For BIR

Use
Only

BCS/
Item
1702-RT06/13P1
Republika ng Pilipinas
Kagawaran ng Pananalapi
Kawanihan ng Rentas Internas

1 For
Calendar
Fiscal
2 Year Ended (MM/20YY)

/20

Annual Income Tax Return

BIR Form No.

1702-RT

For Corporation, Partnership and Other Non-Individual

Taxpayer Subject Only to REGULAR Income Tax Rate

June 2013

Enter all required information in CAPITAL LETTERS. Mark applicable boxes with an X.
Two copies MUST be filed with the BIR and one held by the taxpayer.

3 Amended Return?

Yes

4 Short Period Return?

No

Yes

Page 1

5 Alphanumeric Tax Code (ATC)

IC 055

No

Minimum Corporate Income Tax (MCIT)

Part I Background Information

6 Taxpayer Identification Number (TIN)

- 0 0 0 0

7 RDO Code

8 Date of Incorporation/Organization (MM/DD/YYYY)

9 Registered Name (Enter only 1 letter per box using CAPITAL LETTERS)

10 Registered Address (Indicate complete registered address)

11 Contact Number

12 Email Address

13 Main Line of Business

15 Method of Deductions

14 PSIC Code
Optional Standard Deduction(OSD) 40%of Gross Income [Section
34(L), NIRC as amended by RA No.9504]

Itemized Deductions [Sections 34 (A-J), NIRC]

Part II Total Tax Payable

(Do NOT enter Centavos)

16 Total Income Tax Due (Overpayment) (From Part IV Item 44)

17 Less: Total Tax Credits/Payments (From Part IV Item 45)
18 Net Tax Payable (Overpayment) (Item 16 Less Item 17) (From Part IV Item 46)
19 Add: Total Penalties (From Part IV Item 50)
20 TOTAL AMOUNT PAYABLE (Overpayment) (Sum of Item 18 and 19) (From Part IV Item 51)
21 If Overpayment, mark X one box only (Once the choice is made, the same is irrevocable)
To be refunded

To be issued a Tax Credit Certificate (TCC)

To be carried over as a tax credit for next year/quarter

We declare under the penalties of perjury, that this annual return 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. (If Authorized Representative, attach authorization letter and indicate TIN)

Signature over printed name of President/Principal Officer/ Authorized Representative

Signature over printed name of Treasurer/ Assistant Treasurer

Title of Signatory

Number of pages filed

23 Date of Issue
(MM/DD/YYYY)

22 Community Tax Certificate

(CTC) Number/SEC Reg.
No.

24 Place of Issue

25 Amount, if CTC

Part III Details of Payment

Details of Payment
26 Cash/Bank Debit Memo

27 Check
28 Tax Debit Memo

Drawee Bank/ Agency

Number

Date (MM/DD/YYYY)

/
/
/

/
/
/

Amount

29 Others (Specify Below)

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

Stamp of receiving Office/AAB and Date of

Receipt (ROs Signature/Bank Tellers Initial)

Annual Income Tax Return

Page 2

BIR Form No.

1702-RT
June 2013

Taxpayer Identification Number (TIN)

0 0 0

1702-RT06/13P2

Registered Name
0
Part IV - Computation of Tax

(Do NOT enter Centavos)

30 Net Sales/Revenues/Receipts/Fees (From Schedule 1 Item 6)

31 Less: Cost of Sales/Services (From Schedule 2 Item 27)
32 Gross Income from Operation

(Item 30 Less Item 31)

33 Add: Other Taxable Income Not Subjected to Final Tax (From Schedule 3 Item 4)
34 Total Gross Income (Sum of Items 32 & 33)
Less: Deductions Allowable under Existing Law
Allowable Itemized Deductions
35 Ordinary
(From Schedule 4 Item 40)
Allowable Itemized Deductions
36 Special
(From Schedule 5 Item 5)
(only for those taxable under Sec. 27(A to C); Sec. 28(A)(1)
37 NOLCO
(A)(6)(b) of the Tax Code
(From Schedule 6A Item 8D)

38 Total Itemized Deductions (Sum of Items 35 to 37)

OR [in case taxable under Sec 27(A) & 28(A)(1)]
39 Optional Standard Deduction (40% of Item 34)
40 Net Taxable Income (Item 34 Less Item 38 OR Item 39)

30.0%

41 Income Tax Rate

42 Income Tax Due other than MCIT

(Item 40 x Item 41)

43 Minimum Corporate Income Tax (MCIT) (2% of Gross Income in Item 34)
44 Total Income Tax Due (Normal Income Tax in Item 42 or MCIT in Item 43, whichever is higher) (To Part II Item 16)

45 Less: Total Tax Credits/Payments (From Schedule 7 Item 12)

(To Part II Item 17)

46 Net Tax Payable (Overpayment) (Item 44 Less Item 45)

(To Part II Item 18)

Add Penalties
47 Surcharge
48 Interest
49 Compromise
50 Total Penalties (Sum of Items 47 to 49)

(To Part II Item 19)

51 Total Amount Payable (Overpayment) (Sum Item 46 & 50)

(To Part II Item 20)

Part V - Tax Relief Availment

(Do NOT enter Centavos)

52 Special Allowable Itemized Deductions (30% of Item 36)

53 Add: Special Tax Credits (From Schedule 7 Item 9)
54 Total Tax Relief Availment (Sum of Items 52 & 53)
Part VI - Information - External Auditor/Accredited Tax Agent
55 Name of External Auditor/Accredited Tax Agent
56 TIN
57 Name of Signing Partner (If External Auditor is a Partnership)
58 TIN
60 Issue Date (MM/DD/YYYY)

59 BIR Accreditation No.

61 Expiry Date (MM/DD/YYYY)

BIR Form No.

Annual Income Tax Return

1702-RT

Page 3 - Schedules 1 & 2

Taxpayer Identification Number (TIN)
0 0 0

June 2013

1702-RT06/013P3

Registered Name
0

Schedule 1 - Sales/Revenues/Receipts/Fees (Attach additional sheet/s, if necessary)

1 Sale of Goods/Properties
2 Sale of Services
3 Lease of Properties
4 Total (Sum of Items 1 to 3)
5 Less: Sales Returns, Allowances and Discounts
6 Net Sales/Revenues/Receipts/Fees (Item 4 Less Item 5)

(To Part IV Item 30)

Schedule 2 - Cost of Sales (Attach additional sheet/s, if necessary)

Schedule 2A - Cost of Sales (For those Engaged in Trading)
1 Merchandise Inventory - Beginning
2 Add: Purchases of Merchandise
3 Total Goods Available for Sale (Sum of Items 1 & 2)
4 Less: Merchandise Inventory, Ending
5 Cost of Sales (Item 3 Less Item 4)

(To Schedule 2 Item 27 )

Schedule 2B - Cost of Sales (For those Engaged in Manufacturing)

6 Direct Materials, Beginning
7 Add: Purchases of Direct Materials
8 Materials Available for Use (Sum of Items 6 & 7)
9 Less: Direct Materials, Ending
10 Raw Materials Used (Item 8 Less Item 9)
11 Direct Labor
12 Manufacturing Overhead
13 Total Manufacturing Cost (Sum of Items 10, 11 & 12)
14 Add: Work in Process, Beginning
15 Less: Work in Process, Ending
16 Cost of Goods Manufactured (Sum of Items 13 & 14 Less Item 15)
17 Finished Goods, Beginning
18 Less: Finished Goods, Ending
19 Cost of Goods Manufactured and Sold (Sum of Items 16 & 17 Less Item 18)

(To Sched. 2 Item 27)

Schedule 2C - Cost of Services

(For those engaged in Services, indicate only those directly incurred or related to the gross revenue from rendition of services)

20 Direct Charges - Salaries, Wages and Benefits

21 Direct Charges - Materials, Supplies and Facilities
22 Direct Charges - Depreciation
23 Direct Charges - Rental
24 Direct Charges - Outside Services
25 Direct Charges - Others
26 Total Cost of Services (Sum of Items 20 to 25)

(To Item 27)

27 Total Cost of Sales/Services (Sum of Items 5, 19 & 26, if applicable)

(To Part IV Item 31)

Annual Income Tax Return

Page 4 - Schedules 3 & 4
Taxpayer Identification Number (TIN)
0

BIR Form No.

1702-RT
June 2013

Registered Name
0

Schedule 3 - Other Taxable Income Not Subjected to Final Tax (Attach additional sheet/s, if necessary)
1
2
3
4 Total Other Taxable Income Not Subjected to Final Tax (Sum of Items 1 to 3) (To Part IV Item 33)

Schedule 4 - Ordinary Allowable Itemized Deductions (Attach additional sheet/s, if necessary)

1 Advertising and Promotions
Amortizations (Specify on Items 2, 3 & 4)
2
3
4
5 Bad Debts
6 Charitable Contributions
7 Commissions
8 Communication, Light and Water
9 Depletion
10 Depreciation
11 Director's Fees
12 Fringe Benefits
13 Fuel and Oil
14 Insurance
15 Interest
16 Janitorial and Messengerial Services
17 Losses
18 Management and Consultancy Fee
19 Miscellaneous
20 Office Supplies
21 Other Services
22 Professional Fees
23 Rental
24 Repairs and Maintenance - (Labor or Labor & Materials)
25 Repairs and Maintenance - (Materials/Supplies)
26 Representation and Entertainment
27 Research and Development
28 Royalties
29 Salaries and Allowances

1702-RT06/13P4

Annual Income Tax Return

Page 5 - Schedules 4, 5 & 6
Taxpayer Identification Number (TIN)
0 0 0

BIR Form No.

1702-RT
June 2013

1702-RT06/13P5

Registered Name
0

Schedule 4 - Ordinary Allowable Itemized Deductions (Continued from Previous Page)

30 Security Services
31 SSS, GSIS, Philhealth, HDMF and Other Contributions
32 Taxes and Licenses
33 Tolling Fees
34 Training and Seminars
35 Transportation and Travel
Others [Specify below; Add additional sheet(s), if necessary]
36
37
38
39
40 Total Ordinary Allowable Itemized Deductions (Sum of Items 1 to 39)

(To Part IV Item 35)

Schedule 5 - Special Allowable Itemized Deductions (Attach additional sheet/s, if necessary)

Description

Legal Basis

Amount

1
2
3
4
5 Total Special Allowable Itemized Deductions (Sum of Items 1 to 4)

(To Part IV Item 36)

Schedule 6 - Computation of Net Operating Loss Carry Over (NOLCO)

1 Gross Income (From Part IV Item 34)
2 Less: Total Deductions Exclusive of NOLCO & Deduction Under Special Law
3 Net Operating Loss (To Schedule 6A)
Schedule 6A - Computation of Available Net Operating Loss Carry Over (NOLCO)
Year Incurred

Net Operating Loss

A) Amount

B) NOLCO Applied Previous Year

4
5
6
7
Continuation of Schedule 6A (Item numbers continue from table above)
C) NOLCO Expired
4
5
6
7
8

Total NOLCO
(Sum of Items 4D to 7D) (To Part IV Item 37)

D) NOLCO Applied Current Year

E) Net Operating Loss (Unapplied)

Annual Income Tax Return

Page 6 - Schedules 7, 8 & 9
0

1702-RT
June 2013

Taxpayer Identification Number (TIN)

0

BIR Form No.

1702-RT06/13P6

Registered Name
0

Schedule 7 - Tax Credits/Payments (attach proof) (Attach additional sheet/s, if necessary)

1 Prior Year's Excess Credits Other Than MCIT
2 Income Tax Payment under MCIT from Previous Quarter/s
3 Income Tax Payment under Regular/Normal Rate from Previous Quarter/s
4 Excess MCIT Applied this Current Taxable Year

(From Schedule 8 Item 4F)

5 Creditable Tax Withheld from Previous Quarter/s per BIR Form No. 2307
6 Creditable Tax Withheld per BIR Form No. 2307 for the 4th Quarter
7 Foreign Tax Credits, if applicable
8 Tax Paid in Return Previously Filed, if this is an Amended Return
9 Special Tax Credits (To Part V Item 53)
Other Credits/Payments

(Specify)

10
11
12 Total Tax Credits/Payments (Sum of Items 1 to 11)

Year

(To Part IV Item 45)

Schedule 8 - Computation of Minimum Corporate Income Tax (MCIT)

C) Excess MCIT over Normal Income Tax
B) MCIT

A) Normal Income Tax as Adjusted

1
2
3
Continuation of Schedule 8 (Line numbers continue from table above)
F) Excess MCIT Applied
D) Excess MCIT Applied/Used
E) Expired Portion of
this Current Taxable Year
for Previous Years
Excess MCIT
1

G) Balance of Excess MCIT Allowable as

Tax Credit for Succeeding Year/s

2
3
4 Total Excess MCIT (Sum of Column for Items 1F to 3F)

(To Schedule 7 Item 4)

Schedule 9 - Reconciliation of Net Income per Books Against Taxable Income

1 Net Income/(Loss) per books
Add: Non-deductible Expenses/Taxable Other Income
2
3
4 Total (Sum of Items 1 to 3)
Less: A) Non-taxable Income and Income Subjected to Final Tax
5
6
B) Special Deductions
7
8
9 Total (Sum of Items 5 to 8)
10 Net Taxable Income (Loss) (Item 4 Less Item 9)

(Attach additional sheet/s, if necessary)

BIR Form No.

Annual Income Tax Return 1702-RT

Page 7 - Schedules 10 & 11
June 2013

Taxpayer Identification Number (TIN)

0

1702-RT06/13P7

Registered Name
0

0
Schedule 10 - BALANCE SHEET
Assets

1 Current Assets
2 Long-Term Investment
3 Property, Plant and Equipment Net
4 Long-Term Receivables
5 Intangible Assets
6 Other Assets
7 Total Assets (Sum of Items 1 to 6)
Liabilities and Equity
8 Current Liabilities
9 Long-Term Liabilities
10 Deferred Credits
11 Other Liabilities
12 Total Liabilities (Sum of Items 8 to 11)
13 Capital Stock
14 Additional Paid-in Capital
15 Retained Earnings
16 Total Equity (Sum of Items 13 to 15)
17 Total Liabilities and Equity (Sum of Items 12 & 16)
11

Schedule 11

Stockholders

Partners

Members Information (Top 20 stockholders, partners or members)

(On column 3 enter the amount of capital contribution and on the last column enter the percentage this represents on the entire ownership.)

REGISTERED NAME

TIN

Capital Contribution

% to
Total

Annual Income Tax Return

Page 8 - Schedules 12 & 13
Taxpayer Identification Number (TIN)
0

BIR Form No.

1702-RT
June 2013

1702-RT06/13P8

Registered Name
0

Schedule 12 - Supplemental Information (Attach additional sheet/s, if necessary)

I) Gross Income/ Receipts
Subjected to Final
Withholding

B) Actual Amount/Fair Market

Value/Net Capital Gains

C) Final Tax Withheld/Paid

A) Sale/Exchange #1

B) Sale/Exchange #2

III) Sale/Exchange of Shares of Stock

A) Sale/Exchange #3

B) Sale/Exchange #4

10 Kind (PS/CS) / Stock Certificate Series No.

A) Exempt

1 Interests
2 Royalties
3 Dividends
4 Prizes and Winnings

II) Sale/Exchange of Real Properties

5 Description of Property (e.g., land, improvement, etc.)

6 OCT/TCT/CCT/Tax Declaration No.
7 Certificate Authorizing Registration (CAR) No.
8 Actual Amount/Fair Market Value/Net Capital Gains
9 Final Tax Withheld/Paid

11 Certificate Authorizing Registration (CAR) No.

12 Number of Shares

13 Date of Issue (MM/DD/YYYY)

14 Actual Amount/Fair Market Value/Net Capital Gains

15 Final Tax Withheld/Paid
IV) Other Income (Specify)

A) Other Income #1

B) Other Income #2

16 Other Income Subject to Final Tax Under Sections

57(A)/127/others of the Tax Code, as amended
(Specify)

17 Actual Amount/Fair Market Value/Net Capital Gains

18 Final Tax Withheld/Paid
19 Total Final Tax Withheld/Paid

(Sum of Items 1C to 4C, 9A,9B,15A,15B,18A &18B)

Schedule 13- Gross Income/Receipts Exempt from Income Tax

1 Return of Premium

(Actual Amount/Fair Market Value)

I) Personal/Real Properties Received

thru Gifts, Bequests, and Devises
2 Description of Property (e.g., land, improvement, etc.)

A) Personal/Real Properties #1

B) Personal/Real Properties #2

A) Other Exempt Income #1

B) Other Exempt Income #2

3 Mode of Transfer (e.g. Donation)

4 Certificate Authorizing Registration (CAR) No.
5 Actual Amount/Fair Market Value
II) Other Exempt Income/Receipts
6 Other Exempt Income/Receipts Under
Sec. 32 (B) of the Tax Code, as amended (Specify)
7 Actual Amount/Fair Market Value/Net Capital Gains
8 Total Income/Receipts Exempt from Income Tax (Sum of Items 1, 5A, 5B, 7A & 7B)