COMMISSION ON E

October 30, 2
Barangay and Sangguniang
Statement of Contributions
PART I: PERSONAL INFORMATIO
1
NAME OF CANDIDATE: (SURNAME)

(EXTENSION)
2 ELECTIVE POSITION:
3 CONSTITUENCY OF THE ELECTIVE POSITION:

(BARANGAY) (CITY/MUNICIPALITY)

PART II: TOTAL ELECTION CONTRIB

II. A. CONTRIBUTIONS RECEIVED (Itemized entries in the schedule of contributions, i
1 CASH CONTRIBUTIONS RECEIVED FROM OTHER SOURCES:
2 IN-KIND CONTRIBUTIONS RECEIVED FROM OTHER SOURCES:
TOTAL CONTRIB
II. B. EXPENDITURES (Itemized entries in the schedule of expenditures, indicate "0.00" if
1 EXPENDITURES PAID OUT OF PERSONAL FUNDS / RESOURCES:
2 EXPENDITURES PAID OUT OF CASH CONTRIBUTIONS:
3 EXPENDITURES INCURRED USING IN-KIND CONTRIBUTIONS:
TOTAL EXPENDI

PART III. SUMMARY REPORT OF

III. A : SUBTOTAL OF LAWFUL EXPENDITURES PER EXPENSE TYPE/CATE
Travel expenses of candidate and campaign personnel during the campaign and inci
A expenses
Compensation of campaigners, clerks, stenographers, messengers, and other person
B campaign
Telephone, mobile phone usage fees, prepaid phone load, internet access, postages,
C charges
Stationery, printing and distribution of printed materials relative to candidacy;
D

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 Employment of watchers at the polls
E
Rent, maintenance and furnishing of campaign headquarters, office or place of meet
F
Political meetings and rallies & the use of sound systems, lights and decorations dur
G and rallies
Newspaper, radio, TV and other advertisements to promote the candidacy, including
H placements
SUB- TO
III. B : EXPENDITURES INCURRED (Itemized entries in Schedule of Expendi
Employment of counsel
I
Copying and classifying lists of voters, investigating and challenging the right to vote
J registered in the lists
Printing of sample ballots in such color, size and maximum number as may be autho
K Commission
SUB-TO
TOTAL EXPENDI

THIS SECTION IS FOR COMELEC USE ONLY - DO NOT ENC

Indicate "✓" beside form code/document name if submitted, "✗" if
☐ SOCE Form ☐ ROC Form
☐ NPR Form ☐ Contribution Receipts
☐ SER-C Form ☐ Deed of Contributions Form
☐ ARC Form ☐ Expenditure Receipts
☐ SPA Form ☐ SAC Form
☐ Others: pls. specify: NO. OF PAGES: _________

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 COMMISSION ON ELECTIONS
October 30, 2023
y and Sangguniang Kabataan Elections SOCE
ent of Contributions and Expenditures
SONAL INFORMATION OF THE CANDIDATE

(FIRST NAME) (MIDDLE NAME)

GENDER:

(CITY/MUNICIPALITY) (PROVINCE (REGION)

ELECTION CONTRIBUTION AND EXPENDITURE

schedule of contributions, indicate "0.00" if none received)

TOTAL CONTRIBUTIONS RECEIVED

enditures, indicate "0.00" if none received)
S:

TOTAL EXPENDITURES INCCURED

MMARY REPORT OF LAWFUL EXPENDITURES

EXPENSE TYPE/CATEGORY
ng the campaign and incidental personal

engers, and other persons employed in the

nternet access, postages, freight and courier

ative to candidacy;

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s, office or place of meetings

ghts and decorations during said meetings

the candidacy, including website/internet ad

SUB- TOTAL (Item A to H)

n Schedule of Expenditures)

llenging the right to vote of persons

number as may be authorized by the

SUB-TOTAL (Item I to K)
TOTAL EXPENDITURES INCURRED

USE ONLY - DO NOT ENCODE / WRITING ANYTHING BEYOND THIS LINE

(This space is for the receiving date/time stamp of the receiving office)

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