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Republika ng Pllisinas egaweran ng Pananelapl x Less: Ciract Macariais, Ending [10 Raw Moiaraic Used von 8 terrane) fi Oreat La0a) [72 Manuladtunng Overene [iS Total Menviacuiring Oost oma keww om Ta) [ia Ala: Wore in Process, Beginning [15 casei Workin Prevess, Evang [2e Gost or Goods Maruizclured (sonst tans fu Wala en) [17 Ade: Finished Goocs, Beginning fi Less: Finishes Goacs, Ending [18 Gest o? Goocs Manulaclured & Sa [Schedule 4C = Cost of Services forthow engssedln Serves indhaivonh thea dl nared o wuivow no pom Description AlTapayerhier T _8) Spouse [20 Dect Charges - Salwiss, Wages and Beneits ies ao [21 Oise! Craryes- Maienale, Sunples and Facies [22.Drect Charces- Oepresiation za Direct Cheres- Renta: i [2aDitecl Crerges- Ouisde Gevices [28 Direct Charses- Othe = 26 Toil Coat of Sendcos ow atuaan ante Domne Por 1 em 5 1 ed §- Non-Operating comes sinless Nature of incon a ee oH Os Income i otens = —— Sshedule’6 - Ordinary Alowabla Kemized Deduciicns Aah mamas tocscsor ‘Nature of income Fy tapayerrior Bi Spouse (CAlverieng snd Promotors: Gee a Amorizalions (Soocny on tame 7 Ea) ae IR Fenn 704 a Fd S Annual IncomeTax Return firormne, fe i For Self-Employed individuals, Eswtes and Trusts 1701 | Page 7-Schedules 6 (Un [fax Fller’s Last Name. es 336 Ber Tie L ne [Schedule 6 - (Continued) Ordinary Allowable Romiasd Deduclions Beestintion EagDets JB Chartatle Conmibutone [7 Convniscions [5 Communication, Gant and Waler B Depietior 0 Destecaton [if Directors Pose [ez Fringe Bonet 3 Fuel end on [r4 Feurance fs hteres [re Janitorial ane Mussengorial Senveas Labor or Labor& Nawras [25 Repairs and Naintenanos -MateraiciSuppios [26 Representation and Ereerianmert fer Rasearen and Devepnert las Royaties ‘23 Salaries are Arowances [s0'Seourty Serveas [3t SSS. SSIS. Phihvalh, HDWF and Other Contibuions Re Taxes and [35 Toling Fees [S4 Trains and Seminars 5 Transporeton and Travel Dikers (Siecily delim, Act adatioral shaallg) Rhecessey] Bera (i [ae as “TT [foetal Ordinary Allowable tertiad Daaieton = 8 For 1701 Annual IncomeTax °.. ar Foo Ne | Ferdutigiovedinahldsels esas ane rue BusitrteeOULAR mare tax Soy me Page $- Schedules 9 to 10 [Tex Files Last Name Schadule § Tax Sredite/Paymente (Aitath proof) Description [i_ Prior Year's Excess Credits [2 Tax Payments for the First Three Quarters [3 Creditanle Tax Withheld for the First Three Quarters a Is Grecitable Tax Withheld for the 4th Quaner Grecitable Tax Withheld per BIR Form No. 2376 ars emule 2 Zam $99/582) {S_ Tex Paid in Retum provioushy fled fais snArandea Raum [7 Foreign Tax Grecits |S Special Tax Credits rarpicue (2_Cther Payments] Gradits, specty | [10 Total Tax Credits (Payments (Gin tors 12) Taiten79) [Schedule (0. BALANCE SHEET Description: Currant Assets [Long-Term Investments: ‘3 Property, Plant and Equipment at Ig_Long-Yerm Receivables is iz Intangible assets Other Assets, “Total Assets (onians 12a fp Gurren Liabiiaies 8 Longeferm Liabilities [io Deferred Greutts fPt_Other Gabiliias {2 Total Lebilties sommes eo 3 Capital Beginning [t4_Ade: Net Income or the year HS Less! Drawings 6 Capital, Ending Gin tone 194 Weston tg) [f7 Total Liabitiies and capital (Sumof tama 72a 18) = Bota oes CERTIFIED TRUE COPY foe eee. THEeEER dikes AMO TOGUER BUILULES BR For 4701 i ‘Annual Incometax Miturn set Fero 8 For Self-Employed indvisuais, Etats and Trusts 1704 @ Subjet te REGULAR income fax Ooh Soesonoesy Page 10 - Schedule 11 ‘Gan aENSS [Schedule 11A- Tav Miers Reconoliauon of Net Income per Books against Taxable Mcoine [1 Net Income (Lose) per books ‘Ade: Non eoauctb [a Tots (Sum ef items 4 10 3) “se A) Non taxable Ineama and ineome Subjected fo Final Tax [oTeal (Son otlions 58) “10 Net Taxable income (Loss) - Tax Filer (em # Less om 9) (Sshecula “Ie. Spause™s Reconciliation of Nat income par Soaks againat Tavable oome 4 Nat Incume (Lose) por books Aad: Nom jclocible Expenses/Taxable Other brcumne ‘Sum of tens 1104) Less: Aj Non taxable Income and income Subiecied to Final Tax “70 Net Taxable Income [Luss] - Spouse (fem 4Less fom 5) ZA JERTIFIED TRUE ce FREI ORIGINAL 1 GonzaLo BUILDERS ay js dbasvaick a 89 Form 1701 Annual IncomeTox Wear ae “espe Eames ATO ‘Ay Actual Amountar Nariet Valuemvet Cantal Gains |) Deserostin Exempt _inieresis b Rovalies Dhidends Prices and Winans Fringe Genaits fy Conpertealion Suljan <2 15% Pretersnal Fale [ifSateretchange of Realpropertes 1 A) Saexcharge#) ] 8) Sae@changs 2 £ Ton No. r T [E Secieate Achunarg Regsvation AR]No r Ri Arun Amount nr Market ValueNer Capital Gane oi T i Fnal Ta Wiinheld Pad St ee fi) Sae/exchange of Share or Stocks 2 Kind (PSIOE Stone Oorticate Sees Ne 3. Gerifonia Authoring Ragisration (CAR) No [= Numbor af Snares 'S_Date of Reve (MDDVYYY) "7 Final Tax Withneld (Pala B_Adtual AmountFar Market ValusiNel Capital Gains [My Otner income Speciyy Ry Otherhncame es Bl Other income #2 8 Ohher incorie Susject tof ial Taxon oa ._Aclual AnountFar Marcel ValueiNet Casta Gans Final Tax WihelePaid fei Total Final Tax Wichheld/Paid (Sum of tems 1810 68, "1A 198, 17A, 178,208 6 208) Description of Property (eg. land, mnpravement, ets) 4. ao Wose of Transter (3.9. Donation) { “= ] Getiicate Athrieng Repairavon (CARINE Le q : [F_Acual Ampunt/Fair Market Value i. a i Olfar exempt IncemelRece pis ‘AjPewowiRes Propertes#1 | 6) PereonalReal Proveties #2 ‘lher Exemst Income Receipts der secon 328) a toe aes foeee z = b_Aoual AmounbFar Marker ValeINetOapial Gans 1 Total IncomeiReceipts Exempt from Income Tax/Sunol tons | 105, 7A, 78 9A ASB) pia iRoal Properties Received thru GiRs, Sequeats ane By Personalfeal Preparer #2 SERTIFIED TRUE COPY ERGI oRIGINAS JE oe THERGEREK. bora: AMOCYQUER BUILEL: s

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