BIR Form 1702-RT
BIR Form 1702-RT
15 Method of Deductions Itemized Deductions [Section 34 Optional Standard Deduction (OSD) - 40% of Gross Income [Section 34(L),
(A-J), NIRC] NIRC as amended by RA No. 9504]
To be refunded To be issued a Tax Credit Certificate (TCC) To be carried over as tax credit next year/quarter
We declare under the penalties of perjury, that this annual return has been made in good faith, verified by us, and to the best of our 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. (If Authorized Representative, attach authorization letter and indicate TIN)
Signature over printed name of President/Principal Officer/Authorized Representative Signature over printed name of Treasurer/Assistant Treasurer
23 Date of Issue
22 Community Tax Certificate (CTC) Number SEC Reg No. CS20165091 (MM/DD/YYYY)
11/30/2016
25 Amount, if
24 Place of Issue MANDALUYONG CITY 0
CTC
Part III - Details of Payment
Details of Payment Drawee Bank/Agency Number Date (MM/DD/YYYY) Amount
26 Cash/Bank Debit Memo 0
27 Check 0
28 Tax Debit Memo 0
29 Others (Specify Below)
0
Machine Validation/Revenue Official Receipts Details (if not filed with an Authorized Agent Bank) Stamp of receiving Office/AAB and Date of
Receipt (RO's Signature/Bank Teller's Initial)
Annual Income Tax Return
BIR Form No.
Page 2
1702-RT
June 2013 1702-RT06/13P2
Taxpayer Identification Number (TIN) Registered Name
009 - 446 - 407 - 000 VITASOY-URC, INC.
46 Net Tax Payable (Overpayment) (Item 44 Less Item 45) (To Part II Item 18) (10,587,161)
Add Penalties
47 Surcharge 0
48 Interest 0
49 Compromise 0
50 Total Penalties (Sum of Items 47 to 49) (To part II Item 19) 0
51 Total Amount Payable (Overpayment) (Sum Item 46 & 50) (To Part II Item 20) (10,587,161)
27 Total Cost of Sales/Services (Sum of Items 5, 19 & 26, if applicable) (To Part IV Item 31) 283,613,648
Annual Income Tax Return
BIR Form No.
Schedule 3 - Other Taxable Income Not Subjected to Final Tax (Attach additional sheet/s, if necessary)
1 OTHER INCOME 8,120,609
2 0
3 0
4 Total Other Taxable Income Not Subjected to Final Tax (Sum of Items 1 to 3) (To Part IV Item 33) 8,120,609
40 Total Ordinary Allowable Itemized Deductions (Sum of Items 1 to 39) (To Part IV Item 35) 177,799,351
4 2019 153,792,320 0
5 2018 253,481,675 0
6 2017 200,813,327 0
7 0 0
C) NOLCO Expired D) NOLCO Applied Current Year E) Net Operating Loss (Unapplied)
4 0 0 153,792,320
5 0 0 253,481,675
6 0 0 200,813,327
7 0 0 0
8 Total NOLCO
0
(Sum of Items 4D to 7D) (To Part IV Item 37)
Annual Income Tax Return
BIR Form No.
Schedule 9 - Reconciliation of Net Income per Books Against Taxable Income (Attach additional sheet/s, if necessary)
1 Net Income/(Loss) per books (145,904,727)
Add: Non-deductible Expenses/Taxable Other Income
2 NON DEDUCTIBLE INTEREST EXPENSE AND TAXES 6,661,268
3 TRANSITION ADJUSTMENT FOR PFRS 16 468,900
4 Total (Sum of Items 1 to 3) (138,774,559)
Less: A) Non-taxable Income and Income Subjected to Final Tax
5 NON TAXABLE INCOME 15,017,761
6 0
B) Special Deductions
7 0
8 0
9 Total (Sum of Items 5 to 8) 15,017,761
10 Net Taxable Income (Loss) (Item 4 Less Item 9) (153,792,320)
Annual Income Tax Return
BIR Form No.
Schedule 11- Stockholders Partners Members Information (Top 20 Stockholders, partners or Members)
(On column 3 enter the amount of capital contribution and on the last column enter the percentage this represents on the entire ownership)
% to
REGISTERED NAME TIN Capital Contribution
Total
UNIVERSAL ROBINA CORPORATION 000 - 400 - 016 - 000 420,999,960 50
VITA INTERNATIONAL HOLDINGS LIMITED 494 - 226 - 248 - 000 420,999,960 50
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Annual Income Tax Return
BIR Form No.
19 Total Final Tax Withheld Paid (Sum of Items 1C to 4C, 9A, 9B, 15A, 15B, 18A & 18B) 3,003,552
II) Other Exempt Income/Receipts A) Other Exempt Income #1 B) Other Exempt Income #2
6 Other Exempt Income/Receipts Under
Sec. 32 (B) of the Tax Code, as amended (Specify)
7 Actual Amount/Fair Market Value/Net Capital Gains
8 Total Income Receipts Exempt From Income Tax (Sum of Items 1, 5A, 5B, 7A & 7B) 0