LIST OF PROPERTY/IES TRANSFERRED


(Pursuant to Section 40(C)(2) and 6(c) of the Tax Code of 1997, Revenue Regulations No. 18-2001 dated November 13, 2001, and Revenue Memorandum Order No. ________ dated _____________ )


Name of Transferee :

__________________________________________________________

Transferor/
Registered Owner
Nature of PropertiesTCT/CCT No./Stock Certificate No.Tax DeclarationSubstituted Basis





State if Land, Building, Shares of Stock, Cash, Receivables, Unremitted Branch Profit and Others (Specify).


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