2550Q FOrm

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(To be filled up by the BIR)

DLN:

PSIC:

Republika ng Pilipinas
Kagawaran ng Pananalapi

Kawanihan ng Rentas Internas

BIR Form No.

Quarterly Value-Added
Tax Return

2550Q
April 2002 (ENCS)

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

For the
Year Ended
( MM / YYYY )
6 TIN

Calendar

Fiscal

1st

2 Quarter

3rd 3 Return
From
Period
4th (mm/dd/yy) To
8 Line of Business

2nd
7 RDO

4 Amended
Return?

Yes 5 No. of sheets


attached
No

Code
9

10

11 Registered Address

12

13 Are you availing of tax relief under Special Law


or International Tax Treaty?
Yes

Zip Code

If yes, specify
No

Part II

Computation of Tax

Industries Covered by VAT

Sales/Receipts for the Quarter (Exclusive of VAT)

ATC

14

14A

14B

14C

15

15A

15B

15C

16

16A

16B

16C

17

17A

17B

17C

18

18A

18B

18C

19A

19B

19 Total Sales/Receipts (Sum of Items 14B to 18B) and


Output Tax Due (Sum of Items 14C to 18C) - 10%
20 Zero Rated Sales/Receipts

20

21 Exempt Sales/Receipts
22 Total Sales/Receipts (Sum of Items 19A, 20 and 21)
23
Less: Input Tax
Transitional Input Tax
23A

21
Purchases
23A

23C

23B
23C

23D/E

Domestic Purchases-Capital Goods

23D

23E

23F/G

Domestic Purchases - Goods other than Capital Goods 23F

23G

23H/I

Domestic Purchases-Services
Services rendered by Non-Resident
Importations - Capital Goods

23H
23J
23L

23I
23K

Importations- Goods other than capital goods


Purchases Not Qualified for Input Tax

23N
23P

23O

23Q Total Purchases (Sum of Items 23D,23F,23H,23J,23L,23N & 23P)

23Q

23J/K
23L/M
23N/O
23P

23M

Total Available Input Tax (Sum of Items 23A,23B, 23C, 23E, 23G, 23I, 23K,23M & 23O)
Less: Deduction from Input Tax
25A
Any VAT Refund/ TCC Claimed
Excess input tax carrried over to succeeding quarter, if this is an amended return
25B
Total (Sum of Items 25A and 25B)
25C

26
Net Creditable Input Tax (Item 24 less Item 25C)
27 VAT Payable/(Excess Input Tax) (Item 19B less Item 26)
Less: Tax Credits/Payments
28
28A
Excess payment in the previous return
28B
Monthly VAT Payments - previous two months
28C
Creditable Value-Added Tax Withheld (see Schedule I)
28D
Advance Payments (see Schedule II)
28E
VAT paid in return previously filed, if this is an amended return
28F
Total Tax Credits/Payments(Sum of Items 28A to 28E)
29 Tax Payable/(Overpayment) (Item 27 less Item 28F)
Add: Penalties
Surcharge
Interest
30
30A

Output Tax Due for the Quarter

22

Presumptive Input Tax


Input Tax Carried Over from Previous Quarter

23B

24
25

Telephone Number

30B

24
25A
25B
25C
26
27
28A
28B
28C
28D
28E
28F
29

Compromise
30C

30D

31 Total Amount Payable/(Overpayment)(Sum of Items 29 & 30D)


31
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.
32

33

Signature over Printed Name of Taxpayer/


Taxpayer Authorized Representative

Title/Position of Signatory

TIN of Tax Agent (if applicable)

Part III

Tax AgentAcrreditation No. (if applicable)

Details of Payment
Date
MM DD
YYYY

Drawee Bank/
Particulars
Agency
Number
34 Cash/Bank
Debit Memo................................................................................
35 Check
35A
35B
35C
36 Tax Debit
36A
36B

35D
36C

Memo ..............
37 Others
37A
37B

37D

37C

Amount
34

Machine Validation (if filed with an accredited agent bank)/Revenue Official Receipt Details (If not filed with the bank)

Stamp of
Receiving Office
and Date of Receipt

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