(To be filled up by the BIR)

Repu blika n g P ilipinas Kagawara n n g P anana lapi K awanihan ng Rentas Internas

Capital Gains Tax Return

2 Amended Return? Yes

1707
Code
4 ATC II 030 IC 110
Corporati

BIR Form No .

For Onerous Transfer of Shares of Stock Not T raded Through the Local Stock Exchange
Fill in all applicable spaces. Mark all appropriate boxes with an X.
1 Date of Transaction ( MM / DD / YYYY ) Part I 5 TIN Seller 3 No. of Sheets Attached No

July, 1999 ( ENCS )

Individua

Background Information 6 RDO Code 7 TIN Buyer

8 RDO Code Code ode C

Seller's Name

13 Zip Code Yes

10 Buyer's Name 12 Registered Address

11 Registered Address

No Foreclosure Sale If yes, specify Others (specify)

13 Zip Code

15 Are you availing of tax relief under an International Tax Treaty or Special Law? 16 Description of Transaction Cash Sale Installment Sale 17 Details of Installment Sale: 17 A Selling Price/Fair Market Value 17 B 17 C 17 D 17 E 17 Cost and Expenses Mortgage Assumed No. of installments Amount of Installment for this Payment Period

F Date of Collection of Installment for this Payment Period (MM/DD/YYYY) Total Collection (Downpayment and Installments) during the Year of Sale Compu tation of Tax
18 19 20 21

17 G PART II

18 Taxable Base - For Cash Sale/ Foreclosure Sale (Schedule 1) 19 Less: Cost and Other Allowable Expenses (Schedule 2)

20 Net Capital Gain/(Loss) 21 Tax Due on the Entire Transaction (5% on the first 100,000 ; 10% over 100,000)(Cash Sale/Foreclosure Sale); or 22 Tax Due for this Payment Period Computation of the Tax Due (If tax is payable under the installment method of computation) 23 Less: Tax Paid in Return Previously Filed, if this is an Amended Return

22

23 24

24 Tax Payable/(Overpayment)(Item 21 or 22 less Item 23) 25 Add: Penalties Surcharge

25A 25B

Interest
25C

Compromise
25D 26

26 Total Amount Payable/(Overpayment) (Sum of Items 24 & 25D) Schedule 1 Name of Corporate Stock Description of Shares of Stock (attach additional sheets, if necessary) Stock Certificate No. No. of Shares

Taxable Base Selling Price or FMV whichever is higher

27 Total (To Item 18) 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. 28 Part III Taxpayer/Authorized Agent Signature over Printed Name D e t a i l s of P a y m e n t Drawee Bank/ M M D Agency Number Date
D Y Y Y Y
30 31B 32A 33A 33B 31C 32B 33C 31D 32C 33D

29 Title/Position of Signatory Amount

rticulars

30 Cash/Bank Memo 31 Check 32 Tax Debit Memo 33 Others

31A

Stamp of Receivin Office and Date o Receipt

Machine Validation/Revenue Official Receipt Details (If not filed with the bank)

apital Gains ax Return

1707
July, 1999 ( ENCS )
Individual Corporation

BIR Form No .

8 RDO Code

Taxable Base

Stamp of Receiving Office and Date of Receipt

BIR FORM 1707 (ENCS)-PAGE 2 Schedule 2 Schedule of Cost and Other Allowable Expenses Particulars Amount

34

Total (To Item 19) BIR Form 1707 - Capital Gains Tax Return (For Onerous Transfer of Shares of Stock Not Traded Through the Local Stock Exchange) Guidelines and Instructions

Who shall file barter, exc domestic co This return shall b through the juridical person, reside exchange or otherNot ov onero domestic corporation, c On any through the local stock ex Penalties The term Capita

Penalties The term Capita taxpayer (whether or not Ther but does not1. includesurc A sto property of a kindfollow whic inventory of the taxpaye a. year, or property held ordinary course ofb. trad trade or business of allowance for depreciati business. c.

When and Where to Fil

FORM 1707 (ENCS)-PAGE 2

mount

, exchange or other dispositio stic corporation, classified as ca gh the local stock exchange:

Not over P100,000 On any amount in excess of P10

ties

ties

There shall be imposed and co A surcharge of twenty five per following violations: a. Failure to file any return or installment due on or b b. Unless otherwise authori filing a return with a pe those with whom it is requ c. Failure to pay the full or shown on the return, or for which no return is before the due date;