26 cx0-0r/s01-807402 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/s
PURPOSE: (in (pr C)cro-TransferTax/Tax Clearance Year of Death:
(Please check) () Bank Loan [_] others - Please specify:
Tax Declaration Number PIN/BARANGAY No.of Copies
1 9.
2 10.
3 "1
4 12
5 13
6. 14
7 46.
8 16.
[Signature of requesting party: “*Kindly indicate if you need. [RECEIVED B)
the latest copy
Signature over Printed Name Date
Cellphone No.
Email Addres:
‘**Photo copy of ID to be attached