REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

For the Month of _________________, 20_____

Barangay: __________________________ Municipality: MACROHON RAAF No.: _______________

Barangay Treasurer: _____________________ Province: SOUTHERN LEYTE

Beginning Balance Receipt Issued Ending Balance

Name of Form Inclusive Serial Nos Inclusive Serial Nos Inclusive Serial Nos Inclusive Serial Nos
QTY QTY QTY QTY
From To From To From To
A. With Money Value
Cash Tickets

B. Without Money Value

Official Receipts

Checks

CERTIFICATION:

I have certify that the foregoing is a true statement of all accountable forms received, issued and transferred by me during the above-stated period and the correctness of the
beginning balances.

Barangay Treasurer Date

 PURCHASE REQUEST
Barangay: P.R No.
Municipality: MACROHON Date:
Province: SOUTHERN LEYTE

REQUISITION
Item Unit of Estimated Estimated
Qty Item Description
Number Measurement Unit Cost Amount

Total Estimated Amount:

Purpose:

Requested by: Approved:

Requesting Officer Punong Barangay

Date Date
 PURCHASE ORDER
Barangay: Municipality: MACROHON
Tel No: Province: SOUTHERN LEYTE
Supplier: P.O No:
Address: Date:
TIN: Mode of Procurement:
Bidding Negotiated Over the Counter
Gentlemen:
Please deliver to this office the following articles subject to the terms and conditions contained herein
Place of Delivery: Delivery Term:
Date of Delivery: Payment Term:
Unit Particulars Quantity Unit Cost Amount

(Total Amount in words)

In case of failure to make full delivey within the time specified above, a penalty of one-tenth (1/10) of one percent for
every day of delay shall be imposed.

Very truly yours,

 ___________________________
Punong Barangay

Conforme: Existence of Available Appropriations of

____________________________
Supplier Chairman,Committee on Appropriation

___________________________ ___________________
Date Date
 PAYROLL
Period Covered: ___________________________

Barangay: Municipality: MACROHON Payroll No.:

Barangay Treasurer: Province: SOUTHERN LEYTE
Compensation Deductions
No. Name Position BIR Net Amount Due Signature of Recipient
Salaries & Other
Honoraria Total Witholding Philhealth Total
Wages Benefits
Tax

TOTAL
A. Certified B. Certified C. Certified D. Certified
That each official/employee whose name
As to availability of appropriation for As to validity, propriety, and legality of claim and
As to availability of funds, and completeness and appears on the above roll has been paid the
obligation in the amount of ________________ approved for payment.
propriety of supporting documents. amount stated opposite his name.

Signature: Signature: Signature: Signature:

Printed Name: Printed Name: Printed Name: Printed Name
Position: Chairman, Committee on Approriations Position: Barangay Treasurer Position: Punong Barangay Position: Barangay Treasurer
Date: Date: Date: Date:

E. Accounting Entries
Account Title Account Code Debit Credit
Prepared By:

GILBERT S. BERNADES
Barangay Bookkeeper Date

Approved by:

CRISTINE C. LEGASPI
Municipal Accountant Date
 DISBURSEMENT VOUCHER DV No.: 19-06-002

Barangay: LARAY Municipality: MACROHON Date: June 10,2019

Payee: JOSEPH LACERNA Province: SOUTHERN LEYTE Fund: SK FUND

Address: LARAY,MACROHON, SOUTHERN LEYTE TIN: ObR No:

Particulars Amount

To cash advance Prizes for Barangay Day Celebration 2019 Basketball Tournament, as per P 15,000.00
supporting documents hereto attached in the total amount of Fifteen Thosand Pesos Only

OBLIGATION:
PPA AMOUNT
SK FUND- SPORTS DEVELOPMENT P15,000.00
( prizes )

TOTAL P 15,000.00
A. Certified B. Certified C. Certified

As to availability of appropriation As to availability of funds As to validity, propriety, and legality of claim.

As to obligation of appropriation As to completeness and propriety of supporting
documents Approved for Payment:

JOSEPH LACERNA CHAYL S. BAROLA

SK Treasurer SK CHAIRPERSON
Date:_________________ Date:_________________
E: Received Payment
Check No: 67455104 Date: 6/10/2019
_JOSEPH LACERNA_ Bank Name: DBP MAASIN
Signature Over Printed Name OR No: Date:
Date:_____________________

D: Accounting Entries
Account Title Account Title Debit Credit

Prepared by: Approved by:

GILBERT S. BERNADES CRISTINE C. LEGASPI, CPA

Barangay Bookkeeper Date Municipal Accountant Date
 No.:
PETTY CASH VOUCHER Date:
Barangay: Municipality: MACROHON
Payee: Province: SOUTHERN LEYTE
I. To be filled up upon request
Particulars Amount II. To be filled up upon liquidation

Total Amount Granted

Total Amount Paid

Amount
Refunded/(Reimbursed)

A. Requested by: C.
Received Refund
__________________________________
Name of Requestor Reimbrusement Paid

Approved by:

__________________________________ ____________________________
Punong Barangay Barangay Teasurer

B. Paid by: C.
______________________ Liquidation Submitted by:
Barangay Teasurer
Reimbursement paid
Cash Received by:
_____________________________ _______________________
Signature over Printed Name of Payee Signature over Printed Name of Payee

Date: ___________________ Date: _____________

 CASHBOOK
Barangay:
Barangay Treasurer:
Calendar Year:

Cash in Local Treasury Cash in Bank Cash Advance Petty Cash

Date Particulars Reference Receipt/

Check Disbursem
Collection Deposit Balance Deposit Balance Receipt Balance Replenish Payments Balance
Issued ent
ment

Certification:

I hereby certify that the foregoing is a correct and complete record of all my collections,
deposits/remittances and balances of my accounts in the Cash in Local Treasury, Cash in Bank,
Cash Advances and Petty Cash as of ____________________.

_______________________
Barangay Treasurer

_____________________
Date
 LIQUIDATION REPORT
___________________________ No.:
Barangay, Municipality,Province
Date:

PARTICULARS AMOUNT

TOTAL AMOUNT SPENT

AMOUNT OF CASH ADVANCE PER DV NO._________DTD.________

AMOUNT REFUNDED PER O.R NO._____DTD.____________

AMOUNT TO BE REIMBURSED
Submitted by: Received by:

_____________________ _______________________
Accountable Officer Accounting Unit
____________________ ____________________
Date Date
ACCOUNTING ENTRIES
Account Titles Account Code Debit Credit
Prepared by : Approved by:

GILBERT S. BERNADES CRISTINE C. LEGASPI

Barangay Bookkeeper Municipal Accountant

____________________ __________________
Date Date
 RECORD OF APPROPRIATIONS AND OBLIGATIONS
Barangay: Municipality: Page No.:
Chairman on Committee on Appropriations: Province:
Fund Source:

Reference Personnel Services Maintenance & Other Operating Expenses Financial Expenses Capital Outlay
Total
Date No.
A. Appropriations

B. Obligations
 Barangay ___________________
MACROHON, SOUTHERN LEYTE
STATEMENT OF APPROPRIATIONS, OBLIGATIONS AND BALANCES
As of _____________
(in Philippine Peso)

Appropriations
Code Function/Program Project Obligations Balances
Original Supplemental Final
I. Current Year Appropriations
Personnel Services
Maintenance and Other Operating Expences
Financial Expences
Capital Outlay

20% Development Fund

10% SangguniangKabtaan Fund
5% Local Disaster Risk Reduction and Management Fund

II. Continuing Appropriations

Capital Outlay
20% Development Fund

Certified Correct: Noted By:

_____________________________________ ________________________________
Chairman, Committee on Appropriations Punong Barangay
__________________ _________________
Date Date
 Republic of the Philippines
___________________________
(Barangay, City/Municipality, Province)
Statement of Comparison of Budget and Actual Amounts (SCBAA)
For the Year Ended December 31, 20____

Difference Difference Final

Original Budget Final Budget Original and Actual Amounts Budget and
Final Budget Actual Amounts
Revenue
Real Property Tax
Business Tax
Share on the tax from sand, gravel and other quary
products
Fees and Charges on commercial breeding of fighting
cocks, cockfights and cockpits
Fees and Charges on places of recreation which charge
admission fees
Fees and Charges on billboards, signboards, neon signs
and outdoor advertisements
Share from internal Revenue Collections
Other Taxes
Tax Revenue-Fines and Penalties
Share from National Wealth
Clearance and Certification Fees
Other Services Revenue
Subsidy/Assistance
Grants and Donations in Cash
Proceeds from Sale of Property, Plant and Equipment
Borrowings
Expenses
Current Year Appropriations
Personal Services
Maintenance and Other Operating Expenses
Capital Outlay
20% Development Fund
10% Sangguniang Kabataan Fund
5% LDRRMF Fund
Continuing Appropriations
Capital Outlay

The Presentation adopted reflects the presentation adopted for budgeting purposes. Annex 39
 REGISTRY OF SPECIAL TRUST FUND
Barangay: ___________________________________________________ Municipality: MACROHON Page No.:

Chairman on Committee on Appropriations:_____________________ Province: SOUTHERN LEYTE

Purpose:_____________________________________________________

Details of Appropriations Details of Charges

Date Particulars Ref. Amount Year

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11)
 RECORD OF ESTIMATED AND ACTUAL INCOME (REAI)
Barangay: Municipality: MACROHON Page No.
Barangay Treasurer: Province: SOUTHERN LEYTE

Income Accounts
Date Particulars Reference No. Total

A. Income Estimates

B. Actual Collections
 REPORT OF COLLECTIONS AND DEPOSITS
Name of Barangay Treasurer: Date
Barangay: RCD. No.
A. COLLECTIONS
Official Receipt RCR
Payor/DBC Nature of Collection Amounts
Date Number

TOTAL
B. DEPOSITS
Bank/Branch Reference Amount

TOTAL
C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS
Beginning Balance Reciept Issued Ending Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty
From To From To From To From To
With Money Value
Cash Tickets

Without Money Value

Official Receipts

D. CERTIFICATION:

I hereby certify that this Report of Collection and Deposits; and Accountable Forms including supporting documents are true and correct.

__________________
Barangay Treasurer Date

E. ACCOUNTING ENTRIES
Account Title Account Code Debit Credit

Prepared by: Aprroved by:

GILBERT S. BERNADES CRISTINE C. LEGASPI

Barangay Bookkeeper Municipal Accountant
 REPORT OF COLLECTIONS AND REMITTANCES
Name of Barangay Treasurer: Date December 21, 2018
Barangay: RCR. No. 2018-12-001
A. COLLECTIONS
Official Receipt
Payor Nature of Collection Amounts
Date Number
10/12/2018 192110129 Lamberte, Primitivo S. CTC Collections 12.40
12/18/2018 192110130 Calunangan, Judy S. CTC Collections 43.40

TOTAL 55.80
B. SUMMARY OF COLLECTIONS
Beginning Balance ___________ 20___ P - List of Checks
Add: Collections Check No. Payee Amount
Cash 55.80
Checks -
Total P 55.80

C. ACCOUNTABILITY FOR ACCOUNTABLE FORMS

Beginning Balance Reciept Issued Ending Balance
Name of Form and No. Inclusive Serial No. Inclusive Serial No. Inclusive Serial No.
Qty Qty Qty Qty
From To From To From To From To
With Money Value
Cash Tickets

Without Money Value

CTC 22 19210129 19210150 2 19210129 19210130 20 19210131 19210150

D. CERTIFICATION: E. ACKNOWLEDGMENT:

I hereby certify that the foregoing Report of Collections and

I hereby certify that this Report of Collection and Remittances; and Accountable
Remittances and Accountable Forms including cash and
Forms including supporting documents are true and correct.
supporting documents have been received.

_____________ ARMEDA S. MAITEM

Deputized Barangay Collector Date Acting Municipal Treasurer
Date ___________________
 PROPERTY/EQUIPMENT CARD
____________________________
Barangay, City/Municipality, Province

Property No.
Property/Equipment:
Location:
Description: Classification:

Date of Acquisition
Particulars Cost Improvement/Repairs Transfers/etc. Total
(Purchase/Donation)
 Return and Receipt of Property/Equipment

Date:

This is to acknowledge receipt of the Property/Equipment

Property/Equipment
Qty Property No. End user/ Office Remarks
Description

Returned by: Received by:

_________________________ ____________________________
Signature over Printed Name Signature over Printed Name
 Report on Inventory of Property and Equipment
As of _____________________________

Barangay: Municipality: MACROHON

Tel No.: Province: SOUTHERN LEYTE

For which__________________________________________________________________ is accountable

(Name of Accountable Officer)(Office Designation)

Property On Hand per Shortage/Overage

Balance PEC
Article Description /ICS Unit of Measure Unit Value count Remarks
(Quantity) Quantity Value
Number (Quantity)
Part A - Property and equipment covered by PAR

Part B - Property and equipment covered by ICS

Prepared by: Approved by:

__________________________ ____________________________
Signature over Printed Name Signature over Printed Name Signature over Printed Name
Barangay Treasurer Punong Barangay or Representative Punong Barangay
Member, Inventory Committee Chairman, Inventory Committee

________________
__________________ Date
Date
 Inventory, Inspection and Appraisal Report
Barangay: Municipality: MACROHON IIAR NO.:
Tel No.: Province: SOUTHERN LEYTE Page:
Inventory INSPECTION SALE
Date Property Accumulated Mode of
Particulars Qty. Unit Cost Total Cost Net Book Value Appraised Value Remarks OR No Amount
Acquired No. Depreciation Dispostion

Prepared By:
________________________
Signature over Printed Name
Barangay Treasurer
Certified Correct as to Cost and
Depreciation:
________________
Signature over Printed Name
City/Municipal Accountant
I certify to have inspected each and
every article enumerated in this report
________________
Signature over Printed Name
Authorized Inspector
I certify to have witnessed the
dispossal of the articles
enumerated in this report
________________
Signature over Printed Name
Authorized Witness

Date:_____________ Date: ____________ Date: ____________ Date: ____________

 PROPERTY ACKNOWLEDGEMENT RECEIPT
Barangay: Municipality: MACROHON PAR No.:
Tel. No.: Province: SOUTHERN LEYTE

Quantity Unit Description Property No. Date Acquired Cost

eceived by:

__________________________ ____________________
Signature over Printed Name Signature over Printed Name
Recipient/User Barangay Teasurer

_______________________ ___________________
Date Date
 STOCK CARD
Supplies: Supplies Number:
Description:
Issuance
Date Reference Quantity Received
Quantity Received by Balance
 INVENTORY CUSTODIAN SLIP
Barangay: Municipality: MACROHON ICS No. ________
Tel. No.: Province: SOUTHERN LEYTE

Estimated
Quantity Unit Description
Useful Life

Received by: Issued by:

____________________________ ____________________
Recepient Barangay Treasurer
______________ ______________
Date Date
For Barangay Treasurer/Designated Property Custodian Use