For Retail / Manufacturing Industry

NAME OF COMPANY
MERCHANDISE/ RAW MATERIALS / GOODS IN PROCESS / FINISHED GOODS INVENTORY
As of December 31, 20__
LOCATION (Note 1)
PRODUCT / INVENTORY CODE

ITEM DESCRIPTION

ADDRESS

CODE

REMARKS

INVENTORY
VALUATION
METHOD
(Note 2)

WHOLESALE OF SOLID, LIQUID, GASEOUS FUELS

Note 1

5141

Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in location/
Facilities (with or without sales activity of the taxpayer). Facilities shall include but not limited to place of product
leased property, etc. Include also goods out on consignment, though not physically present are nonetheless own

Use the following codes:

CH
Goods on consignment held by the
taxpayer
P

Parked goods or goods owned by related

parties

Goods owned by the taxpayer

CO

Note 2

Goods out on consignment held in the

hands of entity other than taxpayer

Indicate the name of the consignor in the Remark

Indicate the name of related party/owner in the R

Indicate the name of the entity in the Remarks co

Indicate Costing Method applied, e.g., Standard Costing, FIFO, Weighted Average, Specific Identification, etc.

We declare, under the penalties of perjury, that this schedule has been made in good faith, verified
is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the reg

Name and Signature of Authorize

Representative
TIN : ______________

ANNEX A

NAME OF COMPANY
LS / GOODS IN PROCESS / FINISHED GOODS INVENTORY
As of December 31, 20__
UNIT OF MEASUREMENT
UNIT PRICE

QUANTITY IN
STOCKS

TOTAL
WEIGHT /
(In weight or volume)
e.g., kilos, grams, liters, VOLUME
etc.)

ereto or not, provided these goods are actually situated in location/address at the Head Office or Branch or
axpayer). Facilities shall include but not limited to place of production, showroom, warehouse, storage place,
n consignment, though not physically present are nonetheless owned by the taxpayer.

Indicate the name of the consignor in the Remarks column

Indicate the name of related party/owner in the Remarks column

Indicate the name of the entity in the Remarks column

d Costing, FIFO, Weighted Average, Specific Identification, etc.

TOTAL
COST

ury, that this schedule has been made in good faith, verified by us, and to the best of our knowlegde and belief,
the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Name and Signature of Authorized
Representative