Reputtna ng Pinas feel Monthly Value-Added“ < = 2550-M ‘evannan ng Renae eras Declaration Ferry 207 (6 (any) Foe BT ‘AmendedRatum? Yer @ No No.of Sheets tached [—T ‘ON WeW ON SOB Background Information 4 TIN PRE SB oo Ez 6 Line of Busine TOR ]7__ Taxpayers Name FRESVET STEEC CORPORATION 8 Telephone No. Ea —| Jo Registered Address PavvE%CO NOUBTRIA: COMPLET, PANPUAN HENICD,PANPANC 102 Code ee 114 Ave you avaling of tax relief under Special Law / Intemational Tax Treaty? © Yes @ No Hyes, specty 7 ace @ Computation of Tax Sales/Receints forthe Month (Exclusive of VAT) Output Tax Due for the Month 12 Vatable Sales/Receipt - Private (Sc!) 1) 20 [ae 28 13 Sales to Goverment 134 133 [a 14. Zero Rated Salos!Receipts “ ae 15 Exempt Sales Rocsipts 6s 164 [a 468 [ae ATA Input Tax Cried Over fom Previous Period a {7B Input Tax Deferred on Capital Gods Exceeding PtNlln trom Previous Period 8 ATC Transtonal input Tax ve 470 Presumptive input T 40 ATE Others ve 7 ‘TF Total (Sum of tom 17A, 17B, 17C, 17D & 17) os 8 Curent Transactions Purchases {TAA Purchase of Capa Goods not exceeding PiMllon (S60 gq, [—————a35 oo 1neb pine ot cata Cont enn ion ee 6 [——= 0 [15 ABEIF Dornastc Purchases of Goods Other han Capital Goods 18 [—_TTHTEE75 se [a8 18GIM importation of Goods Other than Capital Goods 100 [——— $04 [8 ‘MWJ Dometic Purchate of Sordces ‘© -—a0 1 7 $8KiL, Services rendered by Non-residents 10 [————o 10 [-—a 14M Purchases Not Quai for Input Tax tem [75 18NI0 Others an [ae 380 [as {ap Te Cre Purchase (Si fem 18.16, EE 186, yp. | —TSOTET 480 rc 1 oN) se et aval Tx (Sum ot er 17,188,180, 18, 1H, 18, 1.8 180) ” aE 20 Lee: Oedtone rom np Tax oan ip Tex on Paras Cail Goods exceeding P#Mllon deloed fr sucneding patio (Se > input Tox on Sate Govt. doted wo exgee( Input Tax allocable to Exempt Sales (S.5) PP var RetinarTCc claimed ‘ ot = ae falgnrareteatoiaan Seer ere pean personas 20 peurgeeien F “IBA Crecitable Value-Added Tax Withheld (See d air e228 Advance Payment (S07) Fee tc nts Carer S28) BE vr gran poey Sa tron eroded BI scarfs ace er snc pet rare “BF Gra. 05) 2 Others 3 a 5) 286 Teal Tex Creits/Payment (Sum of lem 23A, 298, 29C, 290 & 236) Tax Sill Payable/(Overpayment) tem 22 ess tam 29F) Dim. You ‘Ads Perales ‘Surcharge Interest 3 othe| 2a a 258 [ om 2se [ Total Amount Payable (Overpayment) (Sum of ems 24 & 250) Taclare, under tha penaties of peu, hat vs eur has been Wade hi good ath veried by ean to be bes of my Mawnan ale ean eoron,purgagtto the provisions ofthe NatenalIrnal Revert Code, as amended, and the regulations lesuad under autor thereot 27 ae Jiro pcb 2 {Gen Pipal OTica Raised Vax Agen "TeasuraiAssisiant Treasurer ‘Ashoized RepresortatvelTaxpayat (Gignature Over Primed Name) (Signoture Over Printes Name) “Tieton ot SpraiOny Tor Signo “Tile oalion a Sigratoy