Form-1770-Attachment IV

You might also like

Download as pdf or txt
Download as pdf or txt
You are on page 1of 2

ATTACHMENT - IV

2 0

TAXABLE YEAR
1770 - IV INDIVIDUAL ANNUAL INCOME TAX RETURN
FORM

• ASSETS AT YEAR-END to
MINISTRY OF FINANCE

MM YY MM YY
DIRECTORATE GENERAL OF TAXES
LIABILITIES AT YEAR- END
 LIST OF FAMILY DEPENDENT DEEMED ACCOUNTING

ATTENTION
• FOLLOW INSTRUCTION IN THE MANUAL
• PRINT OR TYPE WITH CAPITAL LETTER OR BLACK INK
• MARK " X " IN THE APPROPRIATE BOX

TIN :

TAXPAYER'S NAME :

PART A : ASSETS AT YEAR - END


COST OF ACQUISITION
NO. TYPE OF ASSETS YEAR OF ACQUISITION DESCRIPTION
(IDR)
(1) (2) (3) (4) (5)

1.

2.

4.

5.

6.

7.

8.

9.

10.
etc

TOTAL PART A TPA

PART B : LIABILITIES/PAYABLES AT YEAR-END

TOTAL
NO. NAME OF LENDER ADDRESS OF LENDER YEAR OF LENDING
(IDR)
(1) (2) (3) (4) (5)

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.
etc

TOTAL PART B TPB

PART C : LIST OF FAMILY DEPENDENT

NO. NAME DATE OF BIRTH RELATIONSHIP IN FAMILY OCCUPATION


(1) (2) (3) (4) (5)

1.

2.

3.

4.

5.
etc

IF NEEDED, ADDITIONAL PAGES MAY BE ADDED Page from pages of Attachment-IV

You might also like