Application for Certificate of Tax Exemption - Cooperatives

Application for Certificate of Tax Exemption

The Regional Director

Bureau of Internal Revenue

Revenue Region No, ______

Attn. : Chief, Legal Division

Thru ______________

Revenue District Officer

Sir :

Pursuant to Revenue Regulation 20-2001, we respectfully submit the following requirements for the issuance of a Certificate of Tax Exemption to____ ______________________________ Cooperative, to wit:

1. Certified true copy of Articles of Cooperation and By-Laws.
2. Certified true copy of Certificate of Registration / Confirmation issued by CDA.
3. Original copy of Certificate of Good Standing from the CDA.
4. Latest financial statements duly audited by an independent CPA
5. Certification under oath by the Chairperson / General Manager

a. The cooperative is transacting business

with members only

with both members and non-members.

b. Amount of accumulated general reserve fund and undivided net savings.

c. At least 25% of the net surplus is retained to members in the form of interest on capital and a patronage refund.

d. List of members and the share contribution of each member.

Please acknowledge receipt thereof.

Very truly yours,

__________________
Chairman of the Board/Manager

Attachment to the application for CTE

Republic of the Philippines }

Province of _________________ ) s.s.

City/Municipality of __________ )

AFFIDAVIT

I, _____________________ of legal age and with postal address at __________________________ after having been duly sworn to in accordance with law do hereby depose and say :

1. That I am the duly elected chairman of the __________ .;
2. That as chairman I am aware of the operations of the above cooperation ;
3. That the cooperative is transacting business

ÿ with members only

ÿ with both members and non-members

4. That the accumulated general reserve fund and net savings of the cooperation as of ________ is ________ .
5. That at least 25% of the net surplus is retained to members in the form of interest on capital and/or patronage fund.
6. That attached hereto is a list of members and their corresponding share capital contribution to the cooperative.
7. That I am executing this affidavit to prove to the veracity of the above statements.

In witness whereof, I have hereunto set my hand this ____ day of ___________ at _________________ , Philippines.

__________________

Affiant

SUBSCRIBED AND SWORN TO before me this ___ day of __________ at ____________ , Philippines, affiant exhibiting to me his / her CTC No. ______ issued at _________ on ______________ .

NOTARY PUBLIC