For Retail/Manufacturing Industry

ANNEX A
LELISA BELO
MERCHANDISE/RAW MATERIALS/GOODS IN PROCESS/ FINISHED GOODS INVENTORY
As of December 31, 2021

LOCATION (Note 1) INVENTORY QUANTITY UNIT IN MEASUREMENT TOTAL

PRODUCT / ITEM DESCRIPTION VALUATION METHOD UNIT IN (In weight or volume) WEIGHT/ TOTAL COST
ADDRESS CODE REMARKS
INVENTORY CODE (NOTE 2) PRICE STOCKS e.g. kilos,grams,liters,etc. VOLUME
X NO INVENTORY Taal Public Market, Taal, Batangas X X X X X X X X
TOTAL P -
Note 1 a Include all goods wether 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, storage place, leased property, etc. Include also goods out on
consignment, though not physically present are nonetheless owned by the tax payer.

b Use the following codes:

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

Note 1 Indicating 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 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.

LELISA BELO
Name and Signature of Authorized Representative
TIN : 917-567-040-000