(To be filled up by the BIR)

DLN:

PSIC:
BIR Form No.

Monthly Value-Added Tax

Kawanihan ng Rentas Internas
Declaration

2550M

Republika ng Pilipinas

Kagawaran ng Pananalapi

Fill in all applicable spaces. Mark all appropriate boxes with an X.

1
(MM/YYYY)
For the Month of

07

2014

Part I
4 TIN

2 Amended
XNo
Return
Yes
Information
6 Line of Business

February 2007 (ENCS)

Number of sheets
attached

00

Beach Resort & Spa

Background
5 RDO
007
270
552
003
Code
Taxpayer's Name (For Individual)Last Name, First Name, Middle Name/(For Non-individual) Registered Name

Registered Address

10

Kahuna Hotel Cafe & Restaurant, Inc.

Brgy. Urbiztondo, San Juan, La Union

11

Are you availing of tax relief under Special Law

or International Tax Treaty?

Part II

12
13
14
15
16
17

18

19
20

21
22
23

24
25
26

If yes, specify

X Yes

Telephone Number

6071040

Zip Code

2514

BOI Accreditation

No

Computation of Tax (Attach additional sheets, if necessary)

Sales/Receipts for the Month (Exclusive of VAT)

2,781,664.68
Vatable Sales/Receipt- Private (Sch.1)
12A
Sales to Government
13A
Zero Rated Sales/Receipts
14
Exempt Sales/Receipts
15
2,781,664.68
Total Sales/Receipts and Output Tax Due
16A
Less: Allowable Input Tax
17A Input Tax Carried Over from Previous Period
17B Input Tax Deferred on Capital Goods Exceeding P1Million from Previous Period
17C Transitional Input Tax
17D Presumptive Input Tax
17E Others
17F Total (Sum of Item 17A,17B,17C,17D &17E)
Current Transactions
Purchases
181,451.92
18A/B Purchase of Capital Goods not exceeding P1Million (see sch.2)
18A
18C/D Purchase of Capital Goods exceeding P1Million (see sch.3)
18C
649,279.17
18E/F Domestic Purchases of Goods Other than Capital Goods 18E
18G/H Importation of Goods Other than Capital Goods
18G
1,089,674.00
18I/J Domestic Purchase of Services
18 I
18K/L Services rendered by Non-residents
18K
18M Purchases Not Qualified for Input Tax
18M
18N/O Others
18N
1,920,405.08
18P Total Current Purchases (Sum of Item 18A,18C,18E,18G,18I,18K,18M&18N)
18P
Total Available Input Tax (Sum of Item 17F,18B,18D,18F,18H,18J,18L & 18O)
Less: Deductions from Input Tax
20A Input Tax on Purchases of Capital Goods exceeding P1Million
deferred for the succeeding period (Sch.3)
20B Input Tax on Sale to Govt. closed to expense (Sch.4)
20C Input Tax allocable to Exempt Sales (Sch.5)
20D VAT Refund/TCC claimed
20E Others
20F Total (Sum of Item 20A,20B,20C,20D & 20E )
Total Allowable Input Tax (Item19 less Item 20F)
Net VAT Payable (Item 16B less Item 21)
Less: Tax Credits/Payments
23A Creditable Value-Added Tax Withheld (Sch. 6)
23B Advance Payments for Sugar and Flour Industries (Sch.7)
23C VATwithheld on Sales to Government (Sch.8)
23D VAT paid in return previously filed, if this is an amended return
23E Advance Payments made (please attach proof of payments - BIR Form No. 0605)
23F Others
23G Total Tax Credits/Payments (Sum of Item 23A,23B,23C, 23D, 23E & 23F)
Tax Still Payable/(Overpayment) (Item 22 less Item 23G)
Add: Penalties
Surcharge
Interest
Compromise
25A
25B
25C
Total Amount Payable/(Overpayment) (Sum of Item 24 and 25D)

Output Tax Due for the Month

333,799.76

12B
13B

333,799.76

16B
17A
17B
17C
17D
17E
17F

1,015,584.30
3,218,953.26

4,234,537.56
21,774.23

18B
18D
18F
18H
18J
18L

77,913.50
130,760.88

18O
19

4,464,986.17
3,049,534.67

20A
20B
20C
20D
20E
20F
21
22

3,049,534.67
1,415,451.50
(1,081,651.74)

23A
23B
23C
23D
23E
23F
23G
24

(1,081,651.74)

25D
26

(1,081,651.74)

I declare, under the penalties of perjury, that this return 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, as amended, and the regulations issued under authority thereof.
27

Andrew William Burianyk

28

President/Vice President/Principal Officer/Accredited Tax Agent/

Authorized Representative/Taxpayer
(Signature Over Printed Name)
Director
Title/Position of Signatory

Particulars
29 Cash/Bank 29A

Drawee Bank/
Agency

Date of Issuance

Number
29B

(Signature Over Printed Name)

TIN of Signatory

Tax Agent Acc. No./Atty's Roll No.(if applicable)

Part III

Treasurer/Assistant Treasurer

Title/Position of Signatory

Date of Expiry

TIN of Signatory

Details of Payment
Date
MM
DD
YYYY
29C

Debit Memo................................................................................
30B
30C
30 Check 30A
31 Tax Debit
31A
31B
Memo ..............
32B
32C
32 Others 32A

Amount
29D
30D
31C
32D

Machine Validation (if filed with an accredited agent bank)/Revenue Official Receipt Details (If not filed with an Authorized Agent Bank)

Stamp of
Receiving Office/AAB
and Date of Receipt
(RO's Signature/
Bank Teller's Initial)

Kahuna Beach Resort & Spa, Inc.

Monthly Value-Added Tax Summary

Particulars

Base Amount

OUTPUT TAX
VAT Sales
Sale to Government
Zero-Rated Sales

TOTAL SALES/OUTPUT TAX

3,778,596.85

###

INPUT TAX
Allowable Input Tax:
Input Tax Carried Over from Previous Month
Input Tax Deferred on Capital Goods from Previous Month
Transitional Input Tax
Presumptive Input Tax
Other
Purchases
Purchase of Capital Goods (less than 1M)
Purchase of Capital Goods (more than 1M)
Importation of Goods other than Capital Goods
Domestic Purchase of Goods other than Capital Goods
Domestic Purchase of Services

TOTAL PURCHASE/INPUT TAX

Less: Deductions from Input Tax
Input Tax on Purchased of Capital Goods exceeding 1M
deferred for the succeeding period
Input Tax on Sale to Gov't closed to expense
Input tax allocable to Exempt Sales
VAT Refund / TCC claimed
Others
Total Allowable Input Tax
Net VAT Payable
Less: Tax Credit / Payment
Creditable Value-added Tax Withheld
Advance Payments for Sugar & Flour Industries
VATwithheld on Sales to Government
VAT paid in return previously filed
Advance payments made
Others
Tax Still Payable / Overpayment
Add: Penalties
Total Amount Payable / Overpayment

1,314,555.05
3,557,790.45

181,451.92
0.00
0.00
649,279.17
1,089,674.00

###

3,388,371.86

Output/Input Tax
453,431.62
0.00
0.00

453,431.62

4,872,345.50
21,774.23
0.00
0.00
77,913.50
130,760.88

###

3,388,371.86
###
###

0.00
###
###

Kahuna Hotel Cafe &

Output Tax Summary
For the month of May2014

Date

OR No

###

6531
6532
6533
6534
6535
6536
6537
6538
6539
6540
6541
6542
6543
6544
6545
6546
6547
6548
6549
6550
6551
6552
6553
6554
6555
6556
6557
6558
6559
6560
6561
6562
6563
6564
6565
6566
6567
6568
6569
6570
6571
6572
6573
6574
6575
6576
6577
6578
6579
6580

###

###

Client's Name
Holcim Phils, Inc
Robe Armara De Mesa
Van Stekelenborg
Eliza Payumo
Benmar Miniano
Danny Gonzilla
Salvador Perlata Jr
Jobelle Lyn Perez
Eugene Marcezo
Marjorie Ricafrente
Rodrigo Canibas
San Miguel Brewery Inc
PNB Life
PNB Life
PNB Life
PNB Life
Receivers Eliquadators Inc
Michela Barbotti
Cancelled
Emmanuel Mohcalud
Kathleen Michelle De Ocampo
Angelica Quisel
Jose Plana
Jojo
Anna Que
Marivic Villarin
Helene Padillon
Patrick Dunn
PNB Life
Frank Gonzaga
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
Dante Taledo
Mamerta Azuena
Pacific Paint
Elsa
Roy Sinaon
Annette Gonzales
April Jumaguio
Ma Allen Arlir
Ultimate
Guests
Diolanto Elena
Antonio Javier
PNB Life

TIN
000-121-507-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-807-251-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

6581
6582
6583
6584
6585
6586
6587
6588
6589
6590
6591
6592
6593
6594
6595
6596
6597
6598
6599
6600
6601
6602
6603
6604
6605
6606
6607
6608
6609
6610
6611
6612
6613
6614
6615
6616
6617
6618
6619
6620
6621
6622
6623
6624
6625
6626
6627
6628
6629
6630
6631
6632
6633
6634
6635
6636
6637

Mark Maramba
Chevron
Songlo
PNB Life
Priscilla Gonzales
Jan Escuelda
PNB Life
Global West
PNB Life
PNB Life
PNB Life
PNB Life
CISLOR
Light Plan Inc
PNB Life
PNB Life
Paul Fernandez
Cyril Dominic Alexander
Kendra Hodapp
Jenny Cariaso
Mamerta Azuena
CISLOR
Global Quest
Global Quest
NCFI
Metro Bank
Jose Co
Jomer Vargas
Marie Rose Kepes
Juan Carlo Peralta
Pat Dunn
Even snare
Michelle Epp
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
PNB Life
Maria Allen Arbis
Asia Travel
Emmanuel Mohcalud
Pacific Paint
CNBE
Anna Veronica Esparyero
Myrlene Manalansa
Monte Bolt
Jean Gonzales
Paul Martin
Jinah Rose Garcia
Anna Veronica Esparyero
PNB Life
Holcim Phils, Inc

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-121-507-000

###

###

###

6638
6639
6640
6641
6642
6643
6644
6645
6646
6647
6648
6649
6650
6651
6652
6653
6654
6655
6656
6657
6658
6659
6660
6661
6662
6663
6664
6665
6666
6667
6668
6669
6670
6671
6672
6673
6674
6675
6676
6677
6678
6679
6680
6681
6682
6683
6684
6685
6686
6687
6688
6689
6690
6691
6692
6693
6694

Policarpio Joves
Jean Gonzales
Portia Baviera
PNB Life
Tom Milby
Matte Sonnet
Christine Mahagnoy
Ann Camille Ilagan
Charisse Ho
Holcim Phils, Inc
Rey Aguinaldo
Samuel Rosario
Sol Marie Agnos
Noreene Cayco
Aaron Sikat
Janelle San Antonio
Paolo Bernardo
Manna Realty
Riel Samoy
Sheree Jan Chua
Cancelled
Grace Lee
The Prod Team
Cancelled
The Prod Team
Alex Milby
Holcim Phils, Inc
PNB Life
Holcim Phils, Inc
Holcim Phils, Inc
URIC
Melvina Atip
Groiler
Television Culture Shock Product
Yvonne Roque
Holcim Phils, Inc
Sam Soto Jennings
Shell
Cancelled
Moldex and Realty Inc
PNB Life
Bayer Phils
Rodgie Mallari
Petron Corp
Alexis Munar
Mark Milby
Randy Wayne Elder
JT International Phils Inc
HUDCC
TR Santi
AMLCS
Leslie Bernardo
Jhem Bautista
Abbella Clemente
John Deloal
Paolo Bernardo
PNB Life

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-121-507-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

6695
6696
6697
6698
6699
6700
6701
6702
6703
6704
6705
6706
6707
6708
6709
6710
6711
6712
6713
6714
6715
6716
6717
6718
6719
6720
6721
6722
6723
6724
6725
6726
6727
6728
6729
6730
6731
6732
6733
6734
6735
6736
6737
6738
6739
6740
6741
6742
6743
6744
6745
6746
6747
6748
6749
6750
6751

Jovy Ann Azinaja

Malou Salimbagat
Dina Chavez
Agnes Barron
Ronald Estandian
Lafarge
PNB Life
Eric Guttierez
Cancelled
Marc Marquez
Marco Collado
Aya Cruz
Ma Corazon Cruz
PSRC
Sanofi
Marc Aquino
Full Value Contract Co
Full Value Contract Co
Carlos Ortiz
Felkidan Abel
Bie Takahasi
Joanna Lim
Emejim Bautista
Richard Wood
Chemg Ye Lun
Ateneo de Manila
Miguel Soriente
Jenifer Soriente
Raquel Abellar
Oliver Bart
BDO
Eric Escudero
Pablo Ernesto
Isabel Williams
Zenaida Castillo
Ricardo Cud
Vanessa Austria
BDO
Jose Angelas
Monica Penalosa
Isabela Mercado
Daniel Jacobs
Ronald Abubo
Ronald Abubo
Miguel Malvar
Sheila Fe
Emetrio Morales
Paul John Balancio
Ahmad Almahmoud
Mark Flores
Marina Tomas
Philip Lacuiva
Bryan Sheu
Alma Fe Guzman
Monica Penalosa
Shell
Ronnie Mendoza

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

6752
6753
6754
6755
6756
6757
6758
6759
6760
6761
6762
6763
6764
6765
6766
6767
6768
6769
6770
6771
6772
6773
6774
6775
6776
6777
6778
6779
6780
6781
6782
6783
6784
6785
6786
6787
6788
6789
6790
6791
6792
6793
6794
6795
6796
6797
6798
6799
6800
6801
6802
6803
6804
6805
6806
6807
6808

Maria Bernadette Custodio

Sanghyun Park
Malbor Realty
Christopher de Vera
Rolf Lorenz
EP Rodriguez
Reynald Estandian
Kristine Kalata
Diane
Christianne Caluza
Elenel Garcia
Abbott
Alex Quilaton
Denia Coker
Jeanille Alyanna
Nerissa Natividad
Joan Franco
Ricio Reyes
Shi Yabez
Guiang
Bong Garbes
Gabriel Sy
Alex Quilaton
Bonifacio Bonifacio
Cancelled
Sandra May
Charles Mayer
Ramon Mendoza
Gabriel Intingan
Cihiaco Mavie
Teodoro Mallari
Teresa Versoza
Jean Paul aras
Acelya Velasco
Fmy Quidesol
All Asia Aviation
Erico Roque
PNB Life
PNB Life
Enricus de Castro
V & F Ice Plant & Coldstorage
PNB Life
Levi Mulato
PNB Life
Lulu Paras
All Asia Aviation
Montel Alvarez
Catherina Valerio
Anguo Homerano
Anne Baker
Rolf Lorenz
Jovy Guiyab
Samantha Jennings
Ma Sophia Sucat
P&G
Mata Perez
Sol Jose

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

###

###

6809
6810
6811
6812
6813
6814
6815
6816
6817
6818
6819
6820
6821
6822
6823
6824
6825
6826
6827
6828
6829
6830
6831
6832
6833
6834
6835
6836
6837
6838
6839
6840
6841
6842
6843
6844
6845
6846
6847
6848
6849
6850
6851
6852
6853
6854
6855
6856
6857
6858
6859
6860
6861
6862
6863
6864
6865

Janet Ho
Ryan Asuncion
Gloria Asnea
Unilab
Chinabank
Anne Baker
Lilia Narvaez
Joseph Maglaroy
Michael Agraam
Mata Perez
Jovencio Ramiro
Amelia Brueggemann
Michael Agraam
Stan Sy
Celzo Marquez
Jose Angelo Singson
Ronald Mc Roberts
Blu Abaya
Holcim Phils, Inc
Caesar Rojoj
Holcim Phils, Inc
Alma Lorenz
Samuel Santamaria
Ma Fatima Okoi
Cheryl Cojuangco
Holcim Phils, Inc
Julie Ann Brillo
Julie Ann Brillo
Michael Bren
Amelia Brueggemann
Raymond Go
Aisaa Renina Santos
Shell
Normando Martin
EP Marquez
PNB Life
PNB Life
MARIE Jamiana
Clarisse Calayan
Cancelled
Magne Storborg
Nera Velarde
Marissa Del Rosario
Enricus de Castro
Maria Cristina Bustos
PNB Life
PNB Life
Mariel Alvarez
Tenambhat Ramesh
JCPC
Danny Avecilla
Leonardo Francisco
Carlo Araw
Aissa Santos
Christian Granda
Marissa Del Rosario
Magdalena Ricafort

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-121-507-000
000-000-000-000
000-121-507-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-121-507-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

6866
6867
6868
6869
6870
6871
6872
6873
6874
6875
6876
6877
6878
6879
6880
6881
6882
6883
6884
6885
6886
6887
6888
6889
6890
6891
6892
6893
6894
6895
6896
6897
6898
6899
6900
6901
6902
6903
6904
6905
6906
6907
6908
6909
6910
6911
6912
6913
6914
6915
6916
6917
6918
6919
6920
6921
6922

Herminigilda Roque
Garbes & Garbes Trucking
Sanofi - Aventis Philippines
Dominador Dulate
Dominador Dulate
Bioremme Inc
United Corporations Inc
PNB Life
Chevron
Lovely Joy Brillantes
Rico Mercado
John Ice Morgan
Eduardo Coronel
Nonnatos Rojas
Kim Chun Soon
Monaliza Cruz
Lotus Altavas
Sargo
Banco de Oro
Rodel Zamudio
Westmont
Bote Dolores
Dionisio Lopez
Ramon Paneda
Holcim Phils, Inc
Cancelled
Cancelled
Dominador Olivar
Wa zhi Lei
PNB Life
Rodrigo Niango Jr
Love Joy Brillantes
Eduardo Coronel
Rodrigo Niango Jr
Bote Dolores
Kiel Yabat
Robert Lim
Raymond Go
Marife Baniaoi
Marissa Mapile
Modonna Valdez
Hazel Lou Cudal
Cynthia Santos
Maricar Arzadon
Josephine Quiton
Marie Donna Antonia
Abraham Ballares
Mcdonald Malikdem
Luisito Santos
Joseph Manuel
Jose Mones
Efren Guitoban
Erica Bulva
Joseph Guzman
Rodolfo Benigno
Wiliam Garcia
Jacqueline Caccam

000-000-000-000
000-000-000-000
000-192-206-000
000-000-000-000
000-000-000-000
214-615-598-000
000-063-471-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

6923
6924
6925
6926
6927
6928
6929
6930
6931
6932
6933
6934
6935
6936
6937
6938
6939
6940
6941
6942
6943
6944
6945
6946
6947
6948
6949
6950
6951
6952
6953
6954
6955
6956
6957
6958
6959
6960
6961
6962
6963
6964
6965
6966
6967
6968
6969
6970
6971
6972
6973
6974
6975
6976
6977
6978
6979

CLTPS Law Office

Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Dawn Baluzo
Felicidad Abel
Felicidad Abel
Ma Theresa Martinez
PMFTC
Ma Theresa Martinez
Anthony Limantara
Irene Protacio
Irene Protacio
Ruben Rosangan
Ana Laura Pillon
Sherie Doyaden
Philhealth
Joselito Anila
Leofoldo Montemayor
Edmund Valencerina
Ann Camille Ilagan
Jerylun Felipe
Helen Tobias
Eduardo Dulatre
Melinda Mercado
Philhealth
Philhealth
Philhealth
Katrina dela Cruz
Anna Laura Pillon Vieira
Dina Chavez
PMFTC
Anna Laura Pillon Vieira
Mark Ong
Alex Santos
Alex Santos
Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Unilever Phils
Agusto Sibal
Unilever Phils
Risa Katrina dela Cruz
Victor Garalde
Teresa Thompson
Unilever Phils
Leonardo Domalanta
Min Sun
Francis Sanotos
Ryan Songcuan
PNB Life
PNB Life

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

###

6980
6981
6982
6983
6984
6985
6986
6987
6988
6989
6990
6991
6992
6993
6994
6995
6996
6997
6998
6999
7000
7001
7002
7003
7004
7005
7006
7007
7008
7009
7010
7011
7012
7013
7014
7015
7016
7017
7018
7019
7020
7021
7022
7023
7024
7025
7026
7027
7028
7029
7030
7031
7032
7033
7034
7035
7036

Dawn Baluzo
Shamaine Ong
Levi Mulato
Glynis Balagot
Rebecca Litan
Beatrice Andres
Sun Min
Rosa Sapla
JO Tan
Marita Abellera
PNB Life
PNB Life
Kaye Matriano
PNB Life
Imelda Sotoza
Connie Simons
Jose Felipe Cruz
Antonio Chua
Ofren Sapla
Faye Matriano
Sourcepad
Sourcepad
Sourcepad
Gian Maramba
Sourcepad
Team Sual Corp
Liza Gomez
Michael Esposito
Largen Med., Inc
PNB Life
PNB Life
Otsuka Pharm Inc
Otsuka Pharm Inc
Isao Nango
Marissa Arcangel
Marissa Arcangel
Raquel Garilao
Antonio Eric Gregorio
Antonio Eric Gregorio
Joyce Solano
Alfredo Pineda Jr
Cancelled
Lagrimas Nugul
Lagrimas Nugul
Janet Javier
Cancelled
Reginand Galang
Cancelled
Allan Antonio
Richard Dumag
Luisito Selga
Joyce San Diego
Jasmine Sou
Isao Nango
Pfizer
Pfizer
Bio Femme Inc

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
008-083-962-000
008-083-962-000
008-083-962-000
000-000-000-000
008-083-962-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

###

###

###

7037
7038
7039
7040
7041
7042
7043
7044
7045
7046
7047
7048
7049
7050
7051
7052
7053
7054
7055
7056
7057
7058
7059
7060
7061
7062
7063
7064
7065
7066
7067
7068
7069
7070
7071
7072
7073
7074
7075
7076
7077
7078
7079
7080
7081

Jose Roel Garcia

Julia Braug
Candy DY
Sandra HO
David Manubat
Holcim Phils, Inc
Holcim Phils, Inc
Liezel Ebalobor
Celso Uy
Westmont
Petron Corporation
Magdulena Sicnt
Cancelled
Jose Felipe Cruz
Holcim Phils, Inc
Chevron Philippines, Inc
John Joe Morgan
Allan Go
Belinda Baggs
Aureo Francis Sanchez
Joseph
Office of the President
Ronaldo Geron
John Kiana Banaag
Cancelled
Theresa Tolentino
Westmont
PNB Life
Chevron Philippines, Inc
Kimberly Espinosa
Bernadette Tan
Ardent
Abby Zipagan
HSDC
Jenny Banaga
Petron Corporation
Donna Carpio
Abby Zipagan
International Tesol Educ & Consu
Jamie Jalorin
Jackie Andaya
Mariola Ramirez
John Maramba
Gilbert Sales
Bursho Reyes

000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000
000-000-000-000

Gross Amount Gross Amount

7,994.50
7,435.00
13,915.00
2,110.00
4,973.00
725.00
15,073.00
5,265.00
5,265.00
1,375.00
5,265.00
1,235.00
2,755.00
18,559.00
15,835.00
10,940.00
4,416.00
1,855.00
1,281.50
6,793.00
5,265.00
1,218.50
90.00
300.00
4,995.00
16,848.00
19,656.00
6,455.00
11,855.00
17,425.00
1,700.00
3,640.00
2,470.00
12,724.50
1,510.00
11,232.00
1,425.00
3,595.00
5,170.98
2,500.00
4,865.00
25,133.00
1,830.00
19,392.75
1,810.00
1,375.00
26,325.00
1,245.00
725.00

6,832.91
6,354.70
11,893.16
1,803.42
4,250.43
619.66
12,882.91
4,500.00
4,500.00
1,175.21
4,500.00
1,055.56
2,354.70
15,862.39
13,534.19
9,350.43
3,774.36
1,585.47
1,095.30
5,805.98
4,500.00
1,041.45
76.92
256.41
4,269.23
14,400.00
16,800.00
5,517.09
10,132.48
14,893.16
1,452.99
3,111.11
2,111.11
10,875.64
1,290.60
9,600.00
1,217.95
3,072.65
4,419.64
2,136.75
4,158.12
21,481.20
1,564.10
16,575.00
1,547.01
1,175.21
22,500.00
1,064.10
619.66

Output Tax Service Charge

819.95
762.56
1,427.18
216.41
510.05
74.36
1,545.95
540.00
540.00
141.03
540.00
126.67
282.56
1,903.49
1,624.10
1,122.05
452.92
190.26
131.44
696.72
540.00
124.97
9.23
30.77
512.31
1,728.00
2,016.00
662.05
1,215.90
1,787.18
174.36
373.33
253.33
1,305.08
154.87
1,152.00
146.15
368.72
530.36
256.41
498.97
2,577.74
187.69
1,989.00
185.64
141.03
2,700.00
127.69
74.36

341.65
317.74
594.66
90.17
212.52
30.98
644.15
225.00
225.00
58.76
225.00
52.78
117.74
793.12
676.71
467.52
188.72
79.27
54.76
290.30
225.00
52.07
3.85
12.82
213.46
720.00
840.00
275.85
506.62
744.66
72.65
155.56
105.56
543.78
64.53
480.00
60.90
153.63
220.98
106.84
207.91
1,074.06
78.21
828.75
77.35
58.76
1,125.00
53.21
30.98

Creditable Withholding Tax

2%
5%
1%

600.00
18,604.50
1,895.00
20,145.00
4,660.00
925.00
6,728.00
4,775.00
1,260.00
725.00
2,460.00
1,600.00
1,960.00
2,470.00
20,530.00
1,805.00
56,906.00
13,007.00
975.00
775.00
830.00
13,286.00
13,436.00
10,550.00
1,685.00
6,281.50
1,125.00
1,480.00
1,500.00
2,525.00
5,245.00
1,665.00
5,001.75
20,080.00
6,728.00
975.00
5,265.00
5,001.75
930.00
975.00
1,055.00
10,530.00
1,680.00
12,444.50
18,954.00
4,738.50
2,855.00
12,162.00
15,212.00
1,070.00
170,224.00
26,325.00
1,465.00
1,740.00
1,890.00
14,770.00
3,847.50

512.82
15,901.28
1,619.66
17,217.95
3,982.91
790.60
5,750.43
4,081.20
1,076.92
619.66
2,102.56
1,367.52
1,675.21
2,111.11
17,547.01
1,542.74
48,637.61
11,117.09
833.33
662.39
709.40
11,355.56
11,483.76
9,017.09
1,440.17
5,368.80
961.54
1,264.96
1,282.05
2,158.12
4,482.91
1,423.08
4,275.00
17,162.39
5,750.43
833.33
4,500.00
4,275.00
794.87
833.33
901.71
9,000.00
1,435.90
10,636.32
16,200.00
4,050.00
2,440.17
10,394.87
13,001.71
914.53
145,490.60
22,500.00
1,252.14
1,487.18
1,615.38
12,623.93
3,288.46

61.54
1,908.15
194.36
2,066.15
477.95
94.87
690.05
489.74
129.23
74.36
252.31
164.10
201.03
253.33
2,105.64
185.13
5,836.51
1,334.05
100.00
79.49
85.13
1,362.67
1,378.05
1,082.05
172.82
644.26
115.38
151.79
153.85
258.97
537.95
170.77
513.00
2,059.49
690.05
100.00
540.00
513.00
95.38
100.00
108.21
1,080.00
172.31
1,276.36
1,944.00
486.00
292.82
1,247.38
1,560.21
109.74
17,458.87
2,700.00
150.26
178.46
193.85
1,514.87
394.62

25.64
795.06
80.98
860.90
199.15
39.53
287.52
204.06
53.85
30.98
105.13
68.38
83.76
105.56
877.35
77.14
2,431.88
555.85
41.67
33.12
35.47
567.78
574.19
450.85
72.01
268.44
48.08
63.25
64.10
107.91
224.15
71.15
213.75
858.12
287.52
41.67
225.00
213.75
39.74
41.67
45.09
450.00
71.79
531.82
810.00
202.50
122.01
519.74
650.09
45.73
7,274.53
1,125.00
62.61
74.36
80.77
631.20
164.42

7,020.00
2,926.00
900.00
860.00
115.00
3,820.00
1,700.00
26,325.00
25,742.00
1,820.00
7,250.00
4,738.50
19,842.00
15,000.00
5,996.50
600.00
875.00
5,265.00
6,143.00
3,795.00
3,410.00
1,585.00
1,750.00
15,651.00
5,465.00
4,125.00
3,422.25
3,422.25
7,695.00
23,145.00
5,265.00
6,616.75
9,643.00
5,150.00
10,530.00
500.00
15,000.00
7,475.00
1,050.00
875.00
2,495.00
3,665.00
4,490.00
26,325.00
730.00
25,199.00
26,202.50
2,080.00
8,191.00
10,530.00
5,265.00
990.00
625.00
6,740.00

6,000.00
2,500.85
769.23
735.04
98.29
3,264.96
1,452.99
22,500.00
22,001.71
1,555.56
6,196.58
4,050.00
16,958.97
12,820.51
5,125.21
512.82
747.86
4,500.00
5,250.43
3,243.59
2,914.53
1,354.70
1,495.73
13,376.92
4,670.94
3,525.64
2,925.00
2,925.00
6,576.92
19,782.05
4,500.00
5,655.34
8,241.88
4,401.71
9,000.00
427.35
12,820.51
6,388.89
897.44
747.86
2,132.48
3,132.48
3,837.61
22,500.00
623.93
21,537.61
22,395.30
1,777.78
7,000.85
9,000.00
4,500.00
846.15
534.19
5,760.68

720.00
300.10
92.31
88.21
11.79
391.79
174.36
2,700.00
2,640.21
186.67
743.59
486.00
2,035.08
1,538.46
615.03
61.54
89.74
540.00
630.05
389.23
349.74
162.56
179.49
1,605.23
560.51
423.08
351.00
351.00
789.23
2,373.85
540.00
678.64
989.03
528.21
1,080.00
51.28
1,538.46
766.67
107.69
89.74
255.90
375.90
460.51
2,700.00
74.87
2,584.51
2,687.44
213.33
840.10
1,080.00
540.00
101.54
64.10
691.28

300.00
125.04
38.46
36.75
4.91
163.25
72.65
1,125.00
1,100.09
77.78
309.83
202.50
847.95
641.03
256.26
25.64
37.39
225.00
262.52
162.18
145.73
67.74
74.79
668.85
233.55
176.28
146.25
146.25
328.85
989.10
225.00
282.77
412.09
220.09
450.00
21.37
641.03
319.44
44.87
37.39
106.62
156.62
191.88
1,125.00
31.20
1,076.88
1,119.76
88.89
350.04
450.00
225.00
42.31
26.71
288.03

5,265.00
3,340.00
10,530.00
1,790.00
1,205.00
400.00
2,004.00
3,695.00
830.00
980.00
11,739.00
1,250.00
4,650.00
29,894.00
13,511.75
8,892.00
1,550.00
6,320.00
14,040.00
1,730.00
1,700.00
10,530.00
10,930.00
21,294.00
1,600.00
14,187.50
3,355.00
1,455.00
1,220.00
890.00
17,910.00
6,955.00
12,530.00
6,390.00
5,645.00
11,950.00
43,583.00
5,265.00
7,060.00
16,195.00
14,237.00
5,340.00
3,315.00
3,130.00
5,110.00
1,625.00
900.00
2,890.00
15,890.00
4,910.00
3,360.00
1,540.00
7,849.00
495.00
625.00
520.00

4,500.00
2,854.70
9,000.00
1,529.91
1,029.91
341.88
1,712.82
3,158.12
709.40
837.61
10,033.33
1,068.38
3,974.36
25,550.43
11,548.50
7,600.00
1,324.79
5,401.71
12,000.00
1,478.63
1,452.99
9,000.00
9,341.88
18,200.00
1,367.52
12,126.07
2,867.52
1,243.59
1,042.74
760.68
15,307.69
5,944.44
10,709.40
5,461.54
4,824.79
10,213.68
37,250.43
4,500.00
6,034.19
13,841.88
12,168.38
4,564.10
2,833.33
2,675.21
4,367.52
1,388.89
769.23
2,470.09
13,581.20
4,196.58
2,871.79
1,316.24
6,708.55
423.08
534.19
444.44

540.00
342.56
1,080.00
183.59
123.59
41.03
205.54
378.97
85.13
100.51
1,204.00
128.21
476.92
3,066.05
1,385.82
912.00
158.97
648.21
1,440.00
177.44
174.36
1,080.00
1,121.03
2,184.00
164.10
1,455.13
344.10
149.23
125.13
91.28
1,836.92
713.33
1,285.13
655.38
578.97
1,225.64
4,470.05
540.00
724.10
1,661.03
1,460.21
547.69
340.00
321.03
524.10
166.67
92.31
296.41
1,629.74
503.59
344.62
157.95
805.03
50.77
64.10
53.33

225.00
142.74
450.00
76.50
51.50
17.09
85.64
157.91
35.47
41.88
501.67
53.42
198.72
1,277.52
577.43
380.00
66.24
270.09
600.00
73.93
72.65
450.00
467.09
910.00
68.38
606.30
143.38
62.18
52.14
38.03
765.38
297.22
535.47
273.08
241.24
510.68
1,862.52
225.00
301.71
692.09
608.42
228.21
141.67
133.76
218.38
69.44
38.46
123.50
679.06
209.83
143.59
65.81
335.43
21.15
26.71
22.22

13,796.00
5,330.00
2,350.00
1,475.00
26,130.00
2,130.00
1,025.00
4,212.00
750.00
870.00
12,120.00
750.00
1,420.00
1,030.00
2,926.00
5,616.00
5,265.00
6,728.00
1,600.00
6,290.00
395,000.00
1,475.00
1,395.00
1,065.00
42,225.00
8,620.00
12,309.00
9,477.00
1,240.00
6,728.00
570.00
5,865.00
19,823.00
2,115.00
13,456.00
4,212.00
1,575.00
4,075.00
2,000.00
16,382.00
500.00
1,075.00
11,465.00
1,995.00
1,235.00
351.00
550.00
2,445.00
875.00
15,795.00
9,360.00
5,920.00
1,410.00
490.00
4,563.00
1,750.00

11,791.45
4,555.56
2,008.55
1,260.68
22,333.33
1,820.51
876.07
3,600.00
641.03
743.59
10,358.97
641.03
1,213.68
880.34
2,500.85
4,800.00
4,500.00
5,750.43
1,367.52
5,376.07
337,606.84
1,260.68
1,192.31
910.26
36,089.74
7,367.52
10,520.51
8,100.00
1,059.83
5,750.43
487.18
5,012.82
16,942.74
1,807.69
11,500.85
3,600.00
1,346.15
3,482.91
1,709.40
14,001.71
427.35
918.80
9,799.15
1,705.13
1,055.56
300.00
470.09
2,089.74
747.86
13,500.00
8,000.00
5,059.83
1,205.13
418.80
3,900.00
1,495.73

1,414.97
546.67
241.03
151.28
2,680.00
218.46
105.13
432.00
76.92
89.23
1,243.08
76.92
145.64
105.64
300.10
576.00
540.00
690.05
164.10
645.13
40,512.82
151.28
143.08
109.23
4,330.77
884.10
1,262.46
972.00
127.18
690.05
58.46
601.54
2,033.13
216.92
1,380.10
432.00
161.54
417.95
205.13
1,680.21
51.28
110.26
1,175.90
204.62
126.67
36.00
56.41
250.77
89.74
1,620.00
960.00
607.18
144.62
50.26
468.00
179.49

589.57
227.78
100.43
63.03
1,116.67
91.03
43.80
180.00
32.05
37.18
517.95
32.05
60.68
44.02
125.04
240.00
225.00
287.52
68.38
268.80
16,880.34
63.03
59.62
45.51
1,804.49
368.38
526.03
405.00
52.99
287.52
24.36
250.64
847.14
90.38
575.04
180.00
67.31
174.15
85.47
700.09
21.37
45.94
489.96
85.26
52.78
15.00
23.50
104.49
37.39
675.00
400.00
252.99
60.26
20.94
195.00
74.79

2,605.00
5,265.00
5,265.00
3,975.00
1,985.00
3,800.00
12,118.00
2,195.00
505.00
3,830.00
700.00
10,530.00
800.00
3,880.00
1,205.00
5,265.00
6,805.00
780.00
4,102.25
2,000.00
3,897.25
8,185.00
2,730.00
5,265.00
420.00
520.00
12,606.71
13,162.50
14,205.00
125.00
3,810.00
2,106.00
4,900.00
11,350.00
6,318.00
580.00
5,780.00
1,465.00
2,212.00
2,945.00
22,435.00
5,616.00
3,025.00
5,265.00
11,145.00
945.00
24,062.00
7,765.00
9,695.75
915.00
1,675.00
4,212.00
675.00
8,424.00
3,176.00
7,193.00

2,226.50
4,500.00
4,500.00
3,397.44
1,696.58
3,247.86
10,357.26
1,876.07
431.62
3,273.50
598.29
9,000.00
683.76
3,316.24
1,029.91
4,500.00
5,816.24
666.67
3,506.20
1,709.40
3,330.98
6,995.73
2,333.33
4,500.00
358.97
444.44
10,774.97
11,250.00
12,141.03
106.84
3,256.41
1,800.00
4,188.03
9,700.85
5,400.00
495.73
4,940.17
1,252.14
1,890.60
2,517.09
19,175.21
4,800.00
2,585.47
4,500.00
9,525.64
807.69
20,565.81
6,636.75
8,286.97
782.05
1,431.62
3,600.00
576.92
7,200.00
2,714.53
6,147.86

267.18
540.00
540.00
407.69
203.59
389.74
1,242.87
225.13
51.79
392.82
71.79
1,080.00
82.05
397.95
123.59
540.00
697.95
80.00
420.74
205.13
399.72
839.49
280.00
540.00
43.08
53.33
1,293.00
1,350.00
1,456.92
12.82
390.77
216.00
502.56
1,164.10
648.00
59.49
592.82
150.26
226.87
302.05
2,301.03
576.00
310.26
540.00
1,143.08
96.92
2,467.90
796.41
994.44
93.85
171.79
432.00
69.23
864.00
325.74
737.74

111.32
225.00
225.00
169.87
84.83
162.39
517.86
93.80
21.58
163.68
29.91
450.00
34.19
165.81
51.50
225.00
290.81
33.33
175.31
85.47
166.55
349.79
116.67
225.00
17.95
22.22
538.75
562.50
607.05
5.34
162.82
90.00
209.40
485.04
270.00
24.79
247.01
62.61
94.53
125.85
958.76
240.00
129.27
225.00
476.28
40.38
1,028.29
331.84
414.35
39.10
71.58
180.00
28.85
360.00
135.73
307.39

64,643.00
41,290.00
4,390.00
3,365.00
1,680.00
1,100.00
2,375.00
955.00
6,353.50
2,000.00
6,353.00
21,060.00
7,020.00
6,595.00
20,871.50
15,795.00
13,323.00
5,640.00
12,286.00
1,775.00
12,500.00
11,993.00
4,212.00
7,220.00
780.00
2,840.00
6,460.00
1,710.00
2,405.00
5,740.00
7,150.00
2,926.00
3,080.00
1,355.00
2,435.00
2,300.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
1,500.00
4,280.00
6,347.50
915.00
3,395.00
1,840.00

55,250.43
35,290.60
3,752.14
2,876.07
1,435.90
940.17
2,029.91
816.24
5,430.34
1,709.40
5,429.91
18,000.00
6,000.00
5,636.75
17,838.89
13,500.00
11,387.18
4,820.51
10,500.85
1,517.09
10,683.76
10,250.43
3,600.00
6,170.94
666.67
2,427.35
5,521.37
1,461.54
2,055.56
4,905.98
6,111.11
2,500.85
2,632.48
1,158.12
2,081.20
1,965.81
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
1,282.05
3,658.12
5,425.21
782.05
2,901.71
1,572.65

6,630.05
4,234.87
450.26
345.13
172.31
112.82
243.59
97.95
651.64
205.13
651.59
2,160.00
720.00
676.41
2,140.67
1,620.00
1,366.46
578.46
1,260.10
182.05
1,282.05
1,230.05
432.00
740.51
80.00
291.28
662.56
175.38
246.67
588.72
733.33
300.10
315.90
138.97
249.74
235.90
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
153.85
438.97
651.03
93.85
348.21
188.72

2,762.52
1,764.53
187.61
143.80
71.79
47.01
101.50
40.81
271.52
85.47
271.50
900.00
300.00
281.84
891.94
675.00
569.36
241.03
525.04
75.85
534.19
512.52
180.00
308.55
33.33
121.37
276.07
73.08
102.78
245.30
305.56
125.04
131.62
57.91
104.06
98.29
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
64.10
182.91
271.26
39.10
145.09
78.63

990.00
7,400.00
7,400.00
7,400.00
7,400.00
7,400.00
3,090.00
7,079.00
855.00
9,477.00
13,754.00
4,621.00
12,681.75
845.00
5,265.00
4,401.00
12,391.75
5,265.00
8,600.00
1,500.00
1,500.00
1,500.00
2,152.00
1,500.00
1,500.00
1,500.00
4,500.00
1,500.00
4,500.00
4,500.00
17,258.00
545.00
11,993.00
1,780.00
11,270.00
5,996.50
1,180.00
710.00
1,250.00
1,250.00
1,250.00
1,250.00
7,400.00
7,400.00
7,296.00
1,400.00
7,296.00
4,295.00
1,660.00
7,437.00
925.00
10,823.00
4,520.00
75,560.00
1,305.00
7,870.00
3,400.00

846.15
6,324.79
6,324.79
6,324.79
6,324.79
6,324.79
2,641.03
6,050.43
730.77
8,100.00
11,755.56
3,949.57
10,839.10
722.22
4,500.00
3,761.54
10,591.24
4,500.00
7,350.43
1,282.05
1,282.05
1,282.05
1,839.32
1,282.05
1,282.05
1,282.05
3,846.15
1,282.05
3,846.15
3,846.15
14,750.43
465.81
10,250.43
1,521.37
9,632.48
5,125.21
1,008.55
606.84
1,068.38
1,068.38
1,068.38
1,068.38
6,324.79
6,324.79
6,235.90
1,196.58
6,235.90
3,670.94
1,418.80
6,356.41
790.60
9,250.43
3,863.25
64,581.20
1,115.38
6,726.50
2,905.98

101.54
758.97
758.97
758.97
758.97
758.97
316.92
726.05
87.69
972.00
1,410.67
473.95
1,300.69
86.67
540.00
451.38
1,270.95
540.00
882.05
153.85
153.85
153.85
220.72
153.85
153.85
153.85
461.54
153.85
461.54
461.54
1,770.05
55.90
1,230.05
182.56
1,155.90
615.03
121.03
72.82
128.21
128.21
128.21
128.21
758.97
758.97
748.31
143.59
748.31
440.51
170.26
762.77
94.87
1,110.05
463.59
7,749.74
133.85
807.18
348.72

42.31
316.24
316.24
316.24
316.24
316.24
132.05
302.52
36.54
405.00
587.78
197.48
541.96
36.11
225.00
188.08
529.56
225.00
367.52
64.10
64.10
64.10
91.97
64.10
64.10
64.10
192.31
64.10
192.31
192.31
737.52
23.29
512.52
76.07
481.62
256.26
50.43
30.34
53.42
53.42
53.42
53.42
316.24
316.24
311.79
59.83
311.79
183.55
70.94
317.82
39.53
462.52
193.16
3,229.06
55.77
336.32
145.30

1,320.00
14,335.00
3,900.00
1,404.00
1,530.00
1,490.00
1,055.00
11,934.00
2,195.00
1,185.00
6,910.00
690.00
62,413.00
545.00
5,265.00
11,993.00
2,632.50
2,235.00
2,130.00
875.00
83,500.00
83,500.00
71,645.38
9,075.00
4,475.00
885.00
725.00
4,600.00
2,400.00
7,005.00
3,445.00
26,000.00
22,360.50
10,530.00
2,086.50
5,265.00
2,895.00
22,815.00
26,325.00
7,136.50
3,716.50
810.00
975.00
13,114.50
5,996.50
2,594.50
6,329.50
1,365.00
905.00
8,855.00
2,895.00
5,001.75
7,174.75
890.00

1,128.21
12,252.14
3,333.33
1,200.00
1,307.69
1,273.50
901.71
10,200.00
1,876.07
1,012.82
5,905.98
589.74
53,344.44
465.81
4,500.00
10,250.43
2,250.00
1,910.26
1,820.51
747.86
71,367.52
71,367.52
61,235.37
7,756.41
3,824.79
756.41
619.66
3,931.62
2,051.28
5,987.18
2,944.44
22,222.22
19,111.54
9,000.00
1,783.33
4,500.00
2,474.36
19,500.00
22,500.00
6,099.57
3,176.50
692.31
833.33
11,208.97
5,125.21
2,217.52
5,409.83
1,166.67
773.50
7,568.38
2,474.36
4,275.00
6,132.26
760.68

135.38
1,470.26
400.00
144.00
156.92
152.82
108.21
1,224.00
225.13
121.54
708.72
70.77
6,401.33
55.90
540.00
1,230.05
270.00
229.23
218.46
89.74
8,564.10
8,564.10
7,348.24
930.77
458.97
90.77
74.36
471.79
246.15
718.46
353.33
2,666.67
2,293.38
1,080.00
214.00
540.00
296.92
2,340.00
2,700.00
731.95
381.18
83.08
100.00
1,345.08
615.03
266.10
649.18
140.00
92.82
908.21
296.92
513.00
735.87
91.28

56.41
612.61
166.67
60.00
65.38
63.68
45.09
510.00
93.80
50.64
295.30
29.49
2,667.22
23.29
225.00
512.52
112.50
95.51
91.03
37.39
3,568.38
3,568.38
3,061.77
387.82
191.24
37.82
30.98
196.58
102.56
299.36
147.22
1,111.11
955.58
450.00
89.17
225.00
123.72
975.00
1,125.00
304.98
158.82
34.62
41.67
560.45
256.26
110.88
270.49
58.33
38.68
378.42
123.72
213.75
306.61
38.03

6,728.00
2,870.00
1,545.00
1,455.00
3,630.00
4,262.75
4,264.75
17,881.00
745.00
1,600.00
1,770.00
2,610.00
3,364.00
1,170.00
23,692.50
10,876.00
10,000.00
10,553.50
6,318.00
680.00
99,000.00
22,000.00
7,751.50
5,265.00
16,820.00
460.00
3,145.00
11,940.00
4,680.00
230.00
1,200.00
9,574.50
710.00
850.00
10,000.00
1,650.00
1,670.00
70,000.00
665.00
750.00
5,001.75
1,515.00
14,375.00
###

5,750.43
2,452.99
1,320.51
1,243.59
3,102.56
3,643.38
3,645.09
15,282.91
636.75
1,367.52
1,512.82
2,230.77
2,875.21
1,000.00
20,250.00
9,295.73
8,547.01
9,020.09
5,400.00
581.20
84,615.38
18,803.42
6,625.21
4,500.00
14,376.07
393.16
2,688.03
10,205.13
4,000.00
196.58
1,025.64
8,183.33
606.84
726.50
8,547.01
1,410.26
1,427.35
59,829.06
568.38
641.03
4,275.00
1,294.87
12,286.32
3,778,596.85

690.05
294.36
158.46
149.23
372.31
437.21
437.41
1,833.95
76.41
164.10
181.54
267.69
345.03
120.00
2,430.00
1,115.49
1,025.64
1,082.41
648.00
69.74
10,153.85
2,256.41
795.03
540.00
1,725.13
47.18
322.56
1,224.62
480.00
23.59
123.08
982.00
72.82
87.18
1,025.64
169.23
171.28
7,179.49
68.21
76.92
513.00
155.38
1,474.36
453,431.62

287.52
122.65
66.03
62.18
155.13
182.17
182.25
764.15
31.84
68.38
75.64
111.54
143.76
50.00
1,012.50
464.79
427.35
451.00
270.00
29.06
4,230.77
940.17
331.26
225.00
718.80
19.66
134.40
510.26
200.00
9.83
51.28
409.17
30.34
36.32
427.35
70.51
71.37
2,991.45
28.42
32.05
213.75
64.74
614.32
188,929.84

thholding Tax
10%

Net Amount
Received

Remarks

Checking
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
#DIV/0!
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

Check collected 72,359.08

check
check
check
check

collected
collected
collected
collected

10,083.42
5.315.60
66,441.66
97,633.84

0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
#DIV/0!
0.12
0.12
#DIV/0!
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
#DIV/0!
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

Check collected 79,062.50

0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
#DIV/0!
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
#DIV/0!
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12
0.12

Date

Num

Name

7/4/2014
7/12/2014
7/12/2014
7/12/2014
7/14/2014
7/14/2014
7/14/2014
7/14/2014
7/14/2014
7/22/2014
7/22/2014
7/22/2014
7/22/2014
7/22/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/26/2014
7/30/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014
7/31/2014

223564
223585
223586
223588
223593
223597
223600
223601
223602
223613
223620
223614
223617
223621
DRS
SI
SI

Glynis Balagot
Amer Velic
Glynis Balagot
San Miguel Brewery
Napintas Logistics & Distribution, In
Jezzi's Enterprises, Inc.
National Bazaar
Centro Lumber & Hardware Corp
OAI General Merchandise Corp.
San Miguel Brewery
Molte Aries
Milani Alcoseba
CogentC InfoPro Outsourcing Inc.
G4RS Enterprise
Sanitary Care Products Asia, Inc.
Universal Towel Mnfctg Company, I
John Hay Coffee Services, Inc.
168 Commercial
Detpak Packaging
Edelia's Marketing
East World Sales Philippines
Glexo Enterprises
Grist Chem Corporation
EU Ortega Printing
Arly Trading and Construction Supp
Arly Trading and Construction Supp
Arly Trading and Construction Supp
Lilian Abelgas - Posonegro
Arly Trading and Construction Supp
San Miguel Brewery
PLDT
National Bazaar
AQN Marketing
New Malayan Commercial
La Union Metro Houseware
Aquarex Marketing
Lim's Gas Station
Lim's Gas Station
J2 Autotec Service Specialist
G4RS Enterprise
PC4Me one Stop Computer Corp
Philippine Wine Merchants
Napintas Logistics & Distribution, In
Arly Trading and Construction Supp
John Hay Coffee Services, Inc.
La Union Electric Cooperative
Centro Lumber & Hardware Corp
Mckleene Prem

PO
CSI
SIS
DS
CSIS
SI
SI
PO
CSI
223635
SOA
CSI
073114
CSI
DR
CIS
CIS
CI
CSI
CSI
CI
SOA
CSI
CSI
Bill
SOA
CSI
07-01

Input Tax
1,728.22
730.82
750.00
2,584.93
0.00
1,612.50
482.14
11,504.03
1,446.43
1,927.50
2,025.00
414.43
3,000.00
350.68
3,367.83
892.50
1,690.82
379.38
1,291.07
393.43
684.65
476.79
900.00
1,909.93
9,159.54
724.56
5,361.65
2,678.57
3,483.00
962.68
2,419.45
17,531.95
9,704.32
3,083.79
991.29
2,245.37
1,421.72
1,907.14
465.00
227.68
364.18
4,327.71
2,414.52
378.48
2,660.36
34,575.23
2,990.90
79,826.44
230,448.61

Purchases

21,541.08

4,017.83
95,866.92
16,062.50

2,922.33
28,065.25
7,437.50
14,090.17
3,161.50
10,758.92
3,278.58
5,705.42
3,973.25
7,500.00

29,025.00
8,022.33
146,099.58
80,869.33
25,698.25
8,260.75
18,711.42

1,897.33
3,034.83
36,064.25
20,121.00
22,169.67
24,924.17

649,279.17

230,448.61

77,913.50

Service

Capital

14,401.83
6,090.17
6,250.00

13,437.50

12,053.58
16,875.00
3,453.58
25,000.00

15,916.08
76,329.50
6,038.00
44,680.42
22,321.42

20,162.08

11,847.67
15,892.83
3,875.00

3,154.00
288,126.92
665,220.33
1,089,674.00

181,451.92

14,401.83
6,090.17
6,250.00
21,541.08
13,437.50
4,017.83
95,866.92
12,053.58
16,062.50
16,875.00
3,453.58
25,000.00
2,922.33
28,065.25
7,437.50
14,090.17
3,161.50
10,758.92
3,278.58
5,705.42
3,973.25
7,500.00
15,916.08
76,329.50
6,038.00
44,680.42
22,321.42
29,025.00
8,022.33
20,162.08
146,099.58
80,869.33
25,698.25
8,260.75
18,711.42
11,847.67
15,892.83
3,875.00
1,897.33
3,034.83
36,064.25
20,121.00
3,154.00
22,169.67
288,126.92
24,924.17
665,220.33
1,920,405.08

16,130.05
6,820.99
7,000.00
24,126.01
0.00
15,050.00
4,499.97
107,370.95
13,500.01
17,990.00
18,900.00
3,868.01
28,000.00
3,273.01
31,433.08
8,330.00
15,780.99
3,540.88
12,049.99
3,672.01
6,390.07
4,450.04
8,400.00
17,826.01
85,489.04
6,762.56
50,042.07
24,999.99
32,508.00
8,985.01
22,581.53
163,631.53
90,573.65
28,782.04
9,252.04
20,956.79
13,269.39
17,799.97
4,340.00
2,125.01
3,399.01
40,391.96
22,535.52
3,532.48
24,830.03
322,702.15
27,915.07
745,046.77

130,760.88

21,774.23

VAT INPUT AMORTIZATION SCHEDULE

No.
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40

Period
Beginning Balance
Feb-11
Mar-11
Apr-11
May-11
Jun-11
Jul-11
Aug-11
Sep-11
Oct-11
Nov-11
Dec-11
Jan-12
Feb-12
Mar-12
Apr-12
May-12
Jun-12
Jul-12
Aug-12
Sep-12
Oct-12
Nov-12
Dec-12
Jan-13
Feb-13
Mar-13
Apr-13
May-13
Jun-13
Jul-13
Aug-13
Sep-13
Oct-13
Nov-13
Dec-13
Jan-14
Feb-14
Mar-14
Apr-14
May-14

INPUT VAT
10,165,115.57
9,995,696.98
9,826,278.38
9,656,859.79
9,487,441.20
9,318,022.60
9,148,604.01
8,979,185.42
8,809,766.83
8,640,348.23
8,470,929.64
8,301,511.05
8,132,092.45
7,962,673.86
7,793,255.27
7,623,836.68
7,454,418.08
7,284,999.49
7,115,580.90
6,946,162.31
6,776,743.71
6,607,325.12
6,437,906.53
6,268,487.93
6,099,069.34
5,929,650.75
5,760,232.16
5,590,813.56
5,421,394.97
5,251,976.38
5,082,557.78
4,913,139.19
4,743,720.60
4,574,302.01
4,404,883.41
4,235,464.82
4,066,046.23
3,896,627.63
3,727,209.04
3,557,790.45
3,388,371.86

INPUT VAT
AMORTIZATIO
N
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59

41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60

Jun-14
Jul-14
Aug-14
Sep-14
Oct-14
Nov-14
Dec-14
Jan-15
Feb-15
Mar-15
Apr-15
May-15
Jun-15
Jul-15
Aug-15
Sep-15
Oct-15
Nov-15
Dec-15
Jan-16

3,218,953.26
3,049,534.67
2,880,116.08
2,710,697.48
2,541,278.89
2,371,860.30
2,202,441.71
2,033,023.11
1,863,604.52
1,694,185.93
1,524,767.34
1,355,348.74
1,185,930.15
1,016,511.56
847,092.96
677,674.37
508,255.78
338,837.19
169,418.59
0.00

169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59
169,418.59

KAHUNA BEACH RESORT & SPA, INC.

Brgy. Urbiztondo, San Juan, La Union

SUMMARY INPUT TAXES

Schedule 3 : Purchases/Importation of Capital Goods (Aggregate Amount Exceeds P1 Million)
B. Previous Period
Date
Gross
Purchased Description Amount
(A)

(B)

amount
(Net of VAT)

Input Tax
(Cx12%)

(C)

(D)

ds P1 Million)