QCG-CAO-QP/SOI-B07-v02 Last revised

06/08/2020
Republic of the
Philippines
CITY ASSESSOR'S
OFFICE
Civic Center B Building, City Hall Compound, Quezon
City
ASSESSMENT RECORDS MANAGEMENT DIVISION
REQUEST FOR CERTIFIED TRUE COPY OF TAX DECLARATION
Control No. Date:

Requesting Party Relationship to Owner:

Address
Property Owner
PURPOSE: ( ) BIR ( ) RD ( ) CTO-Transfer Tax/Tax Clearance Year of Death:
(Please check) ( ) Bank Loan ( ) Others - Please specify:
Tax Declaration Number PIN/BARANGAY No.of Copies

Signature of requesting party: RECEIVED BY:

Signature over Printed Name Cellphone No.:

**Photo copy of ID to be attached Date :