Share

Application for ITH Extension

AFAB application form for income tax holiday extention

Your Browser Doesn't Support Canvas. Showing the Text Content of the PDF Instead: RD.F.2015-0104

Page 1 of 2

APPLICATION FOR EXTENSION OF
INCOME TAX HOLIDAY
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
Application Fee
O.R. no.

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

10. Tax Identification Number

Non Pioneer

11. Start of Commercial Operation
Committed (Per RA/SA/PFS)
Actual (as attested by Chairman & Administrator and/or AFAB approved SCO adjustment)
12. Regular ITH Period
From _____________________ (mo./yr.) to _____________________ (mo./yr.)
13. Data on Past Availments
Previously Approved ITH Extension : NFEE ______ Period Covered :________________
CELR ______ Period Covered :________________
IRM _______ Period Covered :________________

Page 2 of 2

RD.F.2015-0104
PERIOD APPLIED FOR EXTENSION

CRITERIA USED (pls. check)
__________ Capital Equipment to Labor Ratio
__________ Net Foreign Exchange Earnings
__________ Indigenous Raw Materials
COMPLIANCE CRITERIA

From ________________________ to ________________________
(mm/yr)
(mm/yr)

(Fill appropriate line and attach supporting computation and documents)

a.

Capital Equipment to Labor Ratio : $ __________________ per worker

b.

Net Foreign Exchange Earnings :
Year 1
$___________

c.

Year 2
$___________

Year 3

Average

$___________ $___________

Ratio of Cost of Indigenous Raw Materials to Total Raw Materials Cost : Average Ratio_____________________ %
SUPPORTING DOCUMENTS AS INTEGRAL PART OF APPLICATION



For Capital Equipment to Labor Ratio (CELR) Criterion
a. Copy of Audited Financial Statements duly stamped “Received” by BIR for the taxable year preceding the period applied for extension. If accounting period does
not coincide with the ITH period, interim balance sheet should also be submitted.
b. Itemized list (lapsing schedule) of machinery and equipment certified by two (2) of the enterprise’s highest officials and attested by the AFAB Chairman and
Administrator with the following information: i) description of machinery/equipment per registered activity/project, and ii) respective acquisition cost and
accumulated depreciationThe aggregate book value appearing in the itemized list should always reconcile with the Balance Sheet Machinery and Equipment
Account value.
In case, equipment is sent on consignment basis, an itemized list of consigned machinery and equipment with corresponding cost covering the registered
activity/ies duly certified under oath by a responsible official of the company shall be submitted.
For IT enterprises, lapsing schedule should be per activity and/or per location/site including the number of seats per location/site.
c.
Certified true copy of Monthly Payroll for 12 months preceding the period applied for extension supported by corresponding remittances of SSS premiums and/or
withholding taxes due to BIR pertaining to the registered activity for the same taxable year. The payroll should indicate the respective position of the workers
including project/activity to which the workers are assigned (if the enterprise has more than 1 registered activity)
d. Job description of workers classified as direct labor
e. Computation of Capital Equipment to Labor Ratio using the prescribed format



For Net Foreign Exchange Earnings (NFEE) Criterion
a. Copy of Audited Financial Statements including Income Tax Returns duly stamped “Received” by BIR for the first three (3) years of commercial operations.
b. Sales summary report (monthly basis indicating invoice number/s, date, buyer/destination, description, amount in US$ with peso equivalent) covering the first
three (3) years or thirty six (36) months of commercial operation duly certified by a responsible official of the enterprise. Export and local sales must be
segregated.
c.
Segregated Income Statement (with details of cost of sales and operating expenses including lapsing schedule of imported machinery and equipment) per
project, if enterprise has more than 1 registered project covering the first three (3) years of commercial operations certified by two (2) of the highest officials of
the enterprise. Interim income statement should be submitted if the accounting period does not coincide with the ITH period.
For IT enterprises with multiple locations/sites, income Statement should be per location/site certified by two (2) of the highest officials of the enterprise.
d. Breakdown of other and/or miscellaneous income, if there any, duly certified by responsible official of the enterprise
e. For IT enterprises, the following information must also be submitted: number of seats and number of employees (direct, indirect and administrative) for each
location/site as of end of each taxable year (3 years)
f.
Computation of Net Foreign Exchange Earnings certified by a responsible official using the prescribed format



For Indigenous raw Material (IRM) Criterion
a. Copy of Audited Financial Statements (with detailed manufacturing cost statement) including Income Tax Returns duly stamped “ Received” by BIR for all taxable
years from start of commercial operations and prior to the extension. The Income Statement should segregate result of operation of each registered activity.
Interim Income Statement should also be submitted if accounting period does not coincide with the ITH period.
b. Breakdown of Cost of Raw Materials for the inclusive ITH period pertaining to the registered activity and indicating what are indigenous and attested by the
AFAB Chairman and Administrator. Data on source/origin of indigenous raw materials should also be provided and should be supported by purchase invoices
and delivery receipts.

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___________
 
Page of
Share