(Company)

SCHEDULE OF TAXES AND LICENSES

FOR THE YEAR ENDED DECEMBER 31, 2010

Official Receipt No. Date Paid Amount Remarks

A. VALUE ADDED TAX (VAT)
1. VAT output tax AGGREGATE
2. VAT input taxes AGGREGATE
a. Beginning of the year
b. Current year's domestic purchases/payments for:
1) Goods for resale/manufacture or further processing
2) Goods other than for resale or manufacture
3) Capital goods subject to amortization
4) Capital goods not subject to amortization
5) Services lodged under cost of goods sold
6) Services lodged under other accounts
c. Claims for tax credit/refund and other adjustment
d. Balance at the end of the year
3. Landed cost of imports and the amount of custom duties and tariff fees AGGREGATE

B. EXCISE TAX AGGREGATE

1. Locally produced excisable items (per product category)
a.
b.
c.
2. Imported excisable items (per product category)
a.
b.
c.

C. DOCUMENTARY STAMP TAX (DST) AGGREGATE

1. Loan instruments
2. Shares of stock
3. Others

D. WITHHOLDING TAXES AGGREGATE

 Official Receipt No. Date Paid Amount Remarks

1. Tax on compensation & benefits

2. Creditable withholding tax/es
3. Final withholding tax/es

E. OTHER TAXES (LOCAL AND NATIONAL) AGGREGATE

1. Fixed taxes
2. Specific taxes (basic deficiency taxes)
3. Percentage taxes:
a. Gross receipts tax
b. Other percentage taxes
4. Residence tax -- basic and additional
5. Real estate taxes
6. Business taxes
7. Occupation taxes
8. Custom Duties
9. Mayor's permit
10. Business license
11. Others
a. Annual VAT Registration Fee
b. Registration of ledgers
c. Motor vehicle registration fees
d. Registration fees with:
1) Securities and Exchange Commission
2) Board of Investments
e. Miscellaneous

F. TAX ASSESSMENT AGGREGATE

Period covered __________________________________

G. TAX CASES AGGREGATE

TOTAL TAXES AND LICENSES