Certificate of Donation: ABS-CBN Lingkod Kapamilya Foundation, Inc

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PRINT PREVIEW BIR Form No.

ABS-CBN Lingkod Kapamilya Foundation, Inc. 2322


Name of Institution / Organization December 2014

Mother Ignacia cor. E. Lopez Sts., Brgy. South Triangle, Diliman, Quezon City
Address

BIR Registration No. 8RC0000044031


Dated June 30, 1996

No. LTS-126-12154-2021
CERTIFICATE OF DONATION
(To be filled out by the Donee)

TO ALL WHOM IT MAY CONCERN:

THIS IS TO CERTIFY that LEYTE AGRI CORPORATION


(Name of Institution)

TIN 005-758-549-000 , with address at AA Compound, Brgy. Ipil, Ormoc City, Leyte
(Postal Address of Institution)

did, on June 21, 2021 , donate X Cash Personal Property/ies Real Property/ies described as follows:

1. Cash Check PHP 3,800.00

Bank Name Check No.

2. Personal Properties
Description Condition (New/Used) Quantity

2. Real Properties
3.a Land
Description Area TCT No. Tax Declaration No.

3.b Improvements
Description Condition (New/Used) Tax Declaration No.

Given this June 21, 2021 .

Authorized Signature

Mark Gregor Q. Quitoriano


Printed Name

Treasury Supervisor
Position / Title

TIN: 276-631-006-000

(Please use the reverse side hereof)

OR No. 0819488

PRINT DATE 6/29/2021 10:00 PM


VALUATION OF DONATION
FOR PURPOSES OF DEDUCTIBILITY FROM GROSS INCOME
(To be filled out by the Donor)

1. Personal Property/ies
Description Condition (New/Used) Acquisition Cost Depreciation Net Book Value
Cash 3,800.00
-

Total Value of Personal Properties PHP 3,800.00

1. Real Property/ies
2.a Land
Location Area (In sq. m.) TCT No. Acquisition Cost

2.b Improvements
Latest Tax
Description Location Declaration No. Zonal / Market Value

Total Value of Real Properties PHP 0.00

TOTAL AGGREGATE VALUE OF DONATION PHP 3,800.00

Signature

Name

Position / Title

TIN

Instructions
1. The first page shall be filled out by the Donee and the second page shall be filled out by the Donor.
2. Deductibility of Donations:
a. The amount to be deducted from the gross income shall be based on the Net Book Value of said property as reflected in the financial statements of the donor. Please
attach certified true copy of Deed of Sale of a certification under oath by the Donor of the Net Book Value and acquisition cost. The values declared by the donor
shall still be subject to further confirmation by the Bureau as to its correctness and accuracy.
3. The Donee shall assume responsibility for the consecutive numbering of each Certificate of Donation, as follows:
For Regular Taxpayers : Dxxx-xxx-20xx Dxxx - RDO No.; xxx - number of Certificate; 20xx - year issued
Example D039-001-2019
For Large Taxpayers : LTS-xxx-20xx LTS - Large Taxpayers Service; xxx - number of Certificate; 20xx - year issued
Example LTS-001-2019
4. Consecutively numbered certification of donation should be distributed within thirty (30) days from receipt of donation, as follows:
(1) Original Copy - Donor
(2) Duplicate Copy - BIR
(3) Triplicate Copy - Donee

PRINT DATE 6/29/2021 10:00 PM

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