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ANNEX A
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COOPERATIVE DEVELOPMENT AUTHORITY
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ANNUAL TAX INCENTIVES REPORT - INCOME-BASED TAX INCENTIVES FOR CALENDAR/FISCAL YEAR _________
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CountName of CooperativeRegistered Address CDA Certificate of RegistrationTaxpayer Identification No. Type of CooperativeCategory of CooperativeBusiness ActivitiesGeneral Reserve FundTransactions
(members only, non - members or both)
AMOUNT OF SALESTax Incentives Claimed ( As declared by RBE in the ITR)VAT Payment (for above the Php 10M General Fund for transactions to Non- Members)
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Net Sales / Services or Interest Income*Cost of Sales/ ServicesGross RevenueExpensesNet Surplus for AllocationNet Surplus for Distribution of ISCPRIncome Tax Paid
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No.DateMembers OnlyMembers/ Non MembersMembersNon-MembersTotal
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abc=(a-b)de=(c-d)f = (e*70%)h
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*if the only source of income is interest income
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Certified By:
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(Signature over Printed Name)
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( Office / Designation)
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