For BIR
Use Only

BCS/
Item

1702-EX06/13P1

Annual Income Tax Return
For Use ONLY by Corporation, Partnership and Other Non-Individual
Republika ng Pilipinas
Taxpayer EXEMPT Under the Tax Code, as Amended, [Sec. 30 and
Kagawaran ng Pananalapi those exempted in Sec. 27(C)] and Other Special Laws,
Kawanihan ng Rentas Internas with NO Other Taxable Income

BIR Form No.

1702-EX
June 2013
Page 1

Enter all required information in CAPITAL LETTERS using BLACK ink. Mark applicable boxes with an “X”. Two copies MUST be filed with the BIR and one held by the taxpayer.

1 For

Calendar

3 Amended Return?

Fiscal

2 Year Ended (MM/20YY)

Yes

/20

4 Short Period Return?

No

Yes

5 Alphanumeric Tax Code (ATC)
IC 011
Exempt Corporation on Exempt Activities

No

IC 021

General Professional Partnership

Part I - Background Information

-

6 Taxpayer Identification Number (TIN)

-

-

0 0 0 0

7 RDO Code

/

8 Date of Incorporation/Organization (MM/DD/YYYY)

/

9 Registered Name (Enter only 1 letter per box using CAPITAL LETTERS)

10 Registered Address (Indicate complete registered address)

11 Contact Number

12 Email Address

13 Main Line of Business

14 PSIC Code

15 Method of Deduction

Itemized Deductions [Sections 34 (A-J), NIRC]

16 Legal Basis of Tax Relief/Exemption (Specify)
18 Registered Activity/Program (Reg. No.)

17 Investment Promotion Agency (IPA)/Government Agency

19 Effectivity Date of Tax Relief/Exemption
From
/
/

To

Part II – Total Tax Payable

/

/

(Do NOT enter Centavos)

20 Total Income Tax Due (From Part IV Item 41)

0 0 0

21 Add: Penalty - Compromise
22 TOTAL AMOUNT PAYABLE (Sum of Items 20 & 21)
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