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BIR FORM FORM BIR FORMS BIR FORM BIR FORMS BIR
Typology: Summaries
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BIR Form No.
December 2020 (ENCS) Page 1
(FOREIGN AND/OR DOMESTIC) 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 Tax Filer.^1709 12 /^20 ENCS^ P 1 For the Calendar Fiscal 2 Year Ended (MM/YYYY) 3 Number of Sheet/s Attached Part I – Background Information
6 Taxpayer’s Name (Last Name, First Name, Middle Name for Individual OR Registered Name for Non-Individual) 7 Registered Address (Indicate complete address. If branch, indicate the branch address. If the registered address is different from the current address, go to the RDO to update registered address by using BIR Form No. 1905) 7A ZIP Code 8 Contact Number (Landline/Cellphone No.) 9 Email Address Part II – Details of Related Parties (Fill out the table properly. Write N/A if not applicable and use additional sheet/s, if necessary) A. Foreign Related Parties Name Nature of Relationship Country of Residence Foreign TIN Local TIN With Permanent Establishment (PE) in the Philippines? (Yes/No) TIN of PE B. Domestic Related Parties Name Nature of Relationship TIN Registered Address Part III – Related Party Transactions A. Sale of Goods and Provisions of Services Name of Related Party Description and Type of Transactions Amount in Foreign Currency (if applicable) Amount (in Php) Were you granted treaty benefit in the source country? (Yes/No) Income Tax Withheld by the Income Payor B. Purchase of Goods and Services Except Those Provided by Key Management Personnel (KMP) Name of Related Party Description and Type of Transactions Amount in Foreign Currency (if applicable) Amount (in Php) Did the income recipient claim treaty benefit? (Yes/No) Was a TTRA filed therefor? (Yes/No) Income Tax Withheld by the Income Payor (if any) Is the income payment attributable to PE? (Yes/No) For BIR Use Only BCS/ Item: Republic of the Philippines Department of Finance Bureau of Internal Revenue
BIR Form No.
December 2020 (ENCS) Page 2
(FOREIGN AND/OR DOMESTIC) (^) 1709 12 /20ENCS P 2 TIN Registered Name Continuation of Part III C. Loans Granted to or Non-Trade Receivable from (Related Parties) Name of Related Party Opening Balance Loans Granted During the Taxable Period Terms and Conditions Outstanding Balance as of the End of the Taxable Period Provisions for Doubtful Debts (if any) * Bad Debts Expense Recognized During the Period (if any)** D. Loans Received from or Non-Trade Payable to (Related Parties) Name of Related Party Opening Balance Loans Received During the Taxable Year Terms and Conditions Outstanding Balance as of the end of the Taxable Year E. Other Related Party Transactions Excluding Compensation Paid to KMP, Dividends and Branch Profit Remittances Name of Related Party Description and Type of Transactions Amount in Foreign Currency (if applicable) Amount (in Php) Part IV – Additional Disclosure A. Brief business overview of the ultimate and immediate parent/s of the taxpayer B. Brief business overview/functional profile of the taxpayer C. Has there been any change in your functional profile during the taxable period? If yes, provide details. Yes No D. Has there been any change in your ownership structure during the taxable period? If yes, provide details. Yes No E. Did you undergo business restructuring during the taxable period or for the last five (5) years? Yes No If yes, provide details.