Vous êtes sur la page 1sur 1

ANNEX 'J"

REPUBLIKA NG PILIPINAS
KAGAWARAN NG PANANALAPI
KAWANIHAN NG RENTAS INTERNAS
Revenue Region No. _____
Revenue District Office No. ______

Monthly Report on the Quantity of Refined Sugar Lilled/Produced and the


Amount of Advance VAT Paid and Duly Remitted
For the Month of _______________________
Name of Sugar Refinery/Mill

TIN

Address
NO. OF BAGS OF REFINED
SUGAR TOLLED/PRODUCED

OWNER OF REFINED SUGAR


NAME AND ADDRESS

TIN

RDO
NO.

AMOUNT OF ADVANCE
VAT PAID COLLECTED

(Per Classification)

TOTAL BASE
PRICE
SUBJECTED
TO ADVANCE

(Per Classification)

TOTAL

TOTAL

PAYMENT OF VAT

TOTAL BASE
PRICE NOT
SUBJECTED
TO ADVANCE
PAYMENT OF VAT

Certified Correct:

Signature over Printed Name


Designation
Original

Home RDO of the Sugar Refinery/Mill

Duplicate

Sugar Refinery/Mill

Triplicate

Home RDO of the Sugar Buyer where it is registered

Quadruplicate

Home RDO of the Sugar - Cooperative