MOVIE AND TELEVISION REVIEW AND CLASSIFICATION BOARD MASTERLIST OF FORMS (External Forms) Divisioniunit: Accounting Unit FORM NAME FORM NO. INITIAL ISSUE DATE REVISION DATE 1 2 3 4 5 External BIR Forms 1600, 1601E, 1601C,1604CF, Alphalist of Employees, Tax Remittance Advices BIR Mandated Forms Statement of Financial Position, Financial Performance. Cash Flow, Government Equity COA Mandated Forms Bank Reconciliation Statement Registry of Allotment and NCA (RANCA) Report of Salaries and Allowances Budget and Financial Accountability Reports (BFARS) COA,/DBM Mandated Forms Trial Balance Sytem Generated Prepared By: W.br' MISTY ANil'U. SUMUDMLA Accountant lll Approved By: S DOLIN chi mt rative Officer \ ----l
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MOVIE AND TELEVISION REVIEW AND CLASSIFICATION BOARD
MASTERLIST OF FORMS
(External Forms)
Divisioniunit: Accounting Unit
FORM NAME FORM NO. INITIAL ISSUE DATE
REVISION DATE
1 2 3 4 5
External
BIR Forms 1600, 1601E, 1601C,1604CF,
Alphalist of Employees, Tax Remittance
Advices
BIR Mandated Forms
Statement of Financial Position, Financial
Performance. Cash Flow, Government EquityCOA Mandated FormsBank Reconciliation Statement
Registry of Allotment and NCA (RANCA)
Report of Salaries and Allowances
Budget and Financial Accountability Reports(BFARS) COA,/DBM Mandated Forms
Trial Balance Sytem Generated
Prepared By:
W.br'MISTY ANil'U. SUMUDMLAAccountant lll
Approved By:
S DOLIN
chi mt rative Officer
\
----l
CIo b. filted up b! rlc BtR)
@Monttly Remittance Retum ofValue-Added Tax and OtherPercentage Taxes Wthheld 1600
2005llnder RAs 1051 76/,9 .8241 8424 and 37
Kag6l?r.n rD PamnabplKawanhan rE Rentas lnternas
Fill in ell e cable ces. Ma* dlBack lnform tionI
'DyeeNo. d
' E yes E}NoRM Lire of
-lNo
Zrp Code
Govemmefit rl NOhtemational Tar TleaM
ut tloI ; Co
NATURE OF INCOME PAYMEdT ATC TAX BASETO BE WIHHELD
I Total An\cr6ll Si[ B]e(Oiejren\ft$G) (S$$ d 1te$\s 16 C 1lD)
For lale lilels wlh wenemitance. extat amounl d pemhies (ltem 17D to 18)
14
15
15
17A 173 17C
Tobl Tax Requiecl to be Wthheld and Rem,ted
16 Tax siin Due(over€mttance)
17 Add: Penalt€s
5 Lessr lax Remitled Fl Return Prsr'iously Fjied. iI t\i6 is an amen& retlm
b true and coneci puEuant to fE prcvlsrons of tlp NatiorEl lnEftal Revenue Codq as amencled, and llE
(Exceol lor rans€ctofls ihvdvrno onerds transferof railp.oDody claEsifi€d aE ordinarva!!etl
Fill rn all Maft all
Yss E ruo
CodB
9
10 11 Ap
I{ATURE Of II{COUE PAYI'EICI A'T 9 .IAI BASE
RATE
5 Le66: Tax credjt6/Paymeflts
15a Tar Ramil'led in Rs[rD l,reviously Fned, il't']s-rB Bn turBnded REtrrm
I 5A Advance Paym€nts Made (please atlach proof of pEyments - BIR Form No. 0605)
,5c Talat lax cledis/Paynefis (Srm d lrerrs ,54 A 154)
6 Tax Stll oire(overemitlance) (lt€n 14 less llem 15C)
t7c
11Toral Tax Requirad to b€ W$held and Remitled
l5c
olal Amounl slil Du€r'(Overemitlance)
To b6 .ssued a Tar Cr6d( CenifcalgEr7D
'lE8TK
(SgEl'r henB 16 E l7D)
L lro* n"r',ru"a
retum has b€3n ned. if, good frth, v€dfi.d by fi./u5, ,rod to th. b6ft of mylour knoudedge, and
b6l1el, lE trus lnd E .r.!r, E suart to lh6 t oeisiotls ol rh! ihionrl inlmal Rdsltt. Codc, rs tmsndod, lnd thc r.girhttotE isslBd unrEd auh.rit, lhdcol
TIN ol Sigmlory Tiilc/Po6itiofl oI Signatory
TIN ol S
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Rrpublika ng PiirrinssKagsrvarEn .E Psn nalspiKahdha ng R.nt s lhtam.s
AO]US|I{ENT
PfNATTIES
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NO
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NA,'llE OF PA\EES AdREss oF-PA}'EES
TIN
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ATC
(7)
FAYMETIT
(8)
INCOME
i9l
OF
RATE
(101
ArITOUNT oF TAX
WTHHEI.D
NO FRINGE BENEFIT TAX WTHHELDCREDITABLE)
Total
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GROSSED UP
MONETARY
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AfPHAEEnCAL LIST OF €T'P[OYEES/PAYEES FROX WHOIU IAXES TNERE wlTHIIELO (FORXAI ON LI1
Accumulated Depreciation-Hospitals and Haalth Centers
Accumulated lmpairment Losses-Hosprlals aN Heafth CentersNel Valuo
Markets
A cc u m u I ate d D e p ro c i at i o n- M a fu ets
Accumulated lmpaitment Losses-Markets
Net Value
Slaughterhouses
Accu mulated De preci ation-S la ug hterhouse sAccumulated lmpaiment Losses- S/aughlolhousas
Net Value
Hostels and Dormitories
Accumulated D€preciation-Hostels and Domitories
Accumulated lmpairment Lossos-Hosfa/s and DomitoiesNet Value
Other Structures
Accumulated Depreciation-Other Structuras
Accumulated lmpairment Losses-Other Slructuros
Net Value
Construction and HeaW EquipmentAccumulated Depreciation-Construction aN He aW EquipmaAccumulated lmpairmanl (ossos-Construction and Heavy EquipmontNet Value
Disaster Responso and Rescue EquipmenlAccumulated Deprociatbn-Disaster Rosponse and Rescue EquipmentAccumulated lmpairmart Losses-Disasler Rasponsa and Res cue EquipmentNet Value
Military, Police and Security EquipmentAccumulated Depraciation-Mililary, Polica end Secutity Eq uipmentAccumulated lmpaiment Losses-Military. police end Security EquipmentNat Value
Medical Equipment
Accumulatad Depreciation-Medical Equipm€nlAccumulated lmpaiment Losses-Medical EquipmentNat Value
Printjng Equipment
Accumulated D€preciation-tuinting EquipmentAccumulated lmpaiment Losses-Printing EquipmentNet Value
Sports Equipment
Accumulated D€preciation-Spotls Equipment
Accumulated lmpaiment Losses-Spo s Eguipment
Net Value
Technical and Scientific Equipment
Accumulated Depreciation-Technical and Scienlific EquipnentAccumulated lmpaimant Losses-Technlcal and Sci€ntifrc EquipnentNet Value
Other Machinery and Equipmem
Accumulated D€Neciation-Other Machinery and Equipment
Accumulated lmpaiment Losses-Other Machinery and EquipmentNet Value
Transportation Equipment
Motor Vehicles
Accumulated D€precietion-Motor Vehicles
Accumulatad lmpaiment Losses-Motor Vehicles
Net Value
Trains
Acc u m u I ate d De p re c i at io n- T r a i n s
Accumulated lmpaiment Losses-Trains
Net Valua
Aircrafts and Aircrafts Ground Equipment
Accumulaled D€preciation-Aircrafts and Aircrafts Ground Equipment
Accumulatad lmpairmant Lossas-Aircrafts and Aitcrafts Ground EquipneNet Value
Watercrafts
Ac cu m u I ale d D€ p rec i at i o n- W at e rc raft s
Accumulatad lmpaimad Lossas-lryalercrafls
Net Valua
OthBr Transportation Equipment
Accumuleted Depreciation-Other Transpo ation EguipmentAccumulated lmpaimant Losses-Other Transpoftation EquipmenlNet Value
Annex Al
YEAR YEAR
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Leased Asseb
Leased Asseb, Land
Leased Asseb, Buildings and Other Structures
Accumulated Depreciation-Leased Assets, Buildings and Other StructuresAccumulated lmpairmerl Losses-Lsasad Assals, Buildings and OtharNet Value
Leased Assets, l\ilachinery and Equipment
Accumulated Depreciatonleas€d Assels. Machinery aN EquipmentAccumulated lmpaimenl lossas-Laasod Assels, Machinery and EquipmentNet Value
Trust Liabilities-Disaster Risk Reduction and Management FundBail Bonds Payable
G ua ranty/Secu rity Deposits Payabte
Customers' Oeposib Payable
Other Payables
Other Payables
Deferred C red itsru nea rned lncomeDeferred Finance Lease Revenue
Other Deferred Credits
Unearned R even u e-lnvestment Property
Other Unearned Revenue
ProvisionsPension Benefits Payable
Leave Benefits Payable
Retirement Gratuity Payable
Other Provisions
Total Current Liabilities
Non- Current Liabilities
Bills/Elonds/Loans Payable
Bonds Payable-Do m estic
Discount on Bonds Payable-Donastic
Premium on Bonds Payabl*DomeslbBond lssue CoslForeignNet Value
Bonds Payable,Foreign
Discount on Bonds Payabl*ForcignPremium on Bonds Payabl*Foreign
Bond I s sue cost- Foro ign
Net Value
Loans Payable-Domestic
Loans PayabllForeign
lnter4gency Payables
Due to NGAS
Due to GOCCS
Due to LGUS
Due to Joint Venture
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341
Financial Liabiliti€sPayau€s
Notes Payaue
Finance Lease Payable
Service Concession Arrangements Payable
xxx
Annex A1
YEAR YEAR
Trust LiabilitbsTru6t Uabilities
Trust Liabilities-Disaster Risk Reduction and Management Fund
Bail Bonds Payable
G uaranty/Secu rity Deposits Payable
Customers' Deposits Payable
Deferred C red its/U nearned lncomeOeferred Finance Lease Revenue
Deferred Service Concession Revenue
Other Deferred Credils
Unearned Revenue-lnvestment Property
Other Unearned Revenue
Other Payables
Other Payables
ProvisionsPension Benefits Payable
Leave Benefts Payable
Retjrement Gratuity Payable
Other Provisions
Total Non-Curent Liabilities
Total Liabilities
Total Assets less Total Liabilities
Net Assets/EquityEquity
Government EquityAccumulated SurpluY(Defi cit)
Unrealized Gain/(Loss)
Unrealized Gain(Loss) from Changes in the Fair Value of FinancialAssets
Total Net Assets/Equity
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342
(NAME OF THE ENTITY)
STATEMENT OF FINANCIAL PERFORMANCE
(ALL FUl,lDS OR NAME OF FUND)
FOR THE YEAR EiIDED
Note YEAR YEAR
Revenue
Tax REvenue
Sorvice and Business lncome
Shares. Grants and Donations
Gains
Total Revenue
L63: Curent OperaGng Exp€nsesPersonnel Servioes
Maintenancs and Other Operating Elpens€s
Fimncial Expenses
Direcl Costs
Non-Cash Exp€ns€s
Total Current Operaling Expenses
Surplus/(Oefi cit) from Current Opera$ons
Net Financial Assistanc€/Subsidy
Sals of As€ats
Gains
Losses
Surplus/(D,eflcit) for the period
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343
ENTIW NAME
DETAILED STATEMENT OF FINANCIAL PERFORMAI\ICE
ALL FUNDS
FOR THE YEAR ENDED
-
Annex 81
YEAR YEAR
xxx xxx
Revenue
Tax Revenue
Tex Revenue-lndMdual and Corporation
lncome Tax
Professional Tax
TraYel Tax
lmmigration Tax
Tax Revenue-Property
Eslate Tax
Donors Tax
Capital Gains Tax
Tax Revenue-Goods and Services
lmport Duties
Excise Tax
Business Tax
Tax on Sand, Gravel and Othet Quarry Products
Tax on Delivery Vans and Tnrcks
Tax Revenue-Others
Documentary Stamp Tax
Motor Vehicles Users' Charge
Olher Taxes
Tax Revenue.Fines and Penalties
Taxes on lndMdual and Corporalion
Property Taxes
Taxes on Goods and Services
Olher Taxes
Total Tar Revenue
Servlce and Eusiness lncome
Service lncome
Permit Fees
Registration Fees
Regisfation Plates, Tags and Stickers Fees
Clearance and Certificalion Fees
Franchising Fees
Licensing Fees
SupeMsion and Regulation Enforcement Fees
Specfum Usage Fa6s
Legal Fees
lnspection Fees
Verfication and Aulhentication Fees
Passport and Msa Fees
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Processing Fees
Fines and Penalties-Seryice lncome
Other Service lncome
Total Service lncome
Business lncome
School Fees
Afrliation Fees
Examinalion Fees
Seminar/Training Fees
RenULease lncome
Communication Network Fees
Transporta{ion System Fees
Road Nelwork Fees
Waterworka SlEtem Fees
Power Supply S),stem Fees
Seaport System Fees
Landing and Parking Fees
lncome ftom HostelgDormitories and Oher Like Facilities
Slaughterhouse Operation
lncome from Prinling and Publication
Sales Revenue
Less: Sales Discounts
Net Sales
Hospital Fees
Guarantee lncome
Fidelity lnsurance Income
Oividend lncome
lnterest lncome
Share in the Proft of Joint Venture
Fines and Penafties-Business lncome
Service Concession Revenue
Other Eusiness lncome
Total Buslness lncome
Shares, Grants and Donations
Share from National Weallh
Share from PAGCOR/PCSO
Share from Eamings of GOCCs
Grants and Donations
lncome from Grants and Donations in Cash
lncome from Grants and Donations in Kind
Total Shares, Grants and Donadons
Galn6
Gain on lnitial Recognition of Biological Assets
Gain on Sale of Biological Assets
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YEAR YEAR
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Gain from Changes in Fair Value Less Cost to Sell of Biological Assets
Due to Price Change
Gain on Sale ofAgricultural Produce
Total Gains
Annex B1
YEAR YEAR
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Total Revenue
Less: Current Operating Expenses
Personnel Services
Salarles and Wages
Salaries and Wages-Regular
Salaries and Wages-Casual/Contractual
Total Salaries and Wagcr
Other CompensaionPersonal Economic Relief Allowance (PERA)
Representation Allowance (RA)
Transportation Allowance (TA)
Clothingy'Uniform Allowance
Subsistence Allowance
Laundry Allswance
Quarters Allowance
Productivity lncertive Allowance
Overseas Allowance
Honoraria
Hazatd Pay
Longevity Pay
Overtime and Night Pay
Year End Bonus
Cash Gift
Other Bonuses and Allowances
Total Oth€r Compensaton
Personnel Benellt Contrlbudons
Retirement and Life lnsurance Premiums
Pag-lBlG Contributions
Pag-lBlG Contribrtions
PhilHeatlh Contibutions
Employees Compensation lnsurance Premiums
Provident/Wellare Fund Contibutions
Total Personnel Benetlt Conff budons
Other Personnel Benefi ts
Pension Bgnefits
Retirement Gratuity
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Terminal Leave Benefits
Other Personnel Beneits
Total OttEr Personnel Benellts
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YEAR YEAR
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Total Personnel Services
Malntenance and Otier Operatng Expens€s
Travellng Expenses
Traveling Expenses-Local
Traveling ExpensegForeign
Total Travellng Expenses
Tralnlng and Scholarshlp Expenses
Training Expenses
Scholarship GrantYExpenses
Total Training and Scholarship Expenses
Supplles and Materlals Erpens€s
Office Supplies Expenses
Accountable Forms Elpenses
Non-Accountable Forms Expenses
AnimaUZoological Supplies Expenses
Food Supplies Expenses
Welfare Goods Expenses
Drugs and Medicines Expenses
Medical, Dental and Laboratory Supplies Expenses
Fuel, Oil and Lubricants Expenses
Agricuttural and Marine Supplies Epenses
Textbooks and lnstructional Materials Expenses
Military, Police and Traffic Supplies Expenses
Chemical and Filtering Supplies Expenses
Other Supplies and Materiala Expenses
Total Supplies and Materlals Expenses
Uility Exp€nses
Water Expenses
Electncrty Expenses
Total Utility Expens€s
Communication Expenses
Postage and Courier Services
Telephone Expenses
lntemet Subscriptjon Expenses
Cable, Satellite, Telegraph and Radio Expenses
Total Communicadon Expenses
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Awards/Rewards Expenses
Prizes
Total Awards/Rewards and Prizes
surve% Research, Exploraton and oevelopment Expenses
Survey Epenses
Research, E)eloralion and Development Expenses
Total Survey, Research, Exploradon and Development Expenses
Demollton Reloca0on and DesildngrDredglng ErpensesDemolition and Relocation Expenses
Oesilting and Dredging Expenses
Total DemolldorvRelocadon and DesilongrDredglng Expenses
Generaton, Transmlsslon and Dlstrlbudon Expenses
Generation, Transmission and Distribution Expenses
Contldendal, lntelllgence and Extraordlnary Expenses
Confidential Expenses
lntelligence Epenses
Extaordinary and Miscellaneous Expenses
Total Conffdendal, lntolllgence and Extraordlnary Exp€nses
Protesslonal ServlcesLegal Services
Auditing Services
Consultancy SerYices
Other Professional Servic€s
Total Protesslonal Servlces
General ServicesEnvironmenUSanitary Services
Janitorial Services
Security Services
Other General Services
Total General S€rvices
Rapalrs and Malntenance
Repairs and Maintenance-lnvestment Property
Repairs and Mair enance-Land lmprovements
Repairs and Mairfenance-lrfi astuctJre Assets
Repairs and Maintenance-Buildings and Other Sfuctures
Repairs and Maintenance-Machinery and Equipment
Repairs and Maintenance-Transportation Equipmert
Repairs and Maintenance-Fumifure and Fixtures
Repairs and Maintenance-Leased Assets
Repairs and Maintenarrce-Leased Assets lmprovements
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Annex B1
YEAR E8
xxx
Restoration and Maintenance-Heritage Assets
R€paira and Maintenance-Semi-Expendable Machinery and Equipment
Repairs and Maintenance-Semi-Expendable Fumifure, Fixtures and BooksRepairs and Maintenance-Other Properly, Plant and Equipment
Total Rapalrc and Malntonance
Tares, lnsurance Premlums and Other Fe€sTaxes, Duties and Licenses
Fidelity Bond Premiums
lnsurance Expenses
Total Tar$, lnsurance Premlums and Other Fees
Labor and Wages
Labor and Wages
Othel Malntenance and Opera0ng Expens€sAdvertising Expenses
Printing and Publication Expenses
Representation ExF,enses
Transportation and Delivery Expenses
RenvLease Expenses
MembeGhip Dues and Contibutions to Organizdions
Subscription Eperlses
Donalions
Lfi gatiorvAcquired Assets Expensea
Loss on Gratuity
Other Maintenance and Operating E)qenses
Total Other Malntenance and Other Operadng Exp€nses
Total Malntenance and Other Operadng Expens€s
Flnanclal Expens€s
Financial Expenses
Management Supervisiorvlrusteeship Fees
lnterest Expenses
Guarantee Fees
Bank Charges
Commitrnent Fees
Other Financial Charges
Total Flnanclal Expem€s
Non-Cash Expenses
Depreclatlon
Depreciation-lnvestment PropeO
Depreciation-Land lmprovements
DepreciationJnfi astructure Assets
Depreciation-Buildings and Olher Sfudures
Depreciatjon-Machinery and Equipment
Depreciation-Transportation Equipment
Oepreciation-Fumiture, Fixtures and Books
Depreciation-Leased Assets
Depreciation-Leased Assets lmprovements
Depreciation-Heritage Assets
Annex B1
YEAR YEAR
xxx xxx
xxx xxx
xxx xxx
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Depreciation-Service Concession Assets
Depreciation4lher Property, Plant and Equipment
Total Depreciadon
Amoruzadon
Amortization-lntangible Assets
lmpairment Loss
lmpairment Loss-Financial Assets Held to Maturity
lmpairment Loss-Loans and Receivables
lmpairment Loss-Lease Receivables
lmpairment Loss-lnvestm ents in GOCCS
lmpairment Loss-lnvestments in Joint Venture
lmpairment Loss-Other Receivables
lmpairment Loss-lnYentories
lmpairment Loss-lnyeslment Property
lmpairment Loss-Property, Plant and Equipment
lmpairment Loss-Biological Assets
lmpairment Loss-lntangible Assets
lmpairment Loss-lnvestments in Associates
lmpairment Loss-Olher Assets
Totallmpalrment Loss
Losses
Loss on Sale of Biological Assets
Loss on Sale of Agricultural Produce
Loss on lnitial Recognfion of Biological Assets
Loss from Changes in Fair Value Less Co6ts to Sell of Biological Assets Oue
to Ph)rsical Change
Loss trom Changes in Fair Value Less Costs to Sell of Biological Assets Due
to Price Change
Total Losses
Total Non4ash Expenses
Current Operating Expenses
Surplus (Deficit) from Curr€nt Operations
Flnanclal Assistancersubsidy from NGAS, LGUS, GOCCs
Subsidy from National Government
Subsidy from other NGAS
Assistance from Local Govemment Units
Assastance from Government-Owned and/or Controlled corporations
Subsidy from Other Funds
Total Flnanclal Asslstance/subsldy trom NGA5, LGUS, Goccs
Annex B1
YEAR YEAR
xxx xxx
xxx xxx
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350
Less: Flnanclal Asslstancersubsidy to NGAS, LGUs, GOCCS, NGOsrpOs
Subsidy to NGAS (for BTr only)
Financial Assistance to NGAsFinancial Assistance to Local Govemment Units
Eudgetary Support to cOCCs
Finarcial Assistance to NGOVPOS
Subsidies-Others
Total Flnanclal Asslstancersubsidy to NGA5, LGUS, cOCCs
Net Fhancial Asslstancersubsldy
Other Non-Op€radng Income
Sale of Ass€ts
Sale of Gamished/Confscated/Abandoned/Seized coods and Properties
Sale of UnseMceable Property
Total Sal€ of Assets
Gains
Gain on Foreign Exchange (FOREX)
Gain on Sale of lnvestments
Gain on Sale of lrwestmert Property
Gain on Sale of Property, Plant and Equipment
Gain on Sale of lntangable Assets
Other Gains
Total Galns
Losses
Loss on Foreign Exchange (FOREX)
Loss on Sale of lnvestments
Loss on Sale of lnvestment Property
Loss on Sale of Property, Plant and Equipment
Loss on Sale of lntangible Assets
Loss on Sale of Assets
Loss of Assets
Loss on Guaranty
Oher Losses
Total Losse3
Surplus (Deficit) for the period
Annex 81
YEAR YEAR
xxx xxx
xxx xxx
x_xx xxx
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351
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(NAME OF THE ENTITY)
STATEMENT OF CHANGES IN NET ASSETS/EQUITY(ALL FUNDS OR NAME OF FUND}
FOR THE YEAR ENDED
AGcumulated
Surplus/ (Deficit)
YEAR YEAR
xxx xxxBalance at January IAdd/(Deduct):
Changes in accounting policy
Prior period errors
Other adjustments
Re3tated balance
Add/(Deduci):Changes in Net Assets/Equity for the Calendar Year
Surplus/(Deficit) for the period
Adjustment of net revenue recognized directly in net assets/equity 1
Others 2
Balance at December 31
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'1 - Nel r*nue deFsibd with the Nalional Trasury (r4nue includins conslrucliE r@ipt of i.@me by FoEign Bas6d Age.c.6
and iocone Emit€d by ase.ci6 thru IRA)
2 ' Dnect adjusrne.E !o Net Ass€ts/Equ8 which ae not l@nu6 or axp.M (. g tra.sb. ot PPE tom
ol tne agency b another dnEtly charg€d to A@umulated Su@lus,I{Oefic0)
This stetement should be rceal in conjunction wrlh the eccofipenying notes.
352
(NAME OF THE ENTTTY)
STATEMENT OF CASH FLOWS(ALL FUNDS OR NAME OF FUND)
FOR THE YEAR ENDED
Cash Flows From Op€rating Activities
Ca3h lnflowsReceipt of Notice of Cash Allocation
Proceeds from sale of goods and services
Collection of lncome/Rsrenues
Receipt of Assistance and Subsidy from Other NGAS, LGUS and cOCCsCollection of Receivables
Receipt of lnter-Agency Fund Transfers
Receipt of Intra-Agency Fund Transfers
Trust Receipts
Other Receipts
Adjustments
Total Cash lnflow3
Cash OutflowsReplenishment of Negotiated MDS Checks (for BTr)
Remittance to National Treasury
Payment of Expenses
Purchase of lnventories
Purchase of Consumable Biological Assets
Grant of Cash Advances
Prepayments
Refund of Deposits
Payment of Accounts Payable
Remittance of Personnel Benetit Contributions and Mandatory Deductions
Grant of Financial Assistance/Subsidy
Release of lnter-Agency Fund Transfers
Release of lntra-Agency Fund Transfers
Other Disbursements
Reversal of Unutilized NCA
Adjustments
Total Cash Outflows
Net Cash Provided by (Used in) Operating Ac-tivities
Cash Floyvs from lnvesting Activities
Cash lnflowsProceeds ftom Sale ot lnvestment Property
Proceeds from Sale/Disposal of Property, Plant and Equipment
Sale of lnvestments
Receipt of Cash Dividends
Proceeds from Matured/Return of lnvestments
Collection of Long-Term Loans
Proceeds ftom Sale of Other Assets
Ad.iustments
Total Cash lnflows
YEAR YEAR
xxx
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xxx xxx)m( )oo(
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xxx txx
Cash OutflowsPurchase/Construction of lnvestment Property
Purchase/Construction of Property, Plant and Equipment
Investments
Purchase of Bearer Biological Assets
Purchase of lntangible Assets
Grant of Loans
Adjustments
Total Cash Outflows
Net Cash Provided by (Used in) lnvesting Aclivities
Cash Flows From Financing Activities
Cash OutflowsPayment of Long-Term Liabilities
Redemption of Bills/Bonds lssued
Payment of lnterest Expense (BTR/NG Debt)
Adjustments
Total Cash OutflorYs
Net Cash Provided by (Used in) Financing Activities
lncrease (Decrease) in Cash and cash Equivalents
EffecE of Exchange Rate Changes on Cash and Cash Equivalents
Cash and Cash Equivalents, January 1
Cash and Cash Equivalents, December 3'l
YEAR YEAR
xxx xxx
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xxx
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xxx xxx
This statement should be read in conjunction with the accompanying notes
354
(NAME OF THE ENTITY)
STATEMENT OF CASH FLOWS(ALL FUNDS OR NAME OF FUND}
FOR THE YEAR ENDED
-
Cash lnflowsProceeds from issuance of bills and bonds
Proceeds from Domestic and Foreign Loans
Adjustments
Total Cash lnflows
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Annex D1
Cash Flows Frorn Operating Activities
Cash lnflows
Receipt of Notice of Cash Allocation
Rec€ipt of Notice of Cash Allocation
Receipt of Notice ol Transfer of Cash Allocation
Receipt of NCA for Trust and other receipts
Receipt of Working Fund for Foreign-Assisted Projects
Receipt of lnter-Agency Fund Transfers
Receipt of cash for the account of NGAS,/LGUdGOCCS
Receipt of funds for the implemer{ation of projects from NGAS/LGUS/GOCCS
Receipt of funds for other inter-agency transactions
Receipt of Assistance and Subsidy from Other NGAs, LGUS and GOCCS
Subsidy from Other National Government Agencies
Assistance from Local Go\€mment Units
Assistanc€ from Govemment-Ownd or Controlled Corporations
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Collection of Receivabl6
Collection of loans and receivables
Collection of lease receivables
Collection of receivable from audit disallorirances
Collection of other receivables
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YEAR YEAR
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Receipt of lntra-Agency Fund Transfers
Rec€ipt of funds from Co/Bureaus/Ros/Ous for implementation of programs/projects
Receipt of working fund for foreign-assisted projects
Receipt of funds for other intra-agency transactions
Trust Receipts
Rec€ipt of Disaster Risk Reduction and Management Fund
Rec€ipt of bail bonds
Receipt of guaranty/security deposits
Receipt of customeE deposits
Collection of other trusl receipts
355
(NAME OF THE ENTITY}
STATEMENT OF CASH FLOWS
(ALL FUNDS OR NAME OF FUND)
FOR THE YEAR ENOEO
--
Collection of lncome/Revenues
Collection of tax revenue
Collection of service and business income
Collection of other income
Receipt of shares, grants and donations
Receipt of prior years' income
)@(
Other Receipts
Advance collection of income
Receipt of deposits on Letter of credits
Receipt of refund of guaranty depoeits
Receipt of payment for liquidated damages
Unused Petty Cash Fund
Olher deferred credits
Refund of overpayment of Personnel Services
Refund of overpayrnent of Maintenance and Other Operating Expences
Receipt of refund of cash advances
Proceeds from terminated treasury bills
collection frorn trusl receipts from entitiE other than NGAs/LGUs/GoccsOther misc€llaneous receipts
Annex D1
Adjustmenls
R6toration ol cash lor cancelled/osvstale checks/ADA
Restoration of cash for unreleased checks
Other adjustments-lnfl ow
Total Cash lnflows
Cash Outflows
Replenishment of Negotiated [,lDS Checks (for 8Tr)
Remittanc€ to National Treasury
Payment of Expenses
Payment of personnel services
Payment of maintenance and other operating expensEPayment of financial expenses
Payment of expenses pertaining to/incurred in the prior years
Liquidation of prior !€a/s cash advances
Purchase of lnvertodes
Purchase of inventories for sale
Purchase of inventoriG for distribution
Purchase of inventory held for consumption
Purchase of raw matedals inventory
Purchase of inventories obligatedlncured in prior years
Purchase of Consumable Biological AssetsPurchase ol livestock held for consumption/sale/distdbution
Purchase of trees, plants and crops held for consumption/sale/distribution
Purchas€ of aquaculture
Purchase of other consumable biological assets
Purchase of of consumable biological assets obligated in prior )€ars
Grdnt of Cash Ad'/anc6Advanc€s for operating expens€s
Advanc6 for payloll
Adr/anc6 for special purpoGelim+bound undertakings
Advances to office6 and employees
Advances to officers and employe€s obljgated in prior year
Prepayments
Advances to Contractors for repaf and rnaintenance of property, plant and eguipmeri (not cap
Prepaid Rent
Prepaid Registralion
Prepaid lnterest
Prepaid lnsuEnceOther Prepayments
Prepaymerts obligated in prior year
Refund of Depo6its
Payment of deposits on letter of credits
Payment of guaranty deposils
Payment of other deposits
Payment of deposits obligated in prior year
Remittance of Personnel Benefit Contributions and Mandatory Deductions
Remittance of taxes withheld not covered by TRA
Remittance to GSIS/Pag-IBIG/PhilHealth
Remittanc€ of personnel benefits cortributionsRemittance of other payables
Grant of Financial Assislance/Subsidy
Subsidy to NGAS
Grant of financial assistance to NGAS/LGUTGOCCS
Grant of financial assistance to NGOs/POs
Payment of lntemal Revenue Allotment
Grant of other sub,sidies
Grant of subsidies obligated in prior years
IXi XTI
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356
nq
Annex D1
Releas€ of lnter-Agency Fund Transfers
Advances to Procurement Servic€
Advanc6 to other NGAS/GOCCS/LGUS tor purchase of goods/servicG as authorized by lawRelease of funds to NGAS, GOCCS, LGUS for the implementation of proiectsRelease of other inter-agency fund transfers
Release of Intra-Agency Fund Transfers
lssuance of Working Fund to foreign service po6ts and regional consular oftjceslssuance of NTCA by CO/ROS to ROVOUslssuance of lunding checks by HO/CO/ROS to ROs/OUs
Release of other intra-agency fund transfers
Oher Disbursements
Refund of exc6s income
Refund of exc6s Working Fund{und transters/Trust Fund
Refund ol bail bond
Refund of guaranty/security depcitsRef und of cuslomers'deposit
Refund of cash ad\ranc6
Other disbursemeris
Reversal of Unutilized NCA
Adjustmer sReversiorvRelum of unused NCA
Adjuslrnent fo( dishonorcd checks
Adjustrnent for c€sh sho.bge
Reversing er ry tor unreleased checks in previous yeer
other adjustments - Outfiofl
Net Cash Provided by (Us€d in) Opcraling Activities
Cash Flov{s from lnvesting Actavities
Cash lnflows
Proceeds from Sale of lnvEtment Property
Proce€ds from Sale/Daspcal of Prop€rty, Plant and Equipment
Sale ol lnv6dllrentB
Proc€€ds from gale of €toclc/bondrmark€table E€curitieSale of investrneri in iint \€r{uregale of invedm€nt in asaociatea
Sale of other in€6trnents
Receipt of Cash DMdends
Proceeds from MaturedRetum of lnvedmerts
Redemdion of loftg tem invGtrneris
Proceeds from maturcd inve6tmenG
Proceeds frorn the retum on inve6lrnent in irint \€ntureProceeds lrom the retum on invEtrner in as,sociates
Collection of Long-Term L@ns
Repaymer{ of long termJ6ns by GOCC/GFI
Colledion of loog-term loans
Proceeds from Sale of Other Assets
Total Cash lnllows
Cash OutllowsPurchase/Construction of lnvestment Property
Purchase./Construclion of lnvGtment Property
Purchas€/Construction of lnvGtment Property obligated in prior year
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357
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Total Cash Outf,ows
Annex D1
Purchas€/Constructioa of Property, plant and EquipmentPurchase of hndPaymenl for land improvemenls
Constnrction of inf rastructure assets
Construction of buildings and other structurGPurchase ol machinery and equipment
Purchas€ ot transpodation equipment
Purchase of fumiture, fixlurE and books
Payments for le6s€d assets improvemenls
Construction in progress
ConstructiorvAcquistion of heritage assetsPurchase of other property, plant and equip[€ntPayment of right-of-way
Advances lo coniraclorsPayment of guaranty deposit
Payment of .eter ion fee to contractors
Paymert of othe. fees charged to the projects
Payment of irrckiental expeoses
Paymenl for rehabilibtion of property, plari and equipment (capihlized repair)
Paymert for property, plant and equipment obligated in pdor )rear
lnvEtrner slnvestmeot in stocks/bonddmerketable s€curities
lnvedment in GOCC/GFI
lnvBtrner in Finl venture
lnvEtrnert in associates
Oher long-lerm invrdments
Purchase of Bearer Biological AssetsPurchase of breeding slockg
Purchase ot li\,/eslock
Purchase of tre6, pbnts and crop6
Purchas€ of aquaculhrre
Purchase of c,fler bearer bblogkal ass€ts
Purchase o( bearer bk og&al G€ts obligded in Fior )rar
Purchase ot lntangible Assets
Purchase of cornputer soiwEre
PurclEse of o(l|er intarEible assets
Purchase ot intangible assets obloated in pdor )rar
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Total Cash Oulflows
Net Cash Provided By (Us€d lnl lnvesting Activities
Cash Flows Frorn Financing Aclivilies
Ca3h lnflows
Grant of Loan6
Release of funds for suEloans
Graa{ of hans
Proceeds from issuanc€ of bills and bonds
Proc€eds from issuance ot ball
Proc€eds from issuance of boods
xxrxxx
Proceeds from Domesitic and Foreign Loans
Proceeds from issuance of notes payable
Proc€eds from domGtic loans
Proc€€ds from foreign loans
Total Cash hflows
Cash Oumows
Payment of Long-Term Liabilities
Payment of notes payable
)@(
Annex D,
Payment of domestic loans
Payment of foreign loans
Payment of linance lease poyable
Payment of other long-term liabilities
Redemption of Bills/Bonds lssued
Payment for redemption of treasury bills
Payment for redemption of bonds
Payment of lnterest Expense (BTR/NG Oebt)
Tolal Cash Oumows
Net Cash Provided By (Used ln) Financing Activities
lncrease (tlecrese) in Cash and Cash Equivalenls
E fects ofErchange Rale Changes on Cash and Cash Equivaler s
Cash and Cash Equivalenls, January I
Cash and Cash Equivalents, Dccernber 3l
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359
Prepared by
Name of the Agency
Cash - MDS, Regular
Monthly Reconciliation Statement
As of
Fund Cluster:
Certified Correct:
Q.,lame & Desipgration) lName & Desipation)
Particulars Agcncy Bank ExpLrnetory Comment
Unadjusted Balances
tlddt Deduct: Bank
Reconcilng llems
I . Unrecorded NCA2 Frrors which rrnderslrles the
bank balance
3. Lapsed NCA
4. Outstanding Checks
5. Eirols which overstates the
bank balance
Add/De duc t : Agency B ook
Reconcilng ltems
l. Unrecorded NCA
2. Cancelled Checks
3. Efors which uDdelstates the
book balance
4. Lapsed NCA5. Erors which overstates the
kpk balance
6. Bank Charges
Adiurtcd Brlencer
\\\ xxx
See Schedule
See Schedule
NCA No. _See Schedule
CM No.
See Schedule
DMNoDMNo
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195
Date
Prepared by
Name of the Agency
Cash in Bank - Local Currency, Current AccountMonthly Reconciliation Statement
As of
Fund Cluster:
Certihed Correct
(Name & Designation) (Name & Designalion)
Date Datc
Particulars Agency Bank Explanatory Comment
Unadjusled Balances
lAdd,Deduct: Bank
Reconcilng Items
l. Uffecorded Deposit/
Deposit in transit
2. Errors which understates the
bank balance
3. Outstanding Checks
4. Errors which overstates the
bank balance
Addr Deduct: Agency Book
Reconcilng Ilems
l- Unrecorded Deposit
2. Cancelled Checks
3. Errors which understates the
book balance
4. Retumed Check deposits
5. Errors which ovcrstates the
book balance
6. Bank Charges
Adjusted Balances
\\\
See Schedule
See Schedule
See Schedule
See Schedulc
LLX
xxx
xLx(xxx)
(x\x)(x)lx)
(xxx)
(xxx)
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196
REGISTRY OT ALLOTMENTS AND NOTICE OF CASE ALI,OCATIONFor the period
-.--
Entity Nrmc : Fund Cluster :
Shcct Number :
AMOUNT
Notice of Cash Allocdion BalanceAllotrneflt
Received
Received utilizedUnutilized
NCA
Unfunded
Allotrnent
Date Refcrctrce
(a) (b) (b-c)
IIII
--IIIIIIITIII-IIrITIIIIIr-I-I
-I-II-I-II
IIIIII-II-IIIIITTIIT
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-
-I
Ir
I-
II
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-
I
88
[ ("-u)(c)
ISAR NO" 1
D€partmetrt
AEtency/OU
Fund
Program / Activity/ ProjectMFO
1 3
Physical Target A(:r:omplis hment Vari:rrnce Re rnark9
Propared by Apprcved by
Budget Off oerDale:
Hedd of Agency or his Authorieed Representativ€Dale:
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