SWORN STATEMENT OF THE TRUE CURRENT AND FAIR MARKET VALUE OF REAL PROPERTIES
( Taxable or Exempt)
(Required under Section 202/203 of Republic Act No. 7160)
I, _Lilin=___i____00________________________________, of legal age, __________________________ and with postal address at
_____________________________________, after having been duly sworn to in accordance with law hereby depose and say:
1. That I am the _______________________________ of the following real properties, (lands, buildings, machineries or other improvements) located in the City of
Olongapo, owned by _______________________________ of which the description and true and fair market values are as follows:
A. LAND (Residential, Commercial, Industrial, Special)
Existing Tax Cadastral / PLS Area in Total Current
Lot No. Block No. Title Classification Location of Property
Dec. No. No. Sqm. and FMV
B. BUILDING
Total Floor Year
Existing Tax No. of Owner of Lot Where Total Current
Area in General Description Completed / Actual Use Location of Property
Dec. No. Storey Bldg is Located and FMV
Sqm. Occupied
C. MACHINERIES
Date
Existing Tax Dec. Original Cost of Value of Total Current
Description Commenced Location of Property
No. Acquired Acquisition Cost Installation Site Depreciation and FMV
Operation
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D. OTHER IMPROVEMENTS (Perennial Trees/Plants)
No. of Trees /
Existing Tax Dec. No. of Trees / Hec. / Annual Product per Tree / True Current and FMV
Kinds of Trees / Plants Hec. & Ages
No. Productive Plant
Non-Productive Productive Non-Productive
2. That I am executing this sworn statement in compliance with Republic Act No. 7160.
IN WITNESS WHEREOF, I have hereunto affixed my signature this _______ day of ______________, 20222018 at ___________________, Philippines.
____________________________
Affiant
TIN ____________________
SUBSCRIBED AND SWORN to before me this _______ day of ___________________, 2022202218 at _____________________, Philippines.
____________________________
Administering Officer
TIN ____________________
5Note:
1) Include in this sworn statement only real property owned or administered by the affiant in one municipality or city.
2) Prepare three (3) copies and after having been subscribed to by the affiant, submit the same to the Provincial, City or Municipal Assessor, or Municipal Deputy Assessor or Ex-Officio Deputy Assessor of the province, city or municipality where the property is located; the original and duplicate to be retained by receiving office and the triplicate to be returned to the affiant after receipt thereof has been duly acknowledge.
3) Write “New” under column “Existing Tax Dec. No.” for property and previously declared.
Original acquisition cost of Machinery ……..
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