BIDS RCRA TO106/ISENCSPS Annual Income Tax Return eae @ ror Sltmplyed indian, Entaten a Tata 1701 Kevaninan ng Rents Interns | crxoralequrod format i CAPITAL LETTERS ving LACK in. ark pptcabio | June 2013 (ENCS) | coe tn Tes copie MUST bof we I od ne hat by fox Per. |” bu anor 720CL) |? Rtume” C1 ¥es L_INo 3 Short Period Return? [J Yes [] No “ nbtanimers Taro IATC) | WOT Compensation incane | [W072 Bushess cone income tom Protein |_| 0078 od came Part T= Background information on TAXPAVERTFILER, '5 Taxpayer Identification Number (TIN) : _e -[0[0]0]0]0|@RDOGode| | | Tax Fler Type Tingle Proprietor Professional Estate Trust B Tax Filer's Name (authors Fetnane wate ave er iavaie) / ESTATE of (i vions tase nar, x nane)/ TRUST FAO rans ioe Nae. a SUB AM ATR: DID MIVA GOR Mes GViv MZON, | yy 1 ‘9 Trade Name i a a a 70 Ragstored Address (clea complete regtered adress) [TAD We, SW Bigs ITA BAN GF, EK TE, |p ypyiririis PR A 11 Date of Sith (aMDOVYYY) — [12 Email Adaress. 0:7 fA] 2) [11191 414 | ym ye ys AAT AHO 6 2 IMAL I. Cioim 43 Conlact Number 44 Givi Status OFA AA was) | x | Single Married Legally Separated | widowier 451f Marie, indicate whether spouse has income [__] with income [_] WithNo Income | 16 ing Status [_] Joint Fiing [_] Separate Fling 47 Maine of) eorm | | tt tt ttt tt Laalatealea uoreee| |i cir rd Deduction (OSD) a ore sam ‘20 Method of Deduction [_] ltemized Deduc in oO ‘Optional Standard De¢ action ( ) eae 21 Method of Accounting Cash Accrual a ‘22 income Exempt from income Tax? [_] Yes No ‘23 income subject to Special/Preferential Rate? [] Yes [] No {Pion tape Manat Aachnens PERTETWETY F330 an it ap sce Monastry vacant PER ACTIVITY P5713) 24 Claiming Additonal Exemptions? [ves [_JNo | 2 HYES, ener number of uaiied Dependent Chisren tan ope te oad Part il — Total Tax Payable (Do NOT enter Centavos) 726 Total Income Tax Due (Overpayment) for Tax Filer and Spouse (Sum of lems T2A & 726) F 27 Less: Total Tax Credits / Payments (Sum of ltems 76A & 76B) i ‘28 Net Tax Payable (Overpayment) (Item 26 Less item 27) : 129. Less: Porton of Tax Payable Allowed for 7 instalment to be paid on or before July 15 norte Tan somo toma | 30 Total Tax Payable (item 28 Less item 29) : 31 Add: Total Penalties (From item 84) : 32 TOTAL AMOUNT PAYABLE Upon Filing (Overpayment) Sum offems 30 831) if Overpayment, mark one box only (Once the choice is made, the same is revocable) To be refunded “To be issued a Tax Credit Certtate (TCC) “Fo be carried over as a ax credit for next year/quarier Tesi onder Fo penalize ol pony Tal is anal an Pas been ade good ih veodby es arate fe bec oly Wowhead Dee hue and core pursuant toe [porisans oe National ronal avenue Code se sanded onde ote sued unde’ auarly Rete. AuPrzes Reprsenaive, afc auftzaton ite and inde 1 ei messy 1 rz 4 4 lt all ca Oem. dees, & Seas | 3 Number of ages fe Signatrs ora pins rar t Tax Piet [Sgr na prd rr a aren Rape Conny Tx cetesta ‘Bae aoe 7 1 (Cronos | 1 1 LL yy | nip | L J fl 36 Place of esve eno 1, | stamawaverc] y I Parte oe Number Date (mm/oo/vvvy) Amount eceneeeee Lt piitisfi fil Fer iar rae ere 38.Check 7 1 per 1 Lt ae ae ae | ao oihers pea Beton) = : Lite ee td Le bt i ed ht ee acne Valaion Revere Oficial Revol Data na od ih an Ate Age Bank) ‘Sap Rec OFEAAAE nd DE eee (RO's SignatureBank Teler's Intl)