BIR Form No, 1707 Capital Gains Tax Return (For Onerous Transfer of Shares of Stock Not Traded Through seramyaziagncsy | the Local Stock Exchango) age SS ‘1767 O1TBENCS P2| TW Taxpayers Name Ree ee PartlV Schedules ‘Schedule 4 — Installment Salo. Seung Liat ipiiti | 2. Cost and Expenses ee [3 Mortgage Assumed apy amen 4 No, of installments i 5 Amount of Installment for this Payment Period ea ea emo 5 Aslcal ato t 17 Tax due for the period (item 5 Multiply by Nem 6)(To Part, ltem 14) fan fence A. 8 Total Collection (Downpayment and installments) during the Year of Sale i iG a Schedule 2 = Description of Shares of Stocks [alach addllonal sheets necossay) Name of Corporate Stock SPP eS ae sade gees eae eee a See eg eS SP opi ty tpi fei Pete ele ie 1 tester Poieis iti di ti eee Sided nanan brgireritis By a ee eee ina a Sina Raa Ua AA Ua ae Ligiiniint Total (To Patt! tera 10) Le ‘Schedule 3 — Schedule of Cost and Other Allowable Expenses (atiach addilional sheets, necessary) Parliculars ‘Amount a § Lidgiittiitpits By 5 {el Ele ea in KE! EP L 2 LLbitititit L Q Libitititit 1 Total (To Pati tm 17) Libtigiiiit | Taxpayer Classification Tax Rate 4. For Individual 15% 2. For Corporation 24 Domestic 15% 22 Foreign 22:4 Not over P100,000 5% 212.2 On any amount in excess of P100,000 10%Republic ofthe Philippines Department of Finance Bureau of Internal Revenue Foren, ses! Use Only lem DIR Fam No : : 7 CU stg lire Sa ince Aa |i { i anv "ee ect sD a anos | EE ae om acre hearin eds Hh AYO? OVISENGSP1 1 Date of Transaction ZAmendedReun? | 3ATCCode_ 4 Numbor of Shoots MoD = Sa Yes LINO | L 8 J individuat fe es a] [re re] Corporation a Part Background Information ‘5 RDO Code of Seller vi {Sellers Name cata, tne sae Nae Sellers Reaistered Adaress eee SitausuneotsNcoe shinier | Gate cps Yeh ttm ation Peete aatoastenbecemt | deniteaton Nesioe I) eset sans Pros Tobteno niga epire ana by carg eto =itule] Buyers Naiie ox hora int or, ee me Buyer's Registered Address Buyers Taxpayer SucteS ace anamay eran) | Os pie pasaemmansieeatriwpennis fis)” _"eentiieaton Number i ‘ie you avalng of tax het under 5 8 Special Lew or International Tax Treaty? Ee So Ene @ Description of Transaction [_] CashSales [_]hstalment Sle [_Foredosure Galo. [_]Otiem (epeal) Peseta Part — Computation of Tax. 4 Tacaie bave POT Caan Ss] PEREBULY Gui a CS eee 11 Less: Cost and Other Allowable Expenses (From Part IV Schedule 3) Lipiitpsiai mt 42 Net Capital Gain/(Loss) (lem 10 Less tem 11) Ligtiaiitii yt 13 Tex Due onthe Ene Teearon an SabrensneSa aon oustvimeawTared |) |p | | a1 1a 11 Ll | 14 pias abe ae bobaaieatoabedctecepiatey bidiigiigit L 48 Less: Tox Paid in Return Previously Filed, thsi an Amended Return ee ed ! 16 Tax Payable / (Overpayment) (item 13 or 14 less itam 18) Pee ER L 17 Adc: Penalties 47A Surcharge ge L 47B Interest preieopedeeteibeteet [erie el 476 Compromise pope 47D Tota Penalis Sumortene 7A 179) Litiiiiinii Bt 48 Total Amount Payable/(Overpayment (Sum of toms 16 nd 170) Litiitiini inese of overpayment, apply for tx rund usng BIR Form No. 1974 (Applicaton for Tax Credis/ Refund) Tie deco naa pete pony Pa and al sss hae bens god a veodby nels ab he bet mo louse aba sts ad cre pusin oe ross of te ton ena Rerun Cat, se ariel and rosire bse dr aur reo. Fue, Ue ove mtu Coset be ceshy of yu rican as canes rc e| "Foren ett 202 (RA No, 107 ein an procs Ad ol Sed Pena Aa) For Individual: For Non-Individual Sip SS Ove rT Na TT REST TETSRS RESDAIWETTIX AGE | SaTaire oe PF ve Nae Ot Pes Vs Pies hubeend OME or RepRCTAGTX TGR ies acest nds bstorer end “Tax Agent Reereaaton No el TL osgatery Armas Rol No rapa moony auwnornrn Part li Detalle_of Payment Particulars [pw=teniaoney] Number Date (MM/0D/YYYY) ‘Amount ete | 1 | tT ttt TT TT tT TT) sche Pipes] ect eee ppc eet py Deg ea L 21 Tex Debit emney Pete ened See DeceLee eee SSL Se SE | 22 Others (Spect/beb moti Pri ii Ticino Vaidaton Ep TR DTS TSH BOAT RET (ant Tetors ta) SITET Tine RIN Tinta Barn Delis es ie BHT WADENE Teeter Dir oon On