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Objective
The objective of this questionnaire is to gather information about the current process of LGU
Treasury Office. Your answer to the questions will guide us on the design of the treasury system
that the DICT will be developing for the LGUs.
Consent:
In providing the necessary response to the queries and affixing my signature, I have given my
consent as I am assured that our data and information will be taken care of with utmost
confidentiality and will only be used for the purpose specified in the objective of this data gathering.
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Revenue Collection Questionnaire v1.0
I. REVENUE COLLECTION
Instructions:
• Tick all the revenues collected by your LGU and if there are Others not listed, write down in the space provided.
• Supply your answers in the space provided, if not applicable to your process, please leave it blank.
• Collection process, Issues, Concerns and Recommendation should be discussed in detail.
• Please use the fillable templates below to list all the contents for each of the forms and reports you have
identified in II. Forms and Reports.
• Use one form for all the Revenue with the same collection process, otherwise use individual form for each of
the revenue collection processes. Please open the Forms and Reports file for additional copies of the forms and
reports template.
A. SOURCES OF REVENUES
Taxes
☐
■ 1. Amusement Tax ☐ 6. Others, please specify:
☐
■ 2. Business Taxes
☐
■ 3. Community Tax
☐
■ 4. Sand, Gravel, and Other Quarry Resources
☐
■ 5. Real Property
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Revenue Collection Questionnaire v1.0
B. REVENUE COLLECTIONS DETAILS
Process: ☐ Automated ☐ Automated with ePayment System ☐ Manual
Collector/s Name: Position/Designation: Office/Unit:
Randy P. Ramos Revenue Collection Clerk III Municipal Treasurer's Office
Rachiel M. Almedilla Revenue Collection Clerk II Municipal Treasurer's Office
Paulus Ceasar C. Flores Revenue Collection Clerk I Municipal Treasurer's Office
Fredie B. Bae Revenue Collection Clerk I Municipal Treasurer's Office
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Revenue Collection Questionnaire v1.0
Are all the collections recorded in a common medium? Yes No
Specify Medium used (ex. Logbook) Responsible person Position/Designation
Cash Book Deannette Q. Manalo Municipal Treasurer
Issues and Concerns encountered in the Revenue Collections Process and Recommendation on how to
improve the process. Likewise, if you have GAD issues and concerns in the processes, enumerate/list it here.
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Revenue Collection Questionnaire v1.0
Report Name/Title Prepared by Position Frequency of Collection
1. Statement of Income (Annual) Wilfredo P. Flores LRCO II
2. Statement of Income (Monthly) Wilfredo P. Flores LRCO II
3. Monthly Report of RPTC Wilfredo P. Flores LRCO II
4. Quarterly Report of RPTC Wilfredo P. Flores LRCO II
5. Summary of Collection Wilfredo P. Flores LRCO II
6.
7.
8.
9.
10.
Deannette Q. Manalo
RESPONDENT’S SIGNATURE OVER PRINTED NAME
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Revenue Collection Questionnaire v1.0
FORM #:
Instructions:
• From the forms and reports supplied above, kindly elaborate the details here.
• Use one form for all the Revenue with the same collection process, otherwise use individual form for
each of the revenue collection processes.
• If the form you are currently using needs some enhancement, this is the place where you can list all
your suggestion/s for the forms or reports improvement.
• Please specify the data source in the Data Needed portion.
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Revenue Collection Questionnaire v1.0
Data Needed
Column Name Definition
(e.g. Account Code, Year, Total) Please explain how the data in this column is gathered.
1.
2.
3.
4.
5.
Recommendation/s
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Revenue Collection Questionnaire v1.0
REPORT #
Report Name/Title
Prepared by
Office/Unit
Contact Number
Email Address
Data Needed
Column Name Definition
(e.g. Account Code, Year, Total) Please explain how the data in this column is gathered.
1.
2.
3.
4.
5.
Recommendation/s
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Revenue Collection Questionnaire v1.0