DRAFT FINAL VERSION: 21 May 2015

FORM B-1
LOCAL TREASURY OPERATIONS EVALUATION (LTOE) REPORTNO. ____

Table 1: Basic LGU Information 1

LGU Name: 2
LGU Level (Province, 3
City or Municipality):
Region | Province: 4
Region Province1 Municipality 5
(e.g., (e.g.,12) or City (e.g.,
01) 0113)
LGU Code 6
Inclusive Dates of - 7
Evaluation (mm-dd-
yyyy – mm-dd-yyyy )2:
Date Report 88
Submitted to LGU
(mm-dd-yyyy)

Table 2: Findings and Recommendations:

1
To be filled in even if LGU is from NCR.
2
BLGF Office Order No. 09-2012 dated February 1, 2012.

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 DRAFT FINAL VERSION: 21 May 2015

Findings/Issues Function (e.g., Fund Performance Compliance Recommended Action Immediate Actions Is the Immediate
(Note: See Form A, Table 2, Column (7). Management – II) Area (e.g., Tax Indicator (Note: See Form A, Table 2, Taken, If any, and Action the same as the
If CWR or NC, Explain why?) Information (e.g., 1.1) Column (8)) Other Remarks Recommended
Campaign – C) Action? Input Yes or
(Note: See Table A.1 for or Sub-Area (Note: See No.
Codes) (e.g., Real Form A, Table
Property Tax – 2, Column (5))
D.1)

(Note: See
Table A.1 for
Codes)

(1) (2) (3) (4) (5) (6) (7)

(Note: If all rows in Column 7 are filled with “Yes”, then prepare Form B-3 for the LGU.)

PREPARED AND SUBMITTED BY: APPROVED BY:

Approving Authority

Approving Authorities:

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 DRAFT FINAL VERSION: 21 May 2015

1. For Provincial Evaluators - Provincial Treasurer

2. For Regional Evaluators – BLGF Regional Director
3. For Central Office Evaluators – BLGF Deputy
Director for Operations.

FORM B-2
LOCAL TREASURY OPERATIONS POST-EVALUATION (LTOPE) REPORT NO. ____
(Note: Do not complete for LGU if Form B-3 has been prepared even if a Form B-1 has also been prepared for the LGU.Table 1 should be taken from the previous
years’ evaluation report Form B-1. Table 2, Rows (1), (2), (3), (4) and (6) should be taken from the same rows in the previous years’ evaluation report Form B-1.)

Table 1: Basic LGU Information (Note: Copy from Form B-1, Table 1 for Rows 1-6) 1
LGU Name: 2
LGU Level (Province, City or 3
Municipality):
Region | Province: 4
Region Province3(e.g.,12) Municipality or 5
(e.g., City (e.g., 0113)
01)
LGU Code 6
Inclusive Dates of Post- - 7
Evaluation (mm-dd-yyyy –
mm-dd-yyyy ):

3
To be filled in even if LGU is from Metro Manila.

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 DRAFT FINAL VERSION: 21 May 2015

Date Report Submitted to 8

LGU (mm-dd-yyyy)

Table 2: Post-Evaluation Findings:

Findings/Issues Function (e.g., Fund Performance Compliance Recommended Action Remedial Actions Status of Remedial
Management – II) Area (e.g., Tax Indicator Taken by LGU/Remarks Action: Full – F; Partial
Information (e.g., 1.1) (Note 1: See Form B-1, Table 2, (Note 1: If As – P; None – N.
Campaign – C) Column 5) Recommended, then
(Note 1: See Form B-1, Table 2, (Note 1: If Form B-1,
or Sub-Area (Note 1: See AR. If None Taken, then
Column 1) Table 2, Column 7 is
(Note 1: See Form B-1, (e.g., Real Form B-1, NT.)
Property Tax – Table 2, Yes, Do Not Fill
Table 2, Column 2) (Note 2: If Form B-1, Table 2,
D.1) Column 4) (Note 2: If Form B-1, Column)
Column 7 is Yes, Do Not Fill
(Note 2: If Form B-1, Table 2, Table 2, Column 7 is
Column)
Column 7 is Yes, Do Not Fill (Note 2: If Form B-1, (Note 1: See Yes, Do Not Fill
Column) Table 2, Column 7 is Form B-1, (Note 2: If Column)
Yes, Do Not Fill Column) Table 2, Form B-1,
Column 3) Table 2,
Column 7 is
Yes, Do Not
(Note 2: If Form Fill Column)
B-1, Table 2,
Column 7 is
Yes, Do Not Fill
Column)

(1) (2) (3) (4) (5) (6) (7)

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 DRAFT FINAL VERSION: 21 May 2015

Findings/Issues Function (e.g., Fund Performance Compliance Recommended Action Remedial Actions Status of Remedial
Management – II) Area (e.g., Tax Indicator Taken by LGU/Remarks Action: Full – F; Partial
Information (e.g., 1.1) (Note 1: See Form B-1, Table 2, (Note 1: If As – P; None – N.
Campaign – C) Column 5) Recommended, then
(Note 1: See Form B-1, Table 2, (Note 1: If Form B-1,
or Sub-Area (Note 1: See AR. If None Taken, then
Column 1) Table 2, Column 7 is
(Note 1: See Form B-1, (e.g., Real Form B-1, NT.)
Property Tax – Table 2, Yes, Do Not Fill
Table 2, Column 2) (Note 2: If Form B-1, Table 2,
D.1) Column 4) (Note 2: If Form B-1, Column)
Column 7 is Yes, Do Not Fill
(Note 2: If Form B-1, Table 2, Table 2, Column 7 is
Column)
Column 7 is Yes, Do Not Fill (Note 2: If Form B-1, (Note 1: See Yes, Do Not Fill
Column) Table 2, Column 7 is Form B-1, (Note 2: If Column)
Yes, Do Not Fill Column) Table 2, Form B-1,
Column 3) Table 2,
Column 7 is
Yes, Do Not
(Note 2: If Form Fill Column)
B-1, Table 2,
Column 7 is
Yes, Do Not Fill
Column)

(1) (2) (3) (4) (5) (6) (7)

Post-Evaluation Comments:

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 DRAFT FINAL VERSION: 21 May 2015

_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________

PREPARED AND SUBMITTED BY: APPROVED BY:

Approving Authority

Approving Authorities:
1. For Provincial Evaluators - Provincial Treasurer
2. For Regional Evaluators – BLGF Regional Director
3. For Central Office Evaluators – BLGF Deputy Director for
Operations.

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 DRAFT FINAL VERSION: 21 May 2015

FORM B-3
LOCAL TREASURY OPERATIONS EVALUATION FULL COMPLIANCE REPORT (LTOEFC) REPORT NO. ____
(Note: To be prepared if the LGU has complied with all statutory and fiscal management requirements for local treasury operations as evidenced by the completed
MELTO Data Processing Sheet at the end of the evaluation or prior to the exit interview with the LGU’s Local Chief Executive as evidenced by all the rows in their
Form B-1, Column 7, filled in by “Yes”)

Table 1: Basic LGU Information 1

LGU Name: MEYCAUAYAN 2
LGU Level (Province, CITY 3
City or Municipality):
Region | Province: III BULACAN 4
Region Province4 Municipality 5
(e.g., (e.g.,12) or City (e.g.,
01) 0113)
LGU Code 0 3 1 4 1 2 0 0 6
Inclusive Dates of 0 5 2 5 2 0 1 5 - 0 5 2 9 2 0 1 5 7
Evaluation (mm-dd-
yyyy – mm-dd-yyyy )5:
Date Report 0 6 0 5 2 0 1 5 88
Submitted to LGU
(mm-dd-yyyy)

This is to certify that the above LGU has fully complied with the statutory provisions and local fiscal management requirements of local treasury operations (Please
check only one.)
4
To be filled in even if LGU is from Metro Manila.
5
BLGF Office Order No. 09-2012 dated February 1, 2012.

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 DRAFT FINAL VERSION: 21 May 2015

 After the Evaluation  Prior to the Exit Interview with the Local Chief Executive.

PREPARED AND SUBMITTED BY: APPROVED BY:

Approving Authority

Approving Authorities:
1. For Provincial Evaluators - Provincial Treasurer
2. For Regional Evaluators – BLGF Regional Director
3. For Central Office Evaluators – BLGF Deputy Director for
Operations.