(To be filled up by the BIR)

DLN: PSOC: PSIC:

Monthly Remittance Return of BIR Form No.

Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas
Under RAs 1051, 7649 ,8241 and 8424
1600
Value-Added Tax and Other
Percentage Taxes Withheld
April 2003 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an “X”.
Part I Background Information
1 For the Month 2 Amended Return? 3 No. of Sheets Attached 4 Any Taxes Withheld?
07 0
(MM / YYYY) Yes x No Yes x No
5 TIN 2019 6 RDO Code
001 151 022 074 7 Occupation
Line of Business/
Grains Industry
8 031
Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals) 9 Telephone No.
NATIONAL FOOD AUTHORITY 329-2635
10 Registered Address 11 Zip Code
QUINTIN SALAS JARO ILOILO CITY 5000
12 Category of Withholding Agent 13 Are there payees availing of tax relief under Special Law or
Private x Government International Tax Treaty? Yes x No If yes, specify
Part II ComputatIon of Tax
TAX TAX REQUIRED
NATURE OF INCOME PAYMENT ATC TAX BASE
RATE TO BE WITHHELD
Persons exempt from VAT under Sec. 109(v) (creditable)-Government
WB080 Withhold 45,998.41 3% 1,380.00
FWVAT on payments for purchases of Goods WV010 78,505.05 5% 3,925.25
FWVAT on payments for purchases of Services WV020 1,263,072.63 5% 63,153.64

14 Total Tax Required to be Withheld and Remitted 14 68,458.89

15 Less: Tax Remitted in Return Previously Filed, if this is an amended return 15
16 Tax Still Due/(Overremittance) 16
17 Add: Penalties
Surcharge Interest Compromise
17A 17B 17C 17D
18 Total Amount Still Due/(Overremittance) (Sum of Items 16 & 17D)
18
For late filers with overremittance, extend amount of penalties (Item 17D to 18)
I declare, under the penalties of perjury that this return has been made in good faith, verified by me, and to the best of my 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.

19 MARICRIS P. CHUA 20
President/Vice President/Authorized Representative/Tax Agent Treasurer/Asst. Treasurer/Authorized Representative
(Signature Over Printed Name) (Signature Over Printed Name)

Title/Position of Signatory Title/Position of Signatory

TIN of Tax Agent (if applicable) Tax Agent Acrreditation No. (if applicable)
Part III D e t a i l s of P a y m e n t Stamp of Receiving
Drawee Bank/ Date Office and
Particulars Agency Number MM DD YYYY Amount Date of Receipt
21 Cash/ Bank 21
Debit Memo
22 Check 22A 22B 22C 22D

23 Others 23A 23B 23C 23D

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)
Schedule I ALPHANUMERIC TAX CODES
Tax Tax
NATURE OF PAYMENT ATC NATURE OF PAYMENT ATC
Rate Rate
APPLICABLE TO GOVERNMENT WITHHOLDING AGENTS ONLY: Tax on shares of stock sold or exchanged through
VAT Withholding on Purchase of Goods 3% WV 010 initial and secondary public offering:
VAT Withholding on Purchase of Services 6% WV 020 - Not over 25% 4% WB 201
VAT Withholding on Government Public Work Contracts 8.5% WV 030 - Over 25% but not Exceeding 33 1/3 % 2% WB 202
Tax on carriers and keepers of garages 3% WB 030 - Over 33 1/3% 1% WB 203
Franchise Tax on Electric, Gas and Water Utilities 2% WB 040 Tax on interest, commissions and discounts paid or given to banks
Franchise Tax on radio & TV broadcasting companies whose annual & non-bank financial intermediaries arising out of lending activities
gross receipts do not exceed P10 M & who are not VAT-registered 3% WB 050 as well as financial leasing, on the basis of the remaining maturities
taxpayers of the instrument (if applicable)
Tax on life insurance premiums 5% WB 070 - Short Term maturity (not in excess of 2 years) 5% WB 301
Tax on Overseas Dispatch, Message or Conversation - Medium Term maturity (over 2 years to 4 years) 3% WB 302
10% WB 090
from the Philippines - Long Term maturity (over 4 years to 7 years) 1% WB 303
Tax on royalties, rentals of property, and all other gross income - Over 7 years 0% WB 304
5% WB 103
earned by banks & non-bank financial intermediaries (if applicable) APPLICABLE TO BOTH GOVERNMENT AND PRIVATE WITHHOLDING AGENTS:
Tax on interest , discounts & other items of gross income paid to VAT Withholding from non-residents (Government Withholding Agent) 10% WV 040
finance companies & other financial intermediaries not performing 5% WB 111 VAT Withholding from non-residents (Private Withholding Agent) 10% WV 050
quasi-banking functions (if applicable) VAT Withholding on Purchases of Goods (with waiver of privilege to
claim input tax credit) (creditable) 10% WV 012
Business Tax on Agents of foreign insurance co.- insurance agents 10% WB 120
Business Tax on Agents of foreign insurance co.- owner of VAT Withholding on Purchases of Goods (with waiver of privilege to
5% WB 121 claim input tax credit) (final) 10% WV 014
the property
Tax on International Carriers 3% WB 130 VAT Withholding on Purchases of Services (with waiver of privilege to
claim input tax credit) (creditable) 10% WV 022
Tax on Cockpits 18% WB 140
Tax on Cabaret, night and day clubs 18% WB 150 VAT Withholding on Purchases of Services (with waiver of privilege to
claim input tax credit) (final) 10% WV 024
Tax on Boxing exhibitions 10% WB 160
Tax on Professional basketball games 15% WB 170 Persons Exempt from VAT under Sec. 109z (creditable)-Government
3% WB 080
Tax on jai - alai and race tracks 30% WB 180 Withholding Agent
Tax on sale, barter or exchange of stocks listed & traded through Persons Exempt from VAT under Sec. 109z (creditable)-Private Withholding Agent 3% WB 082
1/2 of 1% WB 200
Local Stock Exchange Persons Exempt from VAT under Sec. 109z (final) 3% WB 084
ALPHABETICAL LIST OF PAYEES

FOR THE MONTH OF : WITHHOLDING AGENT TIN : WITHHOLDING

( MM/YYYY)
Schedule II ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHHELD (Attach additiona
SEQ PAYEE DETAILS INCOME PAYMENT / TAX WITHH
NO. TIN INDIVIDUAL / CORPORATION * ATC NATURE OF PAYMENT
(1) (2) (3) (4) (5)
(LAST NAME, FIRST NAME,
MIDDLE NAME FOR INDIVIDUALS
OR REGISTERED NAME
FOR NON-INDIVIDUALS)

Total
BIR FORM NO. 1600 - MONTHLY REMITTANCE RETURN OF VALUE-ADDED TAX AND OTH
GUIDELINES AND INSTRUCTIONS
 Page ___ of ___

HOLDING AGENT NAME : _______________________________

additional sheet/s, if necessary)

X WITHHELD DETAILS TAX TAX REQUIRED
AMOUNT RATE TO BE WITHHELD
(6) (7) (8)

P
D OTHER PERCENTAGE TAXES WITHHELD