For Retail / Manufacturing Industry

For Retail / Manufacturing Industry
ANNEX A
NAME OF BUSINESS
MERCHANDISE/ RAW MATERIALS / GOODS IN PROCESS / FINISHED GOODS INVENTORY
As of December 31, _____
LOCATION (Note 1) INVENTORY UNIT OF MEASUREMENT

VALUATION TOTAL
PRODUCT / INVENTORY ITEM DESCRIPTION METHOD UNIT QUANTITY IN
CODE PRICE STOCKS (In weight or volume) WEIGHT / TOTAL COST
ADDRESS CODE REMARKS
e.g., kilos, grams, liters, VOLUME
(Note 2)
etc.)
Ending Inventory
Note 1 a Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in location/address at the Head Office or Branch or
Facilities (with or without sales activity of the taxpayer). Facilities shall include but not limited to place of production, showroom, warehouse, storage
place, leased property, etc. Include also goods out on consignment, though not physically present are nonetheless owned by the taxpayer.
b Use the following codes:

CH Goods on consignment held by the Indicate the name of the consignor in the Remarks column
taxpayer
Goods on consignment held by the
taxpayer
P Indicate the name of related party/owner in the Remarks column
Parked goods or goods owned by related
parties
O Goods owned by the taxpayer
CO Indicate the name of the entity in the Remarks column

Goods out on consignment held in the
hands of entity other than taxpayer
Note 2 Indicate Costing Method applied, e.g., Standard Costing, FIFO, Weighted Average, Specific Identification, etc.
We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our knowlegde and belief,
is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under authority thereof.
Name and Signature of Authorized

Representative
TIN : _________________
ANNEX A
JENNY MERCHANDISE
As of December 31, 2017
LOCATION (Note 1) UNIT OF

INVENTORY MEASUREMENT
PRODUCT / VALUATION TOTAL
METHOD UNIT PRICE QTY. IN (In weight or
INVENTORY ITEM DESCRIPTION
STOCKS WEIGHT / TOTAL COST
CODE ADDRESS CODE REMARKS volume)
VOLUME
e.g., kilos, grams,
(Note 2) liters, etc.)
Airpot (Standard) Head Office O FIFO 1,380.00 1 pc 1,380.00
Album Head Office O FIFO 70.00 28 pcs 1,960.00
Amplifier Head Office O FIFO 1,200.00 2 pcs 2,400.00
Baseball Hat Head Office O FIFO 75.00 14 pcs 1,050.00
Bed Sheet Head Office O FIFO 135.00 6 pcs 810.00
Bikes Gloves Head Office O FIFO 350.00 6 pcs 2,100.00
Blanket Head Office O FIFO 85.00 18 pcs 1,530.00
Blender (Asahi) Head Office O FIFO 1,250.00 2 pcs 2,500.00
Blender (Camel) Head Office O FIFO 950.00 2 pcs 1,900.00
Blender (Standard) Head Office O FIFO 950.00 2 pcs 1,900.00
Blouses Head Office O FIFO 110.00 68 pcs 7,480.00
Body Armour Head Office O FIFO 850.00 1 pc 850.00
Brief (Judge) Head Office O FIFO 38.00 37 pcs 1,406.00
Brooms Head Office O FIFO 50.00 5 pcs 250.00
Brush Head Office O FIFO 20.00 16 pcs 320.00
Bulbs 11w Head Office O FIFO 65.00 3 pcs 195.00
Bulbs 18w Head Office O FIFO 80.00 14 pcs 1,120.00
Calculator (Big) Head Office O FIFO 1,350.00 12 pcs 16,200.00
Calculator (Scientific) Head Office O FIFO 95.00 8 pcs 760.00
Calculator (Small) Head Office O FIFO 45.00 18 pcs 810.00
Canister (Medium) Head Office O FIFO 28.00 51 pcs 1,428.00
Canister (small) Head Office O FIFO 38.00 21 pcs 798.00
Ceiling Fan - Small (Avatar) Head Office O FIFO 140.00 4 pcs 560.00
Ceiling Fan - Big (Avatar) Head Office O FIFO 220.00 7 pcs 1,540.00
Chair (Ichiban) Head Office O FIFO 220.00 16 pcs 3,520.00
Chair (Kiddie) Head Office O FIFO 110.00 15 pcs 1,650.00
Chairs (Uratex) Head Office O FIFO 330.00 11 pcs 3,630.00
Chopping Board Head Office O FIFO 110.00 19 pcs 2,090.00
Cignal Head Office O FIFO 2,200.00 5 pc 11,000.00
Clips Head Office O FIFO 18.00 20 pcs 360.00
Cloth Basket Head Office O FIFO 75.00 6 pcs 450.00
Colored Long Sleeve L Head Office O FIFO 160.00 26 pcs 4,160.00
Colored Long Sleeve M Head Office O FIFO 160.00 37 pcs 5,920.00
Colored Long Sleeve S Head Office O FIFO 160.00 18 pcs 2,880.00
Colored Long Sleeve XL Head Office O FIFO 170.00 22 pcs 3,740.00
Colored Shirt #10 (Judge) Head Office O FIFO 70.00 45 pcs 3,150.00
Colored Shirt L (Judge) Head Office O FIFO 100.00 86 pcs 8,600.00
Colored Shirt M (Judge) Head Office O FIFO 100.00 72 pcs 7,200.00
Colored Shirt S (Judge) Head Office O FIFO 100.00 96 pcs 9,600.00
Colored Shirt w/ Collar Adult L Head Office O FIFO 155.00 70 pcs 10,850.00
Colored Shirt w/ Collar Adult M Head Office O FIFO 155.00 68 pcs 10,540.00
Colored Shirt w/ Collar Adult S Head Office O FIFO 155.00 72 pcs 11,160.00
Colored Shirt w/ Collar Adult XL Head Office O FIFO 165.00 59 pcs 9,735.00
Colored Shirt w/ Collar Teen L Head Office O FIFO 145.00 72 pcs 10,440.00
Colored Shirt w/ Collar Teen M Head Office O FIFO 145.00 60 pcs 8,700.00
Colored Shirt w/ Collar Teen S Head Office O FIFO 145.00 68 pcs 9,860.00
Colored Shirt XL (Judge) Head Office O FIFO 106.00 69 pcs 7,314.00
Cooking pot #1 Head Office O FIFO 210.00 10 pcs 2,100.00
Cooking Pot #2 Head Office O FIFO 175.00 6 pcs 1,050.00
Cooking Pot U5 Head Office O FIFO 320.00 5 pcs 1,600.00
Cooking toys Head Office O FIFO 11.00 80 pcs 880.00
Cowboy Hat Head Office O FIFO 75.00 8 pcs 600.00
Desk Fan (Camel) #12 Head Office O FIFO 780.00 2 pcs 1,560.00
Desk Fan (Eureka) #16 Head Office O FIFO 780.00 2 pcs 1,560.00
Dish Cabinet (1 Drawer) Head Office O FIFO 800.00 2 pc 1,600.00
Dish Cabinet (2 Drawers) Head Office O FIFO 900.00 2 pc 1,800.00
Dish Cabinet (Bravo) Head Office O FIFO 1,350.00 2 pc 2,700.00
Doormat Head Office O FIFO 35.00 9 pcs 315.00
Double Burner (Asahi) Head Office O FIFO 800.00 2 pcs 1,600.00
Double Burner (Kyowa) Head Office O FIFO 700.00 2 pcs 1,400.00
Durabox (5 Layers) Head Office O FIFO 1,350.00 5 pcs 6,750.00
Durabox Cabinet Head Office O FIFO 3,200.00 2 pcs 6,400.00
DVD Player w/ Games HUG Head Office O FIFO 1,150.00 12 pcs 13,800.00
DVD Player w/o Games HUG Head Office O FIFO 1,050.00 8 pcs 8,400.00
Electric Ice Crusher Head Office O FIFO 2,400.00 2 pcs 4,800.00
Electric Stove (Asahi) Head Office O FIFO 1,500.00 2 pcs 3,000.00
Electric Stove (Standard) Head Office O FIFO 1,100.00 3 pcs 3,300.00
Extractor (Kyowa) Head Office O FIFO 1,250.00 23 pcs 28,750.00
Face Mask Head Office O FIFO 15.00 28 pcs 420.00
Face Towel Head Office O FIFO 15.00 32 pcs 480.00
Flat Iron (Camel) Head Office O FIFO 350.00 8 pcs 2,800.00
Flat Iron (Standard) Head Office O FIFO 450.00 36 pcs 16,200.00
Flatscreen TV 15" Head Office O FIFO 2,000.00 6 pcs 12,000.00
Flatscreen TV 32" Head Office O FIFO 6,800.00 1 pc 6,800.00
Floor mat Head Office O FIFO 1,700.00 2 Rolls 3,400.00
Flower Pots 1102 Head Office O FIFO 45.00 38 pcs 1,710.00
Flower Pots 1103 Head Office O FIFO 55.00 18 pcs 990.00
Foam 2x48 Head Office O FIFO 1,175.00 2 pcs 2,350.00
Foam 2x54 Head Office O FIFO 1,305.00 1 pc 1,305.00
Foil Head Office O FIFO 22.00 37 pcs 814.00
Fragile Bowl Head Office O FIFO 23.00 88 pcs 2,024.00
Fragile Plate Head Office O FIFO 35.00 200 pcs 7,000.00
Frame Head Office O FIFO 85.00 21 pcs 1,785.00
Frying Pan C1 Head Office O FIFO 198.00 12 pcs 2,376.00
Full Gloves (Ordinary) Head Office O FIFO 135.00 4 pcs 540.00
Garbage Bin (Big) Head Office O FIFO 125.00 5 pcs 625.00
Garbage Bin (Small) Head Office O FIFO 75.00 7 pcs 525.00
Glass Holder Head Office O FIFO 10.00 36 pcs 360.00
Goggle Head Office O FIFO 150.00 6 pcs 900.00
G-Sat Head Office O FIFO 1,500.00 10 pcs 15,000.00
Guitar (Nangka) Head Office O FIFO 1,100.00 2 pcs 2,200.00
Guitar (Ordinary) Head Office O FIFO 95.00 4 pcs 380.00
Half Gloves (Ordinary) Head Office O FIFO 95.00 8 pcs 760.00
Havana Slippers (Women) Head Office O FIFO 35.00 15 pcs 525.00
Heater Head Office O FIFO 90.00 4 pcs 360.00
Helmet (Bicycle) Head Office O FIFO 160.00 3 pcs 480.00
Helmet (HNJ Full face) Head Office O FIFO 1,350.00 3 pcs 4,050.00
Helmet (HNJ Half face) Head Office O FIFO 800.00 5 pcs 4,000.00
Ice Case (Large) Head Office O FIFO 135.00 3 pcs 405.00
Ice Case (Small) Head Office O FIFO 65.00 4 pcs 260.00
Ice Case(Medium) Head Office O FIFO 110.00 2 pcs 220.00
Kettle Head Office O FIFO 105.00 6 pcs 630.00
Kettle (Asahi) 1 L Head Office O FIFO 450.00 2 pcs 900.00
Kettle (Asahi) 1.8 L Head Office O FIFO 750.00 3 pcs 2,250.00
Knee/Elbow Protector Head Office O FIFO 250.00 2 set 500.00
Knee/Elbow Stainless Head Office O FIFO 650.00 3 pcs 1,950.00
Lamp Head Office O FIFO 70.00 10 pcs 700.00
Malong Head Office O FIFO 120.00 10 pcs 1,200.00
Mat (Big) Head Office O FIFO 210.00 7 pcs 1,470.00
Mat (Semi Double) Head Office O FIFO 165.00 4 pcs 660.00
Mat (Single) Head Office O FIFO 135.00 5 pcs 675.00
Medium Plastic Bowl Head Office O FIFO 15.00 77 pcs 1,155.00
Microphone (Ordinary) Head Office O FIFO 90.00 9 pcs 810.00
Mop Head Office O FIFO 110.00 4 pcs 440.00
Mosquito Net (Double) Head Office O FIFO 155.00 3 pcs 465.00
Mosquito Net (Family) Head Office O FIFO 175.00 3 pcs 525.00
Mosquito Net (Single) Head Office O FIFO 135.00 6 pcs 810.00
Mug Head Office O FIFO 11.00 42 pcs 462.00
N Vision TV 17" Head Office O FIFO 2,350.00 2 pcs 4,700.00
N Vision TV 19 Head Office O FIFO 2,550.00 1 pc 2,550.00
N Vision TV 21" Head Office O FIFO 2,650.00 2 pcs 5,300.00
Orbit Fan (Camel) #16 Head Office O FIFO 1,350.00 3 pcs 4,050.00
Orbit Fan (Standard) #16 Head Office O FIFO 1,400.00 2 pcs 2,800.00
Pack Bag Head Office O FIFO 350.00 5 pcs 1,750.00
Pail Drum Head Office O FIFO 210.00 4 pcs 840.00
Pitcher (Big) Head Office O FIFO 60.00 13 pcs 780.00
Pitcher (Small) Head Office O FIFO 28.00 8 pcs 224.00
Planggana Head Office O FIFO 60.00 8 pcs 480.00
Plastic cup Head Office O FIFO 6.00 46 pcs 276.00
Plastic Plate Head Office O FIFO 9.00 327 pcs 2,943.00
Plastic Table 36" Head Office O FIFO 600.00 4 pcs 2,400.00
Radio Head Office O FIFO 250.00 18 pcs 4,500.00
Rice Cooker (Asahi) 10 cups Head Office O FIFO 900.00 2 pcs 1,800.00
Rice Cooker (Asahi) 15 cups Head Office O FIFO 1,100.00 2 pcs 2,200.00
Rice Cooker (Camel) 10 cups Head Office O FIFO 720.00 2 pcs 1,440.00
Round Table 36 Head Office O FIFO 580.00 2 pcs 1,160.00
Rubber Gloves Head Office O FIFO 40.00 11 pcs 440.00
Rubber Toys Head Office O FIFO 40.00 11 pcs 440.00
Sack Bag (Big) Head Office O FIFO 70.00 16 pcs 1,120.00
Sack Bag (Small) Head Office O FIFO 40.00 12 pcs 480.00
Semi-Shoe Slippers Head Office O FIFO 120.00 6 pcs 720.00
Shoulder Bag Head Office O FIFO 300.00 4 pcs 1,200.00
Single Burner (Asahi) Head Office O FIFO 480.00 3 pcs 1,440.00
Sky Direct Head Office O FIFO 2,650.00 4 pcs 10,600.00
Sling Bag Head Office O FIFO 230.00 3 pcs 690.00
Slippers (Kids) Head Office O FIFO 16.00 30 pcs 480.00
Slippers (Men) Head Office O FIFO 40.00 37 pcs 1,480.00
Slippers (Women) Head Office O FIFO 38.00 33 pcs 1,254.00
Small Plastic Bowl Head Office O FIFO 10.00 58 pcs 580.00
Socks Head Office O FIFO 10.00 122 pcs 1,220.00
Soen Panty Head Office O FIFO 456.00 10 boxes 4,560.00
Solar Panel 10000 Head Office O FIFO 2,600.00 3 pc 7,800.00
Solar Panel 15000 Head Office O FIFO 6,000.00 2 pcs 12,000.00
Solar Panel 7000 Head Office O FIFO 2,200.00 3 pcs 6,600.00
Spartan Slippers Head Office O FIFO 45.00 9 pcs 405.00
Speaker (Bluetooth) Head Office O FIFO 220.00 6 pcs 1,320.00
Speaker (HUG) #10 Head Office O FIFO 2,800.00 1 set 2,800.00
Speaker Konzevt) #12 Head Office O FIFO 3,200.00 1 set 3,200.00
Stand Fan (Camel) #16 Head Office O FIFO 1,100.00 3 pcs 3,300.00
Stand Fan (Asahi) #16 Head Office O FIFO 1,250.00 1 pc 1,250.00
Stand Fan (Eureka) #16 Head Office O FIFO 980.00 2 pcs 1,960.00
Stand Fan (Standard) #16 Head Office O FIFO 1,350.00 2 pcs 2,700.00
Steel Wool Head Office O FIFO 15.00 14 pcs 210.00
Stool (Bunny) Head Office O FIFO 140.00 23 pcs 3,220.00
Stool (Uratex) Head Office O FIFO 180.00 14 pcs 2,520.00
Thermos (Small) Head Office O FIFO 185.00 2 pcs 370.00
Thermos (Standard) Head Office O FIFO 185.00 12 pcs 2,220.00
Toilet Pump Head Office O FIFO 45.00 3 pcs 135.00
Toy gun (ordinary) Head Office O FIFO 45.00 32 pcs 1,440.00
Umbrella (Folded) Head Office O FIFO 120.00 16 pcs 1,920.00
Umbrella (Long) Head Office O FIFO 75.00 13 pcs 975.00
Wall Clock Head Office O FIFO 65.00 5 pcs 325.00
Water Jug 1 Head Office O FIFO 140.00 2 pcs 280.00
Water Jug 2 Head Office O FIFO 210.00 29 pcs 6,090.00
White Dove Slippers Head Office O FIFO 27.00 35 pcs 945.00
White Sando Head Office O FIFO 98.00 11 pcs 1,078.00
White Shirt #10 (Judge) Head Office O FIFO 60.00 25 pcs 1,500.00
White Shirt L (Judge) Head Office O FIFO 88.00 12 pcs 1,056.00
White Shirt M (Judge) Head Office O FIFO 88.00 31 pcs 2,728.00
White Shirt S (Judge) Head Office O FIFO 88.00 18 pcs 1,584.00
White Shirt w/ Collar Teen L Head Office O FIFO 135.00 18 pcs 2,430.00
White Shirt w/ Collar Teen M Head Office O FIFO 135.00 18 pcs 2,430.00
White Shirt w/ Collar Teen S Head Office O FIFO 135.00 18 pcs 2,430.00
White Shirt w/Collar Adult L Head Office O FIFO 145.00 12 pcs 1,740.00
White Shirt w/Collar Adult M Head Office O FIFO 145.00 12 pcs 1,740.00
White Shirt w/Collar Adult S Head Office O FIFO 145.00 12 pcs 1,740.00
White Shirt w/Collar Adult XL Head Office O FIFO 155.00 12 pcs 1,860.00
Total Inventory, 12/31/2017 750,475.00
Note 1 a. Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in location/address
at the Head Office or Branch or Facilities (with or without sales activity of the taxpayer). Facilities shall include but not
limited to place of production, showroom, warehouse, storage place, leased property, etc. Include also goods out on
consignment, though not physically present are nonetheless owned by the taxpayer.
b. Use the following codes:
CH Goods on Indicate the name of the consignor in the Remarks column

consignment held
by the taxpayer
P Indicate the name of related party/owner in the Remarks column

Parked goods or
goods owned by
related parties
CO Goods out on Indicate the name of the entity in the Remarks column
consignment held
in the hands of
entity other than
taxpayer
We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our
knowlegde and belief, is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations
issued under authority thereof.
JENNY S. LIPA
Representative
TIN : 447-042-535-000
ANNEX A
JENNY MERCHANDISE

METHOD UNIT PRICE QTY. IN
INVENTORY ITEM DESCRIPTION STOCKS (In weight or volume) WEIGHT / TOTAL COST
CODE ADDRESS CODE REMARKS VOLUME
(Note 2) e.g., kilos, grams,
liters, etc.)
Blanket Head Office O FIFO 85.00 8 pcs 680.00
Brief (Judge) Head Office O FIFO 38.00 17 pcs 646.00
Canister (Medium) Head Office O FIFO 28.00 23 pcs 644.00
Ceilin Fan - Small (Avatar) Head Office O FIFO 140.00 2 pcs 280.00
Ceiling Fan - Big (Avatar) Head Office O FIFO 220.00 3 pcs 660.00
Clothes Basket Head Office O FIFO 75.00 6 pcs 450.00
Colore Long Sleeve M Head Office O FIFO 160.00 26 pcs 4,160.00
Cookin Pot #4 Head Office O FIFO 135.00 4 pcs 540.00
Cooking pot #1 Head Office O FIFO 210.00 3 pcs 630.00
Cooking Pot #5 Head Office O FIFO 95.00 9 pcs 855.00
Dish Cabinet (1 Drawer) Head Office O FIFO 800.00 1 pc 800.00
Dish Cabinet (2 Drawers) Head Office O FIFO 900.00 1 pc 900.00
Flatscree TV 22" Head Office O FIFO 2,800.00 2 pcs 5,600.00
Malong Head Office O FIFO 120.00 4 pcs 480.00
Medium Plastic Bowl Head Office O FIFO 15.00 57 pcs 855.00
N Vision TV 17" Head Office O FIFO 2,350.00 1 pc 2,350.00
Plastic Plate Head Office O FIFO 9.00 109 pcs 981.00
Rice Cooker (Camel) 10 cup Head Office O FIFO 720.00 2 pcs 1,440.00
Rice Cooker (Camel) 8cups Head Office O FIFO 620.00 2 pcs 1,240.00
Slippers (Men) Head Office O FIFO 40.00 22 pcs 880.00
Slippers (Women) Head Office O FIFO 38.00 19 pcs 722.00
Socks Head Office O FIFO 10.00 58 pcs 580.00
Water Jug Head Office O FIFO 140.00 4 pcs 560.00
Total Inventory, 12/31/2014 359,115.00
Note 1 a. Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in
location/address at the Head Office or Branch or Facilities (with or without sales activity of the taxpayer). Facilities shall
include but not limited to place of production, showroom, warehouse, storage place, leased property, etc. Include also
goods out on consignment, though not physically present are nonetheless owned by the taxpayer.
CH Indicate the name of the consignor in the Remarks column

Goods on
consignment held
by the taxpayer
P Parked goods or Indicate the name of related party/owner in the Remarks column
goods owned by
related parties

consignment held
in the hands of
entity other than
taxpayer
We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our knowlegde
and belief, is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations issued under
authority thereof.
JENNY S. LIPA
Representative
TIN : 447-042-535-000
ANNEX A
JENNY MERCHANDISE

VALUATION
PRODUCT / METHOD (In weight or TOTAL
INVENTORY ITEM DESCRIPTION UNIT PRICE QTY. IN WEIGHT / TOTAL COST
ADDRESS CODE REMARKS STOCKS volume)
CODE VOLUME
e.g., kilos, grams,
(Note 2)
liters, etc.)
Cookin Pot #4 Head Office O FIFO 135.00 4 pcs 540.00
Dish Cabinet (1 Drawer) Head Office O FIFO 800.00 2 pc 1,600.00
Dish Cabinet (2 Drawers) Head Office O FIFO 900.00 2 pc 1,800.00
Malong Head Office O FIFO 120.00 10 pcs 1,200.00
Stand Fan (Asahi) #16 Head Office O FIFO 1,250.00 2 pcs 2,500.00
White Dove Slippers Head Office O FIFO 27.00 78 pcs 2,106.00
Total Inventory, 12/31/2015 380,612.00
Note 1 a. Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in
location/address at the Head Office or Branch or Facilities (with or without sales activity of the taxpayer). Facilities
shall include but not limited to place of production, showroom, warehouse, storage place, leased property, etc. Include
also goods out on consignment, though not physically present are nonetheless owned by the taxpayer.
Indicate the name of the consignor in the Remarks
CH column
Goods on
consignment held
by the taxpayer
Goods on
consignment held
by the taxpayer
Parked goods or
goods owned by Indicate the name of related party/owner in the
P related parties Remarks column
consignment held
in the hands of
entity other than
taxpayer
Note 2 Indicate Costing Method applied, e.g., Standard Costing, FIFO, Weighted Average, Specific Identification,
etc.
We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of
our knowlegde and belief, is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the
regulations issued under authority thereof.
JENNY S. LIPA
Representative
TIN : 447-042-535-000
ANNEX A
JENNY MERCHANDISE

METHOD QTY. IN
INVENTORY ITEM DESCRIPTION UNIT PRICE STOCKS (In weight or volume) WEIGHT / TOTAL COST
CODE ADDRESS CODE REMARKS VOLUME
(Note 2) e.g., kilos, grams,
liters, etc.)
Canister (Medium) Head Office O FIFO 28.00 23 pcs 644.00
Dish Cabinet (1 Drawer) Head Office O FIFO 800.00 1 pc 800.00
Dish Cabinet (2 Drawers) Head Office O FIFO 900.00 1 pc 900.00
Malong Head Office O FIFO 120.00 4 pcs 480.00
Total Inventory, 12/31/2016 329,640.00
Note 1 a. Include all goods whether taxpayer has title thereto or not, provided these goods are actually situated in location/address at
the Head Office or Branch or Facilities (with or without sales activity of the taxpayer). Facilities shall include but not limited to
place of production, showroom, warehouse, storage place, leased property, etc. Include also goods out on consignment, though
not physically present are nonetheless owned by the taxpayer.

CH Goods on Indicate the name of the consignor in the Remarks column
consignment held
by the taxpayer
P Parked goods or Indicate the name of related party/owner in the Remarks column
goods owned by
related parties
CO Indicate the name of the entity in the Remarks column
Goods out on
consignment held in
the hands of entity
other than taxpayer
Goods out on
consignment held in
the hands of entity
other than taxpayer
We declare, under the penalties of perjury, that this schedule has been made in good faith, verified by us, and to the best of our
knowlegde and belief, is true and correct pursuant to the provisions of the National Internal Revenue Code, as amended, and the regulations
issued under authority thereof.
JENNY S. LIPA
Representative
TIN : 447-042-535-000

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LOCATION (Note 1) INVENTORY UNIT OF MEASUREMENT

b Use the following codes:

CO Indicate the name of the entity in the Remarks column

Name and Signature of Authorized

LOCATION (Note 1) UNIT OF

b. Use the following codes:

CH Goods on Indicate the name of the consignor in the Remarks column

P Indicate the name of related party/owner in the Remarks column

LOCATION (Note 1) UNIT OF

b. Use the following codes:

CH Indicate the name of the consignor in the Remarks column

O Goods owned by the taxpayer

LOCATION (Note 1) UNIT OF

O Goods owned by the taxpayer

LOCATION (Note 1) UNIT OF

b. Use the following codes:

O Goods owned by the taxpayer

CO Indicate the name of the entity in the Remarks column

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