For Retail / Manufacturing Industry

NAME OF COMPANY
MERCHANDISE/ RAW MATERIALS / GOODS IN PROCESS / FINISHED GOODS INVENTORY
As of December 31, 20__

LOCATION (Note 1) INVENTORY

VALUATION
PRODUCT / INVENTORY CODE ITEM DESCRIPTION METHOD UNIT PRICE QUANTITY IN
ADDRESS CODE REMARKS STOCKS
(Note 2)

WHOLESALE OF SOLID, LIQUID, GASEOUS FUELS 5141

Note 1 a Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in location/address at the Head Office or Branch
or Facilities (with or without sales activity of the taxpayer). Facilities shall include but not limited to place of production, showroom, warehouse, stora
place, leased property, etc. Include also goods out on consignment, though not physically present are nonetheless owned by the taxpayer.

b Use the following codes:

CH Indicate the name of the consignor in the Remarks column
Goods on consignment held by the
taxpayer
P Indicate the name of related party/owner in the Remarks column
Parked goods or goods owned by related
parties
O Goods owned by the taxpayer
CO Indicate the name of the entity in the Remarks column
Goods out on consignment held in the
hands of entity other than taxpayer

Note 2 Indicate Costing Method applied, e.g., Standard Costing, FIFO, Weighted Average, Specific Identification, etc.
 We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our knowl
belief, is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under auth
thereof.

Name and Signature of Authorized

Representative
TIN : ______________
 ANNEX A
NAME OF COMPANY
MATERIALS / GOODS IN PROCESS / FINISHED GOODS INVENTORY
As of December 31, 20__

UNIT OF
MEASUREMENT TOTAL TOTAL
(In weight or volume) WEIGHT / COST
e.g., kilos, grams, liters, VOLUME
etc.)

has title thereto or not, provided these goods are actually situated in location/address at the Head Office or Branch
ctivity of the taxpayer). Facilities shall include but not limited to place of production, showroom, warehouse, storage
also goods out on consignment, though not physically present are nonetheless owned by the taxpayer.

Indicate the name of the consignor in the Remarks column

Indicate the name of related party/owner in the Remarks column

Indicate the name of the entity in the Remarks column

.g., Standard Costing, FIFO, Weighted Average, Specific Identification, etc.

ties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our knowlegde and
the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority