LTO Form 27

Republic of the Philippines

City of Tagbilaran
City Treasurer’s Office

TAX DATA SHEET

Letter of Authority No. ____________________

Date of Examination ______________________
Period/Year Covered _____________________

Name of Business Establishment ________________________________

Business Address ____________________________________________
Owner/BIN _________________________________________________
Citizenship _________________________________________________
Capital Investment ___________________________________________

Gross Gross
Mayor’s Date of Understatement Overstatement of
Type of Business Sales/Receipts Sales/Receipts
Permit No. Issue of Sales Sales
per Permit per Examination

PAYMENTS
Kinds of Business Annual/Semi-
Official Receipt No. Amount Paid Date of Issue
Taxes/Fees/Charges Annual/Quarterly

REMARKS:
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CERTIFIED CORRECT:

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_______________________________________
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Names and Signature of Examination Team