Previous Tax Receipt No.

______dated_________for the year 20 ______

OFFICIAL RECEIPT OF THE REPUBLIC OF THE PHILIPPINES

No.8821429

Provincial or City Treasurers Real Property Tax Receipt

Municipality/Province

City

Date

Received from____________________the sum of______________pesos(P___________)Philippine Currency, in full or as

instalment payment of REAL PROPERTY TAX for the Calendar year 20_____upon property designated in the Assessment Rolls as
follows:______________
Basic Tax
Special Education Fund
LOCATION
NUMBER AND
STREET OR
BARANGAY

LOT AND
BLOCK
NUMBER

TAX
DECLARAT
ION
NUMBER

TAX DUE

INSTALLMENT

ASSESSED VALUE
NO.

LAND

IMPR
OVN
T

FULL
PAYMENT

PAYMENT

PENALTY
PERCENT

TOTAL

FEES PAID BY Money Order,Treasury Warrant or Check No.___________dated_____,20_____

Payment without penalty may be made withinthe periods stated below if by instalment:
1st Iinstalment January 1 to march 31,of the year

_____________________

2nd Instalment April 1 to June 30, of the year

Provincial or City Treasurer

3rd Instalment - July 1 to Sept.30, of the year

_____________________

4th Installment October 1 to December 31, of the year

Deputy

TOTAL