TAX DECLARATION OF REAL PROPERTY

rDNo: 17 -OL -OO11 -O8S3S PrN 081-01 - 0011-000 -00

Ownerl GERANDOY, MARIANO F. & MARILOU G. (SPOUSES) TIN:
AddTess: P-1SAN JUAN, SAN JOSE, DINAGAT ISLANDS Telephone No:

Administrator/Benefi cial U ser: TIN:

Address: Telephone No:
Location ofProperty: DONA HELENE BASILISA DINAGAT ISLANDS
Number ond Street Borongoy/District Municipolity ond Province/ City
OCTiTCT/CLOA No: Survey No:
CCT: Lot No:
Dated: Blk No:
Boundaries:
North: IGNACIO VEGA South: ARSENIO BAQUINAWON
East: PUBLIC LAND West: CREEK

KIND OF PROPERTY ASSESSED: TRANSACTTON CODE: GR

tr LAND I vracHrNERY
Brief Description :

BUILDING
No of Storeys:
I oth..r'
Specify:
Brief Description:
Classification Area Market Value Actual Use Assessmenl
Assessed Value
Level
AGRICULTURAL o/ophp
!er-Php
Coconut land 3.0000 sars Php 150,000.00 AGRICULTURAL 30 o/oP hp +s,ooo.oo
0.00
0.00

TOTAL Plp 1s0.00o99_ Php 4q.0q0.00

Total Assessed Value: FORTY FIVE THOUSAND PESOS ONLY

Taxable tr Exempt tr (Amount in Words)

Effectivity of Assessment/ Reassessment 20t8
Quarter: Year
APPROVED BY:

Date

GERANDOY MARIANO F. & MARILOU G.

This declaratior cancels TD No l5 01 0011 06323 4thGR Owner: (sPousEs) PreviottsA V PhP 36,000.00
Memoranda:
sth GENERAL REVISION PURSUANT TO R.A. 7160

Sworn Statement No: Date Received:

Notes:This declaration is for real property taxation purposes only and the valuation indicated herein are based on the schedule ofunit market values
prepared for the purpose and duly enacted into an Ordinance by the Sanguniang Panlalawigan under ORDINANCE NO. BBE2-01 9
4th SP Series (201 7) Dated: April 4, 2017. lt does not and cannot alone confer any ownership or legal title to the property.