% On Taxable IC ### 33% Income from ### 32% Proprietary activities b. Minimum Corporate Income Tax Gross Income 2% On c.Improperly Accumulated Earnings Tax 10% Improperly Accumulated Taxable Income 6. Taxable Partnership a. ### 34% On Taxable IC ### 33% Income from ### 32% All sources b. Minimum Corporate Income Tax Gross Income 2% On c.Improperly Accumulated Earnings Tax 10% Improperly Accumulated Taxable Income

* PLEASE REFER TO REVENUE DISTRICT OFFICES BIR Form No. 1702 - Annual Income Tax Return (For Corporations and Partnerships) GUIDELINES AND INSTRUCTIONS

as in 1a 021 8. General Professional Partnership 0% 9. Corporation covered by Special Law* RESIDENT FOREIGN CORPORATION 070 1. In General a. 1998 34% On Taxable 1999 33% Income from 2000 32% within the Philippines 055 b. Minimum Corporate Income Tax Gross Income 2% On 370 c.Improperly Accumulated Earnings Tax Accumulated Taxable Income 10% Improperly 080 2. International Carriers 2.5% Gross Philippine Billing 101 3. Regional Operating Headquarters* 10% On taxable Income 4. Corporation covered by Special Law* 190 5. Offshore Banking 10% On Gross Taxable Income on Units (OBU's) Foreign Currency Transaction not subjected to Final Tax a. 1998 34% On Taxable Income 1999 33% Other Than Foreign 2000 32% Currency Transaction 191 6. Foreign Currency 10% On Gross Taxable Income on Deposit Units (FCDU's) Foreign Currency Transaction not subjected to Final Tax a. 1998 34% On Taxable Income 1999 33% Other Than Foreign 2000 32% Currency Transaction

W ho shall file Normal Rate

Effectiv Every corporation, 32% for 1999 stock companies, joint a engaged in tradeIn additi or busi formed for shall purpose the be impo petroleum, coal, geother Minimum C or controlled corporation and accurate income tax A minim Code. The return shall president or income is im other princip following th by the Treasurer or Assis Every operation, w general prof

(To be filled up by the BIR)

DLN:

BCS No.

PSIC:

R epubli ka ng Pilip inas Ka gaw aran ng Pan analap i

Kawanihan ng Rentas Internas F or C orporations and Partnerships

Annual Income Tax Return

5 ATC

1702

BIR F orm No.

J uly 1999 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an X. 1 For the 3 Calendar FiscalAmended Return? 4 No. of sheets attached 2 Year Ended ( MM / YYYY ) Yes No Part I Background Information 8 Line of Business/ 7 RDO Code 6 TIN Occupation 9 Taxpayer's Name 10 Registered Address

11 Zip Code

12 Are you availing of tax relief under Special Law/ 12B International Tax Treaty? 12A Yes No If yes, specify 13 Date of Incorporation/Birth 13A Date of Registration with BIR13B (MM/DD/YYYY) (MM/DD/YYYY) Part II Computation of Tax EXEMPT TAXABLE Special Rate Regular Rate 14 14 14 A B C 14 Sales/Revenues/Receipts/Fees (Sch.1) 15 15 15 A B C 15 Less: Cost of Sales/Services (Sch.2/3) 16 16 16 A B C 16 Gross Income from Operation 17 17 17 B C 17 Add: Non-Operating & Other Income A (Schedule 4) 18 18 18 A B C 18 Total Gross Income 19 19 19 A B C Less: Deductions (Section E) 19 20 20 A B 20 Taxable Income 21A 21B 21 Tax Rate (except MCIT Rate).. 22A 22 B 22 Income Tax .. . .. 23 23 Minimum Corporate Income Tax (MCIT)(Section B) 24 Tax Due 24A Tax on transactions under Regular Rate (Normal Income Tax or Minimum Corporate Income Tax whichever is higher) 24A 24B Less: Unexpired Excess of Prior Year's MCIT over Normal Income Tax Rate 24B (deductible only if the current year's tax due is the normal rate)(Section C).. 24C 24C Balance (Item 24A less Item 24B).. 24D 24D Add: Tax on transactions under Special Rate (From Item 22A). 25 25 Aggregate Income Tax Due (Sum of Items 24C and 24D). 26 Less: Tax Credits/Payments 26A 26A Prior Year's Excess Credits ........................................................................... 26B 26B Tax Payments for the First Three Quarters.. 26C 26C Creditable Tax Withheld for the First Three Quarters .. 26D 26D Creditable Tax Withheld Per BIR Form No. 2307 for the Fourth Quarter . 26E 26E Foreign Tax Credits, if applicable................................................ 26F 26F Tax Paid in Return Previously Filed, if this is an Amended Return............. 26G 26G Total Tax Credits/Payments (Sum of Items 26A to 26F) 27 Tax Payable/(Overpayment)(Item 25 less Item 26G)...................................... 28 Improperly Accumulated Earnings Tax (Section D) 29 Total (Sum of Items 27 and 28)..... Add: Penalties Surcharge Interest Compromise 30A 30B 30C 30D

27 28 29 30

31 Total Amount Payable/(Overpayment) (Sum of Items 29 & 30D)........................................ 31 If overpayment, mark one box only: (once the choice is made, the same is irrevocable) To be refunded To be issued a Tax Credit Certificate To be carried over as tax credit next year/quarter Part III D e t a i l s of P a y m e n t Drawee Bank/ Date Particulars Agency Number MM DD YYYY Amount 32 32 Cash/Bank Debit Memo. 33A 33B 33C 33D 33 Check
34A 34 Tax Debit Memo 34B 35C 34C 35D

Stamp of Receiving Office and Date of Receipt

35 Others

35A

35B

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

EVN (110399)