42385rr No. 13-2008 - Annexes A-B, E-J

ANNEX "A"
REPUBLIKA NG PILIPINAS
KAGAWARAN NG PANANALAPI
KAWANIHAN NG RENTAS INTERNAS
Revenue Region No. _______
Revenue District Office No. _______
SN______________
AUTHORIZATION ALLOWING THE RELEASE OF

REFINED SUGAR
Date
The President
Greetings!
With respect to the letter dated_____________ of _________________________ requesting

(name of
the issuance of clearance to effect withdrawal of refined sugar by _________________________________
______________________________________
cooperative) without payment of the advance value-added tax (VAT) in
conformity with the tax exemption granted by our Office under BIR Ruling No. ______________________
dated __________________, pursuant to Republic Act No. 6938 and the pertinent provisions of Revenue
Regulations No. 20 - 2001 dated November 12, 2001 and the National Internal Revenue Code of 1997, as
amended, please be informed that authorization is hereby allowed for the release of --
____________ LKG refined sugar processed from ___________________
of the above-named cooperative without payment of the advance VAT. However, it is required that every
withdrawal shall be covered with prior approval of this Office.
Very truly yours,
Signature Over Printed Name

of the Approving Officer
Original : Sugar Refinery/Mill

Duplicate : Cooperative
Triplicate : Issuing RDO
Quadruplicate : Home RDO of the Sugar Refinery/Mill where it is registered
Quintuplicate : Office of the Regional Director
ANNEX "A-1"
APPLICATION FOR AUTHORIZATION ALLOWING

THE RELEASE OF REFINED SUGAR
(Please Accomplish in Quadruplicate)
Date
To the Regional Director/Revenue District Officer

Revenue Region No. 12/Revenue District Office No. ______
Bacolod City
Please issue Authorization Allowing the Release of Refined Sugar (AARRS) without payment of
Advance VAT pursuant to BIR Ruling No. ___________ dated _________________.
Printed Name of Cooperative/Owner:

TIN
Address:
Withdrawal of Refined Sugar Release Order No. _____________ for:
1. Refined Sugar - Standard Lkg

- Premium Lkg
2. Plantation - White Sugar Lkg
3. Blanco Directo Sugar Lkg
Washed Sugar Lkg
Direct Consumption Sugar Lkg
Improved Raw Sugar Lkg
Premium Improved Raw Sugar
Name of Cooperative
Taxpayer Identification Number
General Manager/Cooperative Representative

(Signature Over Printed Name)
Taxpayer Identification Number

Duplicate : Sugar Owner/Seller
Triplicate : Office of the Regional Director
ANNEX "A-2"
Revenue Region No. 12
Bacolod City
Name of Sugar Owner/Seller
LISTING/ABSTRACT OF OFFICIAL WAREHOUSE RECEIPT QUEDAN

Crop Year __________________________
Quedan Planter's Week # of Lkg Refined

Planter's Name Address TIN
Number Code Ending Raw Equivalent
TOTAL
Prepared by: Checked by: Withdrawal Verified by:
Cooperative Representative BIR Region/RDO Representative Revenue Officer on Mill Site

Duplicate : Owner/Seller
Quadruplicate : Home RDO of Sugar Owner/Seller
Quintuplicate : Home RDO of the Sugar Refinery/Miller where it is registered
ANNEX "B"
Revenue Region No. _______
SN______________
AUTHORIZATION ALLOWING THE RELEASE OF

REFINED SUGAR
Date
The President
Greetings!
With reference to the letter dated_____________ of _________________________ requesting

(name of
the issuance of clearance to effect withdrawal of refined sugar by _________________________________
owner)
______________________________________ without payment of the advance value-added tax (VAT) in
conformity with Sections 4, 5 and 6 of Revenue Regulations No. __________ dated __________________
and the pertinent provisions of the National Internal Revenue Code of 1997, as amended, please be
informed that authorization is hereby allowed for the release of --
____________ LKG refined sugar processed from ___________________
of the above-named establishment without payment of the advance VAT. However, it is required that every
withdrawal shall be covered with prior approval of this Office.
Very truly yours,

of the Approving Officer

Duplicate : Owner of Refined Sugar
Triplicate : Issuing RDO
Quintuplicate : Office of the Regional Director
BIR Form No. ANNEX "B-1"
2558 REPUBLIKA NG PILIPINAS

April 2008 KAWANIHAN NG RENTAS INTERNAS
DECLARATION FOR VAT ADVANCE PAYMENT ON REFINED SUGAR

(Please Accomplish in Quadruplicate)
To the Regional Director/Revenue District Officer

Revenue Region No. 12/Revenue District Office No. ______
Bacolod City
Please issue Payment Order for Advance Payment of Value-Added Tax in the Amount of ____________________
(P__________________) for Sale/Withdrawal of Refined
Sugar Release Order No. _______________.
Printed Name of Sugar Seller/Owner:

TIN: _________________________
Address:
(A) (B) (C)

QUANTITY BASE PRICE Amount of Advance
No. of Bags Owned by Owned by VAT Payment
(in 50 kgs.) Sugar Refinery Others
( ) 1 Refined Sugar
Standard
Premium
( ) 2 White Sugar
( ) 3 Washed Sugar
Total
I declare under the penalties of perjury that the above statement of value-added tax to be paid has been
made in good faith, verified by me and to the best of my knowledge and belief is true and correct pursuant to the
provisions of the National Internal Revenue Code of 1997, as amended, and the Regulations issued under authority
thereof.
DATE:___________________ SIGNATURE:___________________ POSITION:___________________
Printed Name of Officer:___________________________ Name of Sugar Refinery/Mill:______________________

Address of Sugar Refinery/Mill:____________________________________________________________________

Quadruplicate : Home RDO of the Seller/Owner
Quintuplicate : Home RDO of the Sugar Refinery/Mill where it is registered
ANNEX "B-2"
Revenue Region no. 12
Bacolod City
Name of Company
LISTING/ABSTRACT OF OFFICIAL WAREHOUSE RECEIPT QUEDAN

Crop Year __________________________
Quedan Planter's Week # of Lkg Refined

Planter's Name Address TIN
Number Code Ending Raw Equivalent
TOTAL
Prepared by: Checked by: Withdrawal Verified by:
Seller/Owner BIR Region/RDO Representative Revenue Officer on Mill Site
Original : Sugar Refinery

Quadruplicate : Home RDO
BIR Form No. ANNEX "E"
2308 REPUBLIKA NG PILIPINAS

April 2008
Revenue Region No. _____
CERTIFICATE OF ADVANCE PAYMENT OF VAT

(Authorizing the release of Refined Sugar subject to the Advance VAT)
Name of Owner of Refined Sugar/Payor:

TIN:
Address:
Payor has made the advance payment in the amount of
for the withdrawal of (________________) LKGs of

(quantity In words)
refined sugar covered by Sugar Quedan No. ____________________
(class of refined sugar)
issued by . Accordingly, release of refined
(name of sugar refinery/mill)
sugar as described above is hereby authorized.
Particulars Drawee Bank Number Date Amount

Cash
Check
Bank Debit Memo
Tax Debit Memo
Name of AAB
Name of RCO/DMT
Date of Payment
Name of issuing Officer Signature
Position/Title Date

Duplicate : Sugar Seller/Owner (copies to be attached to VAT Declaration/Return)
Triplicate : File copy of the issuing RDO
ANNEX "F"
Revenue District Office No. _____
INFORMATION RETURN
(On Release of Refined Sugar)
For the Month of _____________________
Name of Sugar Refinery/Mill TIN

Address
NO. OF BAGS OF AMOUNT BASE PRICE BASE PRICE NOT

OWNER OF REFINED SUGAR REFINED SUGAR ADVANCE VAT SUBJECTED SUBJECTED
RELEASED PAID TO ADVANCE TO ADVANCE
(Per Classification) (Per Classification) PAYMENT OF PAYMENT OF
NAME AND ADDRESS TIN RDO NO.
VAT VAT
* Indicate "Exempt" if it is the case.

Certified Correct:
Signature over Printed Name
Designation
Original : Home RDO of Sugar Refinery/Mill

Duplicate : Sugar Refinery/Mill
Triplicate : Home RDO of the Sugar Buyer where it is registered
ANNEX "G"
Revenue District Office No. ______
WEEKLY PRODUCTION REPORT

For the Month of __________________

Address
VOLUME OF "A", NUMBER OF QUEDAN FOR THE

OWNER OF 'A", "D" OR "E" SUGAR
"D" OR 'E" SUGAR BAGS OF "A", "D" OR "E"
CLASSIFICATION REFINED SUGAR SUGAR
NAME AND ADDRESS TIN RDO NO.
PROCESSED PRODUCED PROCESSED
Certified Correct:
Designation
Original : Home RDO of the Sugar Refinery/Mill

ANNEX "G-1"
SUGAR QUEDAN REGISTER

Per Classification
"A"
DATE ISSUED QUEDAN NUMBER VOLUME OWNER
Certified Correct:

Revenue Officer on Mill Site

ANNEX "G-2"

Per Classification
"B"
Certified Correct:


ANNEX "G-3"

Per Classification
"C"
Certified Correct:


ANNEX "G-4"

Per Classification
"D"
Certified Correct:


ANNEX "G-5"

Per Classification
"E"
Certified Correct:


ANNEX 'H"
LIST OF BUYERS OF REFINED SUGAR

For the Month of _______________________
Name of Cooperative TIN

Address
NO. OF BAGS OF REFINED AMOUNT OF
BUYER OF REFINED SUGAR AMOUNT OF SALES
SUGAR SOLD/LKG ADVANCE
RDO (Per Classification) (Per Classification) VAT PAID,
NAME AND ADDRESS TIN
NO. A B C D E TOTAL A B C D E TOTAL if any
Certified Correct:
Designation
Quadruplicate : Home RDO of the Sugar - Cooperative
ANNEX "I"
Revenue District Office No. _____
INFORMATION RETURN
(For Cooperatives)
For the Month of _____________________
Name of Cooperative TIN

Address
BASE PRICE BASE PRICE

NO. OF BAGS AMOUNT OF SUBJECTED NOT
BUYER OF REFINED SUGAR
OF REFINED ADVANCE TO ADVANCE SUBJECTED
SUGAR SOLD VAT PAID PAYMENT TO ADVANCE
On the withdrawal OF VAT PAYMENT
RDO for destination On the withdrawal OF VAT
NO. (Per Classification) to each buyer for destination On the withdrawal for
A B C D E TOTAL to each buyer destination to each buyer
Certified Correct:
Designation
ANNEX 'J"
Monthly Report on the Quantity of Refined Sugar Lilled/Produced and the

Amount of Advance VAT Paid and Duly Remitted
For the Month of _______________________

Address
NO. OF BAGS OF REFINED AMOUNT OF ADVANCE TOTAL BASE TOTAL BASE

OWNER OF REFINED SUGAR SUGAR TOLLED/PRODUCED VAT PAID COLLECTED PRICE PRICE NOT
SUBJECTED SUBJECTED
RDO (Per Classification) (Per Classification) TO ADVANCE TO ADVANCE
NO. A B C D E TOTAL A B C D E TOTAL PAYMENT OF VAT PAYMENT OF VAT
Certified Correct:
Designation

Quadruplicate : Home RDO of the Sugar - Cooperative

42385rr No. 13-2008 - Annexes A-B, E-J

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42385rr No. 13-2008 - Annexes A-B, E-J

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ANNEX "A"

AUTHORIZATION ALLOWING THE RELEASE OF

With respect to the letter dated_____________ of _________________________ requesting

____________ LKG refined sugar processed from ___________________

Very truly yours,

Signature Over Printed Name

Original : Sugar Refinery/Mill

APPLICATION FOR AUTHORIZATION ALLOWING

To the Regional Director/Revenue District Officer

Printed Name of Cooperative/Owner:

Withdrawal of Refined Sugar Release Order No. _____________ for:

1. Refined Sugar - Standard Lkg

Taxpayer Identification Number

General Manager/Cooperative Representative

Taxpayer Identification Number

Original : Sugar Refinery/Mill

Name of Sugar Owner/Seller

LISTING/ABSTRACT OF OFFICIAL WAREHOUSE RECEIPT QUEDAN

Quedan Planter's Week # of Lkg Refined

Prepared by: Checked by: Withdrawal Verified by:

Cooperative Representative BIR Region/RDO Representative Revenue Officer on Mill Site

Original : Sugar Refinery/Mill

AUTHORIZATION ALLOWING THE RELEASE OF

With reference to the letter dated_____________ of _________________________ requesting

____________ LKG refined sugar processed from ___________________

Very truly yours,

Signature Over Printed Name

Original : Sugar Refinery/Mill

2558 REPUBLIKA NG PILIPINAS

DECLARATION FOR VAT ADVANCE PAYMENT ON REFINED SUGAR

To the Regional Director/Revenue District Officer

Printed Name of Sugar Seller/Owner:

(A) (B) (C)

DATE:___________________ SIGNATURE:___________________ POSITION:___________________

Printed Name of Officer:___________________________ Name of Sugar Refinery/Mill:______________________

Original : Sugar Refinery/Mill

LISTING/ABSTRACT OF OFFICIAL WAREHOUSE RECEIPT QUEDAN

Quedan Planter's Week # of Lkg Refined

Prepared by: Checked by: Withdrawal Verified by:

Seller/Owner BIR Region/RDO Representative Revenue Officer on Mill Site

Original : Sugar Refinery

2308 REPUBLIKA NG PILIPINAS

CERTIFICATE OF ADVANCE PAYMENT OF VAT

Name of Owner of Refined Sugar/Payor:

Payor has made the advance payment in the amount of

for the withdrawal of (________________) LKGs of

Particulars Drawee Bank Number Date Amount

Name of issuing Officer Signature

Original : Sugar Refinery/Mill

For the Month of _____________________

Name of Sugar Refinery/Mill TIN

NO. OF BAGS OF AMOUNT BASE PRICE BASE PRICE NOT

* Indicate "Exempt" if it is the case.

Signature over Printed Name

Original : Home RDO of Sugar Refinery/Mill

WEEKLY PRODUCTION REPORT

Name of Sugar Refinery/Mill TIN

VOLUME OF "A", NUMBER OF QUEDAN FOR THE

Signature over Printed Name

Original : Home RDO of the Sugar Refinery/Mill

SUGAR QUEDAN REGISTER

DATE ISSUED QUEDAN NUMBER VOLUME OWNER

Signature Over Printed Name

With respect to the letter dated_ of _____________ requesting

LKG refined sugar processed from _______

With reference to the letter dated_ of _____________ requesting

LKG refined sugar processed from _______

DATE:_________ SIGNATURE:_ POSITION:___________

Printed Name of Officer:_____ Name of Sugar Refinery/Mill: