BGO.CASSO.F.

001 JOB ORDER NO:

REPUBLIC OF THE PHILIPPINES
CITY OF BAGUIO- OFFICE OF THE CITY ASSESSOR
DUE DATE:

INITIAL INSTRUCTION/SPECIFIC REQUEST:

NEW ASSESSMENT NCA
RE- ASSESSMENT

ARP #:

R E Q U E S T E R ' S N A M E : FIRST NAME MIDDLE NAME SURNAME N A M E O F O W N E R : FIRST NAME MIDDLE NAME SURNAME

MARRIED TO:

COMPLETE ADDRESS: COMPLETE BILLING/MAILING ADDRESS:

CONTACT NUMBER: LOCATION OF PROPERTY:

SIGNATURE/RELATIONSHIP TO OWNER:
TIN:

CHECKLIST OF REQUIRED DOCUMENTS B. TAX MAPPING AND IDENTIFICATION DIVISION (TMD-TMDH) PIN:
_
T MDH BY:
BUILDING/ HOUSE ASSESSMENT
_________
REMARKS:
(4) DIFFERENT PICTURES IN A LONG BOND PAPER G
(COLORED) - PASTED/ PRINTED
A. P I CT U R E OF H O U SE WI T H TH E O WNER
B. EXTERIOR VIEW OF WHOLE HOUSE (FRONT AND CAESAR L. ONOZA
ALL SIDES) LAOO III- OIC
C. INTERIOR VIEW WHICH SHOWS FLOORING,
CEILING AND WALLS

LOT TAX DECLARATION/ TITLE (OPTIONAL)

C. ASSESSMENT AND APPRAISAL DIVISION (ADAP-ADCOD)
PHOTOCOPY OF CEDULA (PRESENT YEAR)/
VALID GOVERNMENT I. D WITH PHOTO PS: ADAP BY:
SWORN STATEMENT E
D.APPROVAL
REVIEW OFOF REAL
REAL PROPERTY
PROPERTY ASSESSMENT
ASSESSMENT CA)
(ACA)
BARANGAY CERTIFICATE INDICATING HOUSE
OWNERS' NAME, YEAR WHEN HOUSE WAS BUILT
AND COMPLETED/OCCUPIED

H BUILDING PERMIT/ OCCUPANCY PERMIT

HAS BUILT FLOOR PLAN

TAX DECLARATION OF THE BUILDING (OLD)

OTHERS:_________________________________________

I F APPLICATION I S PROCESSED BY A
REPRESENTATIVE:

1. OWNER'S AUTHORIZATION LETTER

2. P HO T O CO P Y OF OWNER ' S V ALI D I .D
WI TH P HO T O
3. PHOTOCOPY OF REPRESENTATIVE'S VALID I.D
WITH PHOTO

OTHERS (FOR OLD BUILDING)

MOTHER'S NAME:_______________________________________
FATHER'S NAME:________________________________________

SPOUSES NAME:________________________________________

MOTHER-IN-LAW'S NAME:________________________________
FATHER-IN-LAW'S NAME: ________________________________

CANCEL' ATION

BARANGAY CERTIFICATE INDICATING YEAR

BUILDING/ STRUCTURE WAS DEMOLISHED

PHOTOS OF DEMOLISHED BUILDING/

STRUCTURE
DATE INSPECTED:
STATEMENT OF ACCOUNT FROM TREASURY DOCUMENTS RECEIVED BY:
OFFICE AS TO LAST PAYMENT OF TAXES (NAME AND SIGNATURE]
DEMOLITION PERMIT/ DEMOLITION ORDER REMARKS:RELEASE OF ARP/ NOA OWNER'S
: O T H E R S : ______________________________________ COPY OF AUTHORIZED REQUESTER/ OWNER
AND FILE DOCUMENTS.
EXAMINATION & ACCEPTANCE OF DOCUMENTS

NAME/ SIGNATURE:____________________________________ JESUSA C. ESCOLASTICO

LAOOIV
DATE:__________________________________________________
APPRAISER/ INSPECTOR:_______________________________
NOTE: ADDITIONAL DOCUMENTS OTHER THAN STATED ABOVE MAY BE REQUIRED IF FOUND
NECESSARY AFTER EVALUATION. REVISED AUG2022. D.5 GCW