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'" ,,. QUARTERLY REPORT OF REVENUE AND OTHER RECEIPTS ^FARNo.5

As of the Quarl« Ending December31, 2016 (In Pesos)

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DePmmcut

A""'1

Opentfng Unit Organmttion Code (UACS)

STATE UNIVERSITIES Ai"ID COLLEGES BATAAN PENINSULA STATE UNIVERSITY D6l53

08 027 0000000

ACTUAL REWNUE AND OTHER: RECEIPTS COLLECTIONS CUMULATIVE REMITTANCI! IDEF'OSfTS TO

VARIAHCI!

CLASSIFICATION I SOURCES

UACSCode

Al!VEllUE DAT!

••••••••

OF REVENUE AND OTHER RECEIPTS

TARGET (Allnual)

•••••••••• ^3rdQuartw ^TOTAL R11mlttanc. to DepcKltad

with

Tobi Amount

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, .••...

4th Quarter

"" ^ACDB

• ' ' • _' •

¹

-·~7 ^• ^" ^110!(9+10} ¹ ^•••• ^u•• ^•1213• "

A. General Fund (formerly Fund 101)

-Tu

Oocumelltaf'f Stamp Tmt 4010401000

• lfon..Taii

Pennft Fees Import

4020101001

8. Sptef:al Account In th11

General Fund (formerly Fund 105,

183,401.151-159)

• Tlli:

·Non-Tax

.

c. OfMSudgdAccounts !fonnerty Fund 161to164, etc.)

()Rmined Income Accwnt) 233,107,000.00

13,782M7.00

70,D30,931.37 10,541,742.18 Sf~.00

M1M7,374.53 - ⁰

D. Cmtodlal Funds (formerfy F11nd101-184, 117)

TOTAL

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certmedr

App"""' CAI

·~~u ^ON

^GREGORIO ^J.~OOIS, ^{PH 0}

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Ace ntanl

_Agency Head/Department Secretary

ate:

_Date;

FARNo.5 INSTRUCTIONS

1.

This~ Reccrt of Revenue and Other Receipts shan1eflectthe ageocy's/OUs &ctual revenue and other receipts collections from an sccrces remitted with the Bureau oftheTreaslJIY(BTr) and deposited ln oth« ~ed Government ~ Bank (AGOB), forthe bWget year, broken down by quarter. This shall be wbrnitted to DBM and COA nol titer than the 30th day follaMng the end of the quarter.

a

COiumn 1 shall reflecl theclassffication of revenue and other receipts as to tax or non-lax and should Identify the specific source [Tax rrecrre: e.g., Tax on Cl:JmesticGoodsand SeMces, Tax on Net Profits, etc.; Non-ta;( loeome: e.g. Pemiitsand licenses, Service 1noome.Business Income. etc) conslsrent with the Revised Chart of Accounts prescribed by COA

a.

Column 2 shall reflect the Unified Accounts ccces &n..cture (UACS) Code per COA-OBM-OOF Joint Circular No. 2013-1 dated 6 August 2013.

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Columns 3 shall reflect the revenue targets for the year. This shoold be coosistent with tile amounts indicated in the Budget of Expenditures and sources of Financing (BESF) tables for the budgi!t year.

5,

Columns 4 to 8 shall renectue actual quarterly revenue and other receipts collections fur the year covered by the report_

6.

Columm; 9 to 11 shall reflect the cumulative revenue and other receipts deposited by the agency with the BTrIAGOB as of date (from January 1 of the current year).

7. Columns 12 and 13 sliall renectthe variance betwe!l<lthe annual targeted collection and the acttral revenue and other receipts ccnecncn as of the period covered by the report.

e,

Column 14 shall reflect any additional information Le., reasonsfor any variance between targeted and actual collections; new lees Imposed; Increase In lees and charges; or implementation ofn~ programs

s.

This form shall be Certified Correct by tile Chfef Accoontanlll-lead of Accountjl'lg Unrt arid approved by Head of Agenq!Authofized RepreSentative.