268532200 Final

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					(To be filled up by the BIR)
DLN:                                                                                                                                PSIC:

                   Republika ng Pilipinas
                                                                    EXCISE TAX                                                               BIR Form No.

                   Kagawaran ng Pananalapi
                   Kawanihan ng Rentas Internas                      RETURN
                                                           for MINERAL PRODUCTS
                                                                                                                                             September 2005 (ENCS)

Fill in all applicable spaces. Mark all appropriate boxes with an "X".
1      Date                                                 2 Amended                                   3 Quarterly                               4 No. of sheets
       (MM/ DD/ YYYY)                                          Return                Yes           No      Return             Yes            No      attached
PART I                                                              BACKGROUND INFORMATION
5      TIN                                                    6     RDO Code                                    7 Line of
8      Taxpayer's Name          (Last Name, First Name, Middle Name for Individuals) / (Registered Name for Non-Individual)              9    Telephone Number

10     Registered Address (Please indicate complete address)                                                                             11 Zip Code

12     Place of                                                                            13  Place of
       Production                                                                             Extraction
14     Are you availing of tax relief under                                                15 If yes, please
       Special Law or International Tax Treaty?               Yes           No                 specify
PART II                                                                   MANNER OF PAYMENT
16                   Payment on Actual Removal                Prepayment/Advance deposit/
                                                              Other similar schemes (please specify)

PART III                                                            PAYMENTS AND APPLICATION
17     Excise Tax Due                                                                                                   17

18     Less: Balance Carried Over from Previous Return                               18A

                Creditable Excise Tax, if applicable                                 18B                               18C

19     Net Tax Due/(Overpayment)                                                                                        19

20     Less: Payment on Returns Previously Filed for the Same Period, if amended return                                 20

21     Tax Still Due/(Overpayment)                                                                                      21

22     Add: Penalties
               Surcharge                                     Interest                              Compromise
 22A                                             22B                                 22C                               22D

23     Amount Payable                                                                                                    23

24     Less: Payment Made Today

                Tax Payment/Deposit                                                  24A

                Penalties (from 22D)                                                 24B                                24C

25     Balance to be Carried Over to Next Return                                                                         25

                     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.
    26                                                                                                         27
                       President/Vice President/Principal Officer/Accredited Tax Agent/                                         Treasurer/Assistant Treasurer
                                    Authorized Representative/Taxpayer                                                          (Signature over printed Name)
                                        (Signature over printed Name)

                  Title/Position of Signatory                           TIN of Signatory                                      Title/Position of Signatory

        Tax Agent Acc.No./Atty's Roll No.(if applicable)   Date of Issuance       Date of Expiry                                    TIN of Signatory

Part V                                                      DETAILS OF PAYMENT                                                                              Stamp of
                               Drawee Bank/                                                Date                                                        Receiving Office/AAB
 Particulars                      Agency                   Number                MM        DD      YYYY                   Amount                               and
28 Cash/Bank 28A                                   28B                     28C                            28D                                            Date of Receipt
    Debit Memo                                                                                                                                            (RO's Signature/
29 Check     29A                                   29B                     29C                            29D                                            Bank Teller's Initial)

30     Tax Debit                                   30A                     30B                            30C
31     Others    31A                               31B                     31C                            31D

Machine Validation/Revenue Official Receipt Details (If not filed with an Authorized Agent Bank)
                                                          Volume of                             Provisional                                     Final               Tax Due             Total
                                        Place of      Mineral Removed                      Market Value
                                                                               Actual/Fair2200-M page2 Tax       Tax       Actual/Fair Market Value   Tax  Tax    Adjustment            Tax
 ATC          Description                                                                                                                                  Due
                                        Removal    Taxable        Exempt      Taxable          Exempt       Rate Due       Taxable         Exempt     Rate       per Final Value        Due
                                                     (A)            (B)          (C )             (D)        (E) (F)         (G)              (H)      (I) (J)         (K)         (L) = (F+J+K)
XM010 Coal and Coke                                                                                    P10/MT                                    P10/MT

         Non-metallic minerals
XM020                                                                                                   2%                                        2%
         and quarry resources
         Copper and Other
XM030                                                                                                   2%                                        2%
         Metallic Minerals

XM040 Gold and Chromite                                                                                 2%                                        2%

XM050 Indigenous Petroleum                                                                              3%                                        3%

      Natural Gas or Liquefied
XM051 Natural Gas (locally extracted)                                                                   0%                                        0%
XM060 Other metallic minerals
      (please specify)

Total Tax Due

                                                                                           Guidelines and Instructions
Who Shall File                                                                                                                        Penalties
     This return shall be filed in triplicate by the following:                                                                            1.     A surcharge of twenty five percent (25%) for each of the following violations:
            1.     Owner, lessee, concessionaire or operator of the mining claim;                                                                 a)     Failure to file any return and pay the tax due thereon on the date prescribed;
            2.     First buyer, purchaser or transferee for local sale, barter, transfer or exchange of indigenous petroleum,                     b)     Unless otherwise authorized by the Commissioner, filing a return with a person or office other than those with whom it is required to be
                   natural gas or liquefied natural gas; and                                                                                             filed;
            3.     Owner or person having possession of the minerals and mineral products which were mined, extracted or                          c)     Failure to pay full or part of the amount of tax shown on the return, or the full amount of tax due for which no return is required to be
                   quarried without the payment of excise tax                                                                                            filed on or before the due date;
     For imported minerals and mineral products, the excise tax shall be paid by the importer or owner to the Bureau of                           d)     Failure to pay the deficiency tax within the time prescribed for its payment in the Notice of Assessment.
Customs before removal of such imported articles from the customshouse.                                                                    2.     A surcharge of fifty percent (50%) of the tax or of the deficiency tax, in case any payment has been made on the basis of such return before the
                                                                                                                                                  discovery of the falsity or fraud, for each of the following violations:
Time and Manner of Filing and Payment                                                                                                              a)     Willful neglect to file the return within the period prescribed by the code or by rules and regulations; or
       For each place of production, a separate return shall be filed and the excise tax shall be paid upon removal of the mineral                 b)     In case a false or fraudulent return is willfully made.
products from the place of production with any Authorized Agent Bank (AAB) located within the territorial jurisdiction of the              3.     An interest of twenty percent (20%) per annum on any unpaid amount of tax, from the date prescribed for the payment until it is fully paid.
Revenue District Office where the taxpayer is required to register. In places where there are no AABs, the return shall be filed           4.     Compromise penalty.
and the tax due shall be paid with the Revenue Collection Officer or Duly Authorized City or Municipal Treasurer of the               Attachment Required:
municipality or city falling under the jurisdiction of the aforesaid Revenue District Office. In the case of locally produced or      § All returns filed by an authorized representative must attach authorization letter.
extracted minerals or quarry resources where the mine site or place of extraction is not the same as the place of processing or
production, the return shall be filed with and the excise tax paid to the Revenue District Office having jurisdiction over the        Note:
locality where the same are mined, extracted or quarried.                                                                             § This return shall be used in the following instances:
       On locally produced or extracted metallic mineral or mineral products, the person liable shall file a return and pay the tax         1.    For payment of excise tax due on the actual volume of mineral products to be removed from the place where the same are mined, extracted or
within fifteen (15) days after the end of the calendar quarter when such products were removed, subject to the filing of a bond in                quarried, including the quarterly payment of excise tax due thereon;
an amount which approximates the amount of excise tax due on the removals for the said quarter.                                             2.    For prepayments, advance deposits or other similar schemes in payment of excise tax on locally mined, extracted or quarried minerals. The
       Identified large excise taxpayers duly informed in writing as such by the Commissioner of Internal Revenue, or his duly                    balance of advance payment or deposit of excise tax shall, in no case, be utilized in payment of penalties. In the event that the balance is
authorized representative, shall file the excise tax return and pay the corresponding excise tax due with the Authorized Agent                    insufficient to cover the excise tax due, penalties shall be computed and imposed on the difference. These shall be computed from the date of
Bank located in the BIR National Office, Diliman, Quezon City.                                                                                    removal when the insufficiency shall have been incurred.
                                                                                                                                      § All returns filed by an accredited tax agent on behalf of a taxpayer shall bear the following information:
How to Fill-up Schedule I                                                                                                                   1. For CPAs and others (individual practitioners and members of GPPs);
     In cases where the mineral products are subject to assay, Schedule 1 shall be accomplished as follows:                                      1.1 Taxpayer Identification Number (TIN); and
            1.   If the final values of all removals of minerals during the return period have been determined during the same                   1.2 Certificate of Accreditation Number, Date of Issuance, and Date of Expiry.
                 return period, fill up Columns A, B (if applicable), G, H (if applicable), J, and L.                                       2. For members of the Philippine Bar (individual practitioners, members of GPPs);
            2.   If the final values of all removals of minerals are not yet determinable during the return period, fill up                      2.1 Taxpayer Identification Number (TIN); and
                 Columns A, B (if applicable), C, D (if applicable), F and L.                                                                    2.2 Attorney’s Roll number or Accreditation Number, if any.
            3.   If only the adjustment to the tax due based on the difference between the provisional and final values on                                                                                                                                                              ENCS
                 removals from previous return period(s) are to be declared during the return period, fill up Columns K and L.                                                                                                                                                          2200-M
            4.    If the total tax due consists of taxes due on provisional, final and adjusted values, fill up all applicable
     However, in cases where the mineral products are not subject to assay, fill up Columns G, H (if applicable), J and L.

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