ANNEX "B"

LARGE TAXPAYERS SERVICE

MONTHLY REPORT OF ALL CASES ACTED UPON (Collected and for Assessment)
FOR THE MONTH OF _______________________
DEFICIENCY TAX LIABILITIES
SELECTION TAXABLE NATURE OF FINDINGS/
NAME OF THE TAXPAYER ADDRESS TIN RDO REVENUE OFFICER ELA NO. DATE ISSUED CODE PERIOD PROPOSED DEFICIENCY DEFICIENCY TAX LEGAL BASIS HOURS SPENT
TAX ASSESSMENT COLLECTED

Prepared by: Noted by:

REVENUE OFFICER GROUP SUPERVISOR