Republic of the Philippines

For BIR BCS/ Department of Finance

Use Only: Item: Bureau of Internal Revenue
BIR Form No.

1801 Estate Tax Return

Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with an “X”.
January 2018 (ENCS)
Two copies MUST be filed with the BIR and one held by the taxpayer.
Page 1 1801 01/18ENCS P1
1 Date of Death 2 Amended Return? Yes No 3 No. of Sheet/s Attached
4 Alphanumeric
ES 010
(MM/DD/YY)
1 0 1 0 1 8 0 0 Tax Code (ATC)
Part I – Taxpayer Information
5 Taxpayer Identification Number (TIN) 5 6 7 -9 8 7 - 3 1 2 - 0 0 0 0 0 6 RDO Code 010
7 Taxpayer’s Name (ESTATE of Last Name, First Name, Middle Name)
ESTATE OF CHAN, MANNY, ANG
8 Residence of Decedent at the time of death

T O W E R 4 , M A N H A T T A N P A R K V I E W R E S I D E N C E S ,
9 Non-Resident Alien? Yes No
A R A N E T A C E N T E R , C U B A O
10 Name of Executor / Administrator (Last Name, First Name, Middle Name for Individuals OR Registered Name for Non-Individual)

LORDAN, JAY-AR, IBABAO

11 TIN of Executor/ 12 Contact
Administrator 9 1 2 -6 5 0 - 2 1 4 - 0 0 0 0 0 Number 0 9 9 9 5 6 7 7 5 3 1
13 Email Address anakbayadestatetax@gmail.com
14 Are you availing of tax relief under a
Special Law/International Tax Treaty? Yes No 14A If yes, specify
15 Mark Applicable Box Yes No Yes No
15A Has an extension to file return been granted? 15D Has an installment payment been granted?
15B Has the estate been settled judicially? If yes, frequency of payment (maximum of 2 years only)
15C Has an extension to pay the tax been granted? Monthly Quarterly Semi-Annual Others (specify) _______________
Part II – Total Tax Payable
16 NET TAXABLE ESTATE (From Part IV, Item 40)
8 7 8 2 5 0 0 . 0 0
17 Applicable Tax Rate 6 . 0 %
18 ESTATE TAX DUE (Item 16 Multiply by Item 17)
5 2 6 9 5 0 . 0 0
19 Less: Tax Credits/Payments
19A Foreign Estate Tax Paid 0 . 0 0
19B Tax Paid in Return Previously Filed, if this is an Amended Return 0 . 0 0
19C Total (Sum of Items 19A and 19B) 0 . 0 0
20 Tax Payable (Item 18 Less Item 19C)
5 2 6 9 5 0 . 0 0
21 Less: Portion of tax allowed for payment by installment to be paid on or before ________________
0 . 0 0
22 Tax Payable (1st installment) (Item 20 Less Item 21) 0 . 0 0
23 Add: Penalties
23A Surcharge .
23B Interest .
23C Compromise .
23D Total Penalties (Sum of Items 23A to Item 23C) .
24 TOTAL AMOUNT PAYABLE (For full payment Sum of Items 20 and 23D) (For installment Sum of Item 22 and 23D) 0 . 0 0
I/We declare under the penalties of perjury that this return, and all its attachments, have been made in good faith, verified by me/us, and to the best of my/our 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. Further, I/we give my/our consent to the processing of my/our information
as contemplated under the *Data Privacy Act of 2012 (R.A. No. 10173) for legitimate and lawful purposes. (If Authorized Representative, attach Special Power of Attorney)

Jay-Ar I. Lordan
Signature over Printed Name of Executor/Administrator/Heir/Authorized Representative/Tax Agent
(Indicate title/designation and TIN)
Tax Agent Accreditation No./ Date of Issue Date of Expiry
Attorney’s Roll No. (If applicable) (MM/DD/YYYY) (MM/DD/YYYY)
K

Part III – Details of Payment

Details of Payment Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
25 Cash/Bank Debit Memo .
26 Check .
27 Tax Debit Memo .
28 Others (Specify)
.
Machine Validation Stamp of Authorized Agent Bank and Date of Receipt
(Bank Teller’s Initial)

*NOTE: The BIR Data Privacy Policy is in the BIR website (www.bir.gov.ph)
 BIR Form No.

1801
January 2018 (ENCS)
Estate Tax Return
Page 2 1801 01/18ENCS P2
TIN Taxpayer’s Name
5 6 7 9 8 7 3 1 2 0 0 0 0 0 C H A N , M A N N Y , A N G
Part IV – Computation of Tax
Particulars A. Exclusive B. Conjugal/Communal C. Total

6 0 0 0 0 0 0 .
29 Real Properties Excluding Family
Home (From Part V Schedule 1) 6,000,00.00 0.00 0 0
30 Family Home (From Part V Sched. 1A) 0.00 4,000,000.00 4000000 . 00
1 7 3 0 00 0 .
31 Personal Properties
(From Part V Schedules 2 & 2A) 0.00 1,730,00.00
0 0 0
8 0 0 0 0 0 .
32 Taxable Transfer
(From Part V Schedule 3) 0.00 800,000.00 0 0
33 Business Interest
(From Part V Schedule 4) 0.00 0.00 0 . 0 0
34 Gross Estate (Sum of Items 29 to 33) 6,000,000.00 6,530,000.00 1 2 5 3 0 0 0 0 . 0 0
6 1 5 0 0 0 .
35 Less: Ordinary Deductions
(From Part V Schedule 5) 350,000.00 265,000. 00 0 0
1 1 9 1 5 0 0 0 .
36 Estate after Ordinary Deductions
(Item 34 Less Item 35) 5,650,000.00 6,265,000.00 0 0
37 Less: Special Deductions
37A Standard Deductions ((Php5 Million for Citizen or Resident and Php500 thousand for Non-Resident Alien) . 0 0
0 .
0 . 0 0
37B Family Home (Fair Market Value or Php10 Million whichever is lower for Resident Citizen only; value exclusive property of decedent but not
to exceed Php10Million;however, if conjugal, Fair Market Value is ½ of the value but not to exceed Php10Million)
37C Others (specify) ________________________________________________________________
0 . 0 0
37D Total Special Deductions (Sum of Item 37A to 37C) 0 . 0 0
38 NET ESTATE (Item 36 Less Item 37D)
1 1 9 1 5 0 0 0 . 0 0
39 Less: Share of Surviving Spouse (Net Conjugal Estate under Item 36-Column B divided by 2)
3 1 3 2 5 0 0 . 0 0
40 NET TAXABLE ESTATE (Item 38 Less Item 39) (To Part II Item 16)
8 7 8 2 5 0 0 . 0 0
Part V – Schedules
Schedule 1 – Details of Property (REAL PROPERTIES) (Attach additional sheet/s if necessary)
OCT/TCT/CCT No. Tax Declaration (TD) No. Location Lot/Improvement Area *Classification
18-9098876 16-90765 Madulas St., Bgy Fairview, Quezon City Lot 231 Residential Regular

Schedule 1 – Details of Property (REAL PROPERTIES) (continuation)

FMV whichever is higher
Fair Market Value (FMV) per TD FMV per BIR (Zonal Value)
EXCLUSIVE CONJUGAL/COMMUNAL
4,500,000 6,000,000 6,000,000
TOTAL (To Part IV Item 29) 6,000,000
Schedule 1A – Details of Family Home
OCT/TCT/ Tax Declaration Fair Market Value FMV per BIR Fair Market Value
CCT No. (TD) No.
Location Area *Classification
(FMV) per TD (Zonal Value) EXCLUSIVE CONJUGAL/COMMUNAL
2013-43156 13-84317 Cubao 50 Residential Condominium 3,800,000 4,000,000 4,000,000

TOTAL (To Part IV Item 30) 4,000,000

Schedule 2 – Personal Properties (SHARES OF STOCK) (Attach additional sheet/s if necessary)

Classification Stock Certificate No. of Fair Market Value / Book Total Fair Market Value / Book Value
Name of Corporation Listed/Not Listed No. Shares Value per Share EXCLUSIVE CONJUGAL/COMMUNAL

TOTAL (To Part IV Item 31)

Schedule 2A – Other Personal Properties (Attach additional sheet/s if necessary)
Fair Market Value
Particulars
EXCLUSIVE CONJUGAL/COMMUNAL
Other Properties 1,700,000
Claim against insolvent person 30,000

TOTAL (To Part IV Item 31) 1,730,000

Schedule 3 – Taxable Transfers (Attach additional sheet/s if necessary)

Particulars Fair Market Value
(If Cash in Bank, indicate bank name and bank account number) EXCLUSIVE CONJUGAL/COMMUNAL
MBTC Acct #509-007-9087652 800,000

TOTAL (To Part IV Item 32) 800,000

Schedule 4 – Business Interest such as Net Equity and others not classified above (Attach additional sheet/s if necessary)
Fair Market Value
Trade Name or Business Name Registered Address RDO Code
EXCLUSIVE CONJUGAL/COMMUNAL

TOTAL (To Part IV Item 33)

Schedule 5 – Ordinary Deductions (Attach additional sheet/s if necessary) EXCLUSIVE CONJUGAL/COMMUNAL
Claims against the Estate
Claims of the deceased against Insolvent Persons 30,0000

Unpaid Mortgages, Taxes and Casualty Losses 200,000

Losses incurred during the settlement of the Estate 350,000

Property Previously Taxed (Vanishing Deduction)
Transfers for Public Use
Others (specify) _____________________________________________________________________________________
Accrued income taxes 35,000

TOTAL (To Part IV Item 35) 350,000 265,000

* RR-Residential Regular CR-Condominium Regular CL-Cemetery Lot GL-Government Lot A-Agricultural X-Institutional
RC-Residential Condominium CC-Commercial Condominium PS-Parking Slot GP-General Purpose I-Industrial APD-Area for Priority Development