Appendix 11

Agency
Detailed Statement of Income and Expenses
For the Fiscal Year Ended December ____ , 20 __

Income
Subsidy Income from National Government xxx
Less: Reversion of Unused Notice of Cash Allocation xxx xxx
Income from Government Services xxx
Income from Government Business Operation xxx
Rent Income xxx
Interest Income xxx
Gain on Sale of Assets xxx
Sales Revenue xxx
Less: Cost of Goods Sold xxx xxx
Total Income xxx

Less Expenses:
Salaries and Wages-Regular Pay xxx
PERA xxx
Additional Compensation xxx
Representation Allowance (RA) xxx
Transportation Allowance (TA) xxx
Clothing Allowance xxx
Christmas Bonus xxx
Cash Gift xxx
Productivity Incentive Bonus xxx
Life & Retirement Insurance Contributions xxx
PAGIBIG Contributions xxx
PHILHEALTH Contributions xxx
Other Personal Benefits xxx
Traveling Expense-Local xxx
Traveling Expense-Foreign xxx
Electricity xxx
Telephone/Internet xxx
Rent Expense xxx

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 Appendix 11

Agency
Detailed Statement of Income and Expenses
For the Fiscal Year Ended December ____ , 20 __

Office Supplies Expense xxx

Gasoline, Oil and Lubricants Expense xxx
Building Maintenance xxx
IT Equipment Maintenance xxx
Motor Vehicles Maintenance xxx
Furnitures & Fixtures Maintenance xxx
Other Repairs & Maintenance xxx
Grants and Donations xxx
Bad Debts Expense xxx
Depreciation-Buildings xxx
Depreciation-IT Equipment xxx
Depreciation-Office Equipment xxx
Depreciation-Furniture & Fixtures xxx
Depreciation-Other Property, Plant and Equipment xxx
Bank Charges xxx
Interest Expense xxx
Other Financial Charges xxx xxx

Excess of Income Over Expenses xxx

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