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Second National Reconcilation Study EITI Peru - unofficial…

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Consultancy for the <strong>Second</strong> <strong>National</strong> Reconciliation <strong>Study</strong> of the Extractive Industries Transparency Initiative (<strong>EITI</strong>) in <strong>Peru</strong><br />

(2008 – 2010) (Continuation)<br />

Annexe I: Annual Income Tax: Annual Income Tax Return, Amending Tax Returns and Substituting Tax Returns<br />

RUC: ______________________ Company: _____________________________________<br />

Item Ref. Item / Period<br />

Third Category<br />

Income Tax<br />

Return<br />

Amending Tax<br />

Return<br />

(A)<br />

(B)<br />

(C)<br />

(D)<br />

• Tax Stability Agreement<br />

Substituting<br />

Tax Returns<br />

(E)<br />

(F)<br />

Income Tax amount entered in Box 504 of the third category<br />

Income Tax Return.<br />

Income Tax amount entered in Box 126 of the third category<br />

Income Tax Return.<br />

Income Tax amount entered in Box 504 of the third category<br />

Income Tax Return.<br />

Income Tax amount entered in Box 126 of the third category<br />

Income Tax Return.<br />

Income Tax amount entered in Box 504 of the third category<br />

Income Tax Return.<br />

Income Tax amount entered in Box 126 of the third category<br />

Income Tax Return.<br />

Consultancy for the <strong>EITI</strong> <strong>Peru</strong> Multi-Sector Permanent Working Committee<br />

Year 2010<br />

PDT 0668<br />

Amount Filing Date<br />

• Indicate the currency in which figures are expressed S/. USD<br />

Instructions to complete the form:<br />

Form<br />

Order No.<br />

(A) The company is required to consider all annexes attached to this tax return; those reporting mining concessions and/or oil and gas lots<br />

(B) Amount of payments on account of Income Tax credited against the ITAN.<br />

174

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