(To be filled up by the BIR)

DLN:

PSOC:

PSIC:

Kawanihan ng Rentas Internas Under RAs 1051, 7649 ,8241 and 8424

Republika ng Pilipinas Kagawaran ng Pananalapi

Monthly Remittance Return of Value-Added Tax and Other Percentage Taxes Withheld
Background Information Amended Return? 3 No. of Sheets Attached Yes No 7 Line of Business/ 6 RDO Code Occupation

1600
April 2003 (ENCS) 4 Any Taxes Withheld? Yes No

BIR Form No.

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

Part I 1 For the Month
(MM / YYYY)

5 8

TIN

Withholding Agent's Name (Last Name, First Name, Middle Name for Individuals)/(Registered Name for Non-Individuals)

9 Telephone No.

10 Registered Address 12 Category of Withholding Agent Private Government Part II NATURE OF INCOME PAYMENT 13 Are there payees availing of tax relief under Special Law or International Tax Treaty? Yes No If yes, specify ComputatIon of Tax ATC TAX BASE TAX RATE

11 Zip Code

TAX REQUIRED TO BE WITHHELD

14 Total Tax Required to be Withheld and Remitted 15 Less: Tax Remitted in Return Previously Filed, if this is an amended return Add: Penalties Surcharge 17A 17B Interest 17C Compromise 16 Tax Still Due/(Overremittance) 17

14 15 16

17D 18

18 Total Amount Still Due/(Overremittance) (Sum of Items 16 & 17D) For late filers with overremittance, extend amount of penalties (Item 17D to 18)

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. 19 President/Vice President/Authorized Representative/Tax Agent (Signature Over Printed Name) Title/Position of Signatory TIN of Tax Agent (if applicable) Part III Particulars 21 Cash/ Bank Debit Memo 22 Check 22A 23 Others 23A Drawee Bank/ Agency D e t a i l s of P a y m e n t Date Number MM DD YYYY
21 22B 23B 22C 23C 22D 23D

20 Treasurer/Asst. Treasurer/Authorized Representative (Signature Over Printed Name) Title/Position of Signatory Tax Agent Acrreditation No. (if applicable) Stamp of Receiving Office and Date of Receipt

Amount

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

Schedule I

ALPHANUMERIC TAX CODES Tax Tax ATC NATURE OF PAYMENT ATC Rate Rate APPLICABLE TO GOVERNMENT WITHHOLDING AGENTS ONLY: Tax on shares of stock sold or exchanged through VAT Withholding on Purchase of Goods 3% WV 010 initial and secondary public offering: VAT Withholding on Purchase of Services 6% WV 020 - Not over 25% 4% WB 201 VAT Withholding on Government Public Work Contracts 8.5% WV 030 - Over 25% but not Exceeding 33 1/3 % 2% WB 202 Tax on carriers and keepers of garages 3% WB 030 - Over 33 1/3% 1% WB 203 Franchise Tax on Electric, Gas and Water Utilities 2% WB 040 Tax on interest, commissions and discounts paid or given to banks Franchise Tax on radio & TV broadcasting companies whose annual & non-bank financial intermediaries arising out of lending activities gross receipts do not exceed P10 M & who are not VAT-registered 3% WB 050 as well as financial leasing, on the basis of the remaining maturities taxpayers of the instrument (if applicable) Tax on life insurance premiums 5% WB 070 - Short Term maturity (not in excess of 2 years) 5% WB 301 Tax on Overseas Dispatch, Message or Conversation - Medium Term maturity (over 2 years to 4 years) 3% WB 302 10% WB 090 from the Philippines - Long Term maturity (over 4 years to 7 years) 1% WB 303 Tax on royalties, rentals of property, and all other gross income - Over 7 years 0% WB 304 5% WB 103 earned by banks & non-bank financial intermediaries (if applicable) APPLICABLE TO BOTH GOVERNMENT AND PRIVATE WITHHOLDING AGENTS: VAT Withholding from non-residents (Government Withholding Agent) Tax on interest , discounts & other items of gross income paid to 10% WV 040 finance companies & other financial intermediaries not performing 5% WB 111 VAT Withholding from non-residents (Private Withholding Agent) 10% WV 050 VAT Withholding on Purchases of Goods (with waiver of privilege to quasi-banking functions (if applicable) 10% WV 012 claim input tax credit) (creditable) Business Tax on Agents of foreign insurance co.- insurance agents 10% WB 120 VAT Withholding on Purchases of Goods (with waiver of privilege to Business Tax on Agents of foreign insurance co.- owner of 5% WB 121 10% WV 014 claim input tax credit) (final) the property Tax on International Carriers 3% WB 130 VAT Withholding on Purchases of Services (with waiver of privilege to 10% WV 022 claim input tax credit) (creditable) Tax on Cockpits 18% WB 140 VAT Withholding on Purchases of Services (with waiver of privilege to Tax on Cabaret, night and day clubs 18% WB 150 10% WV 024 claim input tax credit) (final) Tax on Boxing exhibitions 10% WB 160 Tax on Professional basketball games 15% WB 170 Persons Exempt from VAT under Sec. 109z (creditable)-Government 3% WB 080 Tax on jai - alai and race tracks 30% WB 180 Withholding Agent Persons Exempt from VAT under Sec. 109z (creditable)-Private Withholding Agent Tax on sale, barter or exchange of stocks listed & traded through 3% WB 082 1/2 of 1% WB 200 Local Stock Exchange Persons Exempt from VAT under Sec. 109z (final) 3% WB 084 NATURE OF PAYMENT

ALPHABETICAL LIST OF PAYEES FOR THE MONTH OF :

( MM/YYYY)

Page ___ of ___ WITHHOLDING AGENT TIN : WITHHOLDING AGENT NAME : _______________________________

Schedule II SEQ NO. (1)

TIN (2)

ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHHELD (Attach additional sheet/s, if necessary) PAYEE DETAILS INCOME PAYMENT / TAX WITHHELD DETAILS INDIVIDUAL / CORPORATION NATURE OF PAYMENT AMOUNT ATC (3) (4) (5) (6) (LAST NAME, FIRST NAME, MIDDLE NAME FOR INDIVIDUALS OR REGISTERED NAME FOR NON-INDIVIDUALS)

TAX RATE (7)

TAX REQUIRED TO BE WITHHELD (8)

Total

P BIR FORM NO. 1600 - MONTHLY REMITTANCE RETURN OF VALUE-ADDED TAX AND OTHER PERCENTAGE TAXES WITHHELD
GUIDELINES AND INSTRUCTIONS