land title declaration form
TRANSCRIPT
-
7/30/2019 Land Title Declaration Form
1/2
Address
Number and Street (Barangay/District) (Municipality/City/Province)
(State streets, lots, or streams by which bounded or names of owners of adjoining lands)
PROPERTY INDEX NO. __________________
RPA Form No. ___
TAX DECLARATION NO. ____________________
DECLARATION OF REAL PROPERTY
(FILED UNDER REPUBLIC ACT NO. 7160)
Owner
Administrator
DESCRIPTION AND OTHER PARTICULARS OF PROPERTY
Location of property _______________________________________________________________________________
Certificate of Title No. __________________ Cadastral Lot No. ________________ Assessors Lot No. ______________
Boundaries
North_______________________________________ South________________________________________
East________________________________________ West_________________________________________
I (a) LAND (AGRICULTURAL/MINERAL)
OWNERS DECLERATION ASSESSORS FINDINGS
Kind Area Value Kind Area Class Unit Values Market Valu
Total
Total Total Adjusted Market Value
I (b) PLANT &TREESOWNERS DECLERATION ASSESSORS FINDINGS
Number and
Kind
Annual Product
(Quality)
Value
Base Market Value 100%
Adjustments:
(a) Along or no rd.
frontage ______%
(b)______Kms. to all
weather rd. ______%
(c)______Kms. to market
(pob) ______%
Total Adjustment ______%
Number and
Kind
Annual Product
(Quality)
Unit
Value
Market V
Total
Total Total Adjusted Market Value II LAND (RESIDENTIAL, COMMERCIAL, INDUSTRIAL, SPECIAL)
OWNERS DECLERATION ASSESSORS FINDINGSKind Area Value Kind Area Unit Value Adjustments Market
Total Total
Address
IMPORTA
NT:Issuedfortaxationpurposesandshouldnotbeconsideredastitletotheproperty.
-
7/30/2019 Land Title Declaration Form
2/2
Total Total
(Amount in words)
III (a) BUILDING AND OTHER IMPROVEMENTS1. OWNERS DECLERATION
DESCRIPTION Floor Area Construction Materials Market Value
1st
Storey 2nd
Storey 3rd
Storey Roof
Total
2. ASSESSORS FINDINGS
DESCRIPTION Floor Area Construction Materials Market Value
1st
Storey 2nd
Storey 3rd
Storey Roof
Total
III (b) MACHINERY
1. OWNERS DECLERATION
DESCRIPTION Date of Operation Original Cost Depreciation Market Value
Total
2. ASSESSORS FINDINGS
DESCRIPTION Date of Operation Original Cost Depreciation Market Value
Total
SWORN STATEMENT OF OWNER
Under the provision of Republic Act No. 7160, I HEREBY CERTIFY that current and fair market value (x) of the foregoing describe
property of which I am the owner/administrator, is to the best of my knowledge and belief, as follows:
Land _______________________________________ __________________
Improvements _______________________________ __________________
TOTAL VALUE _________________________ __________________
TIN_________________________
Subscribed and sworn to before me this _______ day of __________________________ the __________ person taking oath
presenting Community Tax Certificate No. ______________________ issued on ____________________ ___________ at
________________________________________
(x) State in the nearest multiple of 10 as 950
instead of 948; 1,000 instead 1,004.
TIN________________________
(CITY/PROVINCIAL ASSESSOR
ASSESSMENT BY (BOARD OF ASSESSMENT APPEALS
(CENTRAL BOARD OF ASSESSMENT APPEALS
Kind of Property Actual Use Market Value Assessment Level Assessed Val
TOTAL ASSESSED VALUE_______________________________________________________________________________________
THIS DECLARATION CANCELS TAX NOS. _________________________________________________: IS CANCELLED BY TAX
NOS._____________________________________ TAX UNDER THIS DECLARATION BEGINS WITH THE YEAR ___________CEASES WI
THE YEAR ____________ENTEREDIN THE REAL PROPERTY ASSESSMENT RCLL FOR ________ BY _________ PREVIOUS OWNER
____________________________________________________________ PREVIOUS ASSESSED VALUE: LAND __________________
IMPROVEMENT________________________________
By
%
%
%
%
Official Title
Signature of official administering oath
(Signature)
Deputy
Provincial/City Assessor
DATE
Provincial/City Assessor
APPROVED: