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Application for ITH

AFAB form for availment of income tax holiday incentive

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APPLICATION FOR INCOME TAX HOLIDAY
(Availment of Income Tax Holiday Incentive)
For the taxable year ended ___________________
Republic of the Philippines
Office of the President
THE AUTHORITY OF THE FREEPORT AREA OF BATAAN
The Freeport Area of Bataan

FOR AFAB USE ONLY

Application No.
Date filed
Renewal Fee: N/A
O.R. no. N/A

Instructions: Please accomplish this form by providing the required information on appropriate spaces. Do not leave any blank space, indicate “N/A” if not
applicable and attach additional sheet/s as Annexes if necessary. Only complete set of documents will be accepted for processing.

INFORMATION ABOUT THE APPLICANT
1. Name of Company: Please write the company’s full name legibly.

2. Office Address: Write or type the company’s full address. Place one letter on each box. Leave one box blank between names.
No. & Street

Barangay
City / Town
Province

Zip Code

3. Office Contact Information: Write or type your company’s full contact details.
Telephone No.

Fax Number

Telephone No.

E-mail Address

4. Name of Authorized Representative: Write or type the full name in the given sequence. Place one letter on each box. Leave one box blank between names
LAST
FIRST
MIDDLE

5. Contact Information of Authorized Representative: Write or type authorized representative’s full contact details.
Telephone No.
Cellphone No.
E-Mail Address
6. Registration Number

7. Date of Registration

8. Registered Activity

9. Status: Please check what applies.
Pioneer

Non Pioneer

10. Tax Identification Number
Expansion

11. Start of Commercial Operation
Committed (Per RA/SA/PFS)
Actual (as attested by Chairman & Administrator and/or AFAB approved SCO adjustment)
12. Previous ITH applied (indicate period, status, approval no./date)

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RD.F.2015-0103
PERPORMANCE DATA FOR TAXABLE YEAR
Volume

A.
B.
C.
D.
E.
F.
G.
H.

Export Sales
Less: Base figure*
Incremental Sales*
Rate of Exemption (C/A x 100)*
Taxable Income
Tax Due (E x tax rate**)
Income not subject to tax (D x E)*
Estimated income tax holiday (D x F)

____________________
____________________

Amount

P _____________________
_____________________
_____________________
_____________________%
P _____________________
_____________________
_____________________
_____________________

RA - Registration Agreement
SA - Supplemental Agreement
PFS- Project Feasibility Study/ies
*For expansion and new projects with base figure only
**Regular Corporate Income Tax Rate

SUPPORTING DOCUMENTS AS INTEGRAL PART OF APPLICATION


Copy of complete Audited Financial Statements filed with the BIR (duly stamped “Received” by BIR) together with the ff:
A. Segregated income statement per registered activity (if more than 1 registered activity) and/or interim income statement, if availment is for less than
the 12 month period, duly certified by responsible official. For IT companies with multiple sites/locations, income statement should be segregated
per site/location indicating the number of seats for each location.
B. Breakdown/Details of other/miscellaneous income per project, if any (e.g., forex gain [realized/unrealized], scrap sales, interest income, income
from unregistered activity etc.) duly certified by responsible official



Copy of complete Income Tax Return filed with the BIR (duly stamped “Received” by BIR)



Copy of Sales Summary with the following particulars: invoice no., date, volume/quantity, amount in US$ and its peso equivalent, buyer/destination certified
by responsible official (per activity if more than 1 registered activity). Export and local sales should be segregated.



Duly notarized sworn statement as to the start of commercial operation signed by responsible official and attested by the Chairman & Administrator



Photocopy of official receipt of application fee (PhP1,200)

Note: AFAB reserves the absolute right to require other documents that it may deem necessary to complete its evaluation of the application of the locator.
Done in the city province of _______________________________this _________ day of_____________,20____
___________________________
(Applicant Firm)
Republic of the Philippines}
City/Province of
}S.S.
_________________________________}

__________________________________________
(Signature over printed name)
__________________________________________
(Position/Designation)

Subscribed and sworn to before me this___________ day of ___________________, 20_______in the City /Province of ____________________. Affiant
exhibited to me his Community Tax Certificate No._____________________ issued at _____________________, on_________________
Doc. No.___________
Page No.___________
Book No.___________
Series of___________
 
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