REPUBLIC OF THE PHILIPPINES

MUNICIPALITY OF MULANAY
PROVINCE OF QUEZON

OCULAR INSPECTION REPORT FORM

(BUILDING)

RE:
DECLARED NEW

NAME OF DECLARED OWNER Embralino, Roseller and Merli Rosales (Sps.)

MAILING ADDRESS Poblacion III, Mulanay, Quezon
ARP/TD NUMBER
DATE OF INSPECTION August

LAND REFERENCE
EXISTING TAX DEC. NUMBER/PIN 20-0003-00110
LOT OWNER Haspio, Luisa
OCT/TCT NUMBER N/A
LOT NUMBER N/A
APPROVED SURVEY NUMBER N/A
AREA (SQM.) 119 sqm.
LOCATION OF PROPERTY Poblacion III, Mulanay, Quezon

SUBMITTED DOCUMENTS
OWNERS COPY OF TITLE N/A CERTIFIED COPY

SKETCH PLAN/LOCATION PLAN SUBMITTED

BUILDING PLAN SUBMITTED

BILL OF MATERIALS SUBMITTED

NUMBER DATE
BUILDING PERMIT SUBMITTED 202101607 'Jan. 5, 2021

CERTIFICATE OF COMPLETION NOT SUBMITTED

CERTIFICATE OF OCCUPANCY NOT SUBMITTED

SWORN STATEMENT OF THE TRUE AND CURRENT

AND FAIR MARKET VALUE OF THE PROPERTY NOT SUBMITTED

CERTIFIED LIST OF MACHINERY/ CONTRACT AND

RECEIPT OF PAYMENT N/A
KIND OR NO. DATE
UPDATED REALTY TAX RECEIPT N/A LAND

PHISICAL CHARACTERISTICS
STATUS
BUILDING TYPE TYPE IV-A

EXISTING CLASSIFICATION COMMERCIAL

ACTUAL/DOMINANT USE OF BUILDING ONE FAMILY DWELLING

DATE CONSTRUCTED

DATE COMPLETED 2/1/2022

PRESENT CONDITION 100% complete

EVALUATION/RECOMMENDATION

ASSESSING OFFICER EDWIN P. JAVATE

Municipal Assessor
 APPRAISAL SUMMARY

PREPARED FOR: Embralino, Roseller and Merli Rosales (Sps.)

LOCATION: Poblacion III Mulanay, Quezon

DATE OF INSPECTION: 8-Aug-22

PURPOSE: Taxation and Business Permit Application

TCT NUMBER:

LOT IDENTIFICATION:

PROPERTY OWNER: Embralino, Roseller and Merli Rosales (Sps.)

BUILDING OWNER: Embralino, Roseller and Merli Rosales (Sps.)

BUILDING PERMIT: SUBMITTED 202101607 'Jan. 5, 2021

CERTIFICATE OF COMPLETION: NOT SUBMITTED

OCCUPANCY PERMIT: NOT SUBMITTED

BUILDING TYPE: TYPE IV-A

BUILDING CLASSIFICATION: COMMERCIAL

ACTUAL/DOMINANT USE OF BUILDING: ONE FAMILY DWELLING

BRIEF DESCRIPTION: 2 Storey Commercial/Residential Bldg.

 REPUBLIC OF THE PHILIPPINES
MUNICIPALITY OF MULANAY
PROVINCE OF QUEZON

OCULAR INSPECTION REPORT

(IMPROVEMENTS)

RE: DECLARED NEW

NAME OF DECLARED OWNER : Embralino, Roseller and Merli Rosales (Sps.)

MAILING ADDRESS : Poblacion III, Mulanay, Quezon

ARP/TD NUMBER :
DATE OF INSPECTION : August

LAND REFERENCE
EXISTING TAX DEC. NUMBER : 20-0003-00110
PIN : Haspio, Luisa
OCT/TCT NUMBER : N/A
LOT NUMBER : N/A
APPROVED SURVEY NUMBER : N/A
AREA (SQM.) : 119 sqm.
LOCATION OF PROPERTY : Poblacion III, Mulanay, Quezon

SUBMITTED DOCUMENTS
OWNERS COPY OF TITLE : N/A CERTIFIED COPY
SKETCH PLAN/LOCATION PLAN : SUBMITTED
BUILDING PLAN : SUBMITTED
BILL OF MATERIALS : SUBMITTED
BUILDING PERMIT : SUBMITTED 202101607 'Jan. 5, 2021
CERTIFICATE OF COMPLETION : NOT SUBMITTED
CERTIFICATE OF OCCUPANCY : NOT SUBMITTED
SWORN STATEMENT OF THE TRUE AND
CURRENT AND FAIR MARKET VALUE OF THE
PROPERTY : NOT SUBMITTED
CERTIFIED LIST OF MACHINERY/ CONTRACT
AND RECEIPT OF PAYMENT : N/A

KIND OR NO. DATE

UPDATED REALTY TAX RECEIPT : N/A LAND

PHYSICAL CHARACTERISTICS
STATUS
BUILDING TYPE : TYPE IV-A
EXISTING CLASSIFICATION : COMMERCIAL
ACTUAL/DOMINANT USE OF
BUILDING :
ONE FAMILY DWELLING
DATE CONSTRUCTED :
DATE COMPLETED : 44593
PRESENT CONDITION : 100% complete

EVALUATION/RECOMMENDATION
 APPRAISAL SUMMARY

PREPARED FOR : Embralino, Roseller and Merli Rosales (Sps.)

LOCATION : Poblacion III Mulanay, Quezon
DATE OF INSPECTION : 44781
PURPOSE : Taxation and Business Permit Application
TCT NUMBER :
LOT IDENTIFICATION :
PROPERTY OWNER : Embralino, Roseller and Merli Rosales (Sps.)
BUILDING OWNER : Embralino, Roseller and Merli Rosales (Sps.)
PERMIT NO. DATE
BUILDING PERMIT : SUBMITTED 202101607 'Jan. 5, 2021
CERTIFICATE OF COMPLETION : NOT SUBMITTED
OCCUPANCY PERMIT : NOT SUBMITTED
BUILDING TYPE : TYPE IV-A
BUILDING CLASSIFICATION : COMMERCIAL

ACTUAL/DOMINANT USE OF
ONE FAMILY DWELLING
BUILDING :

BRIEF DESCRIPTION : 2 Storey Commercial/Residential Bldg.

ASSESSED BY:

EDWIN P. JAVATE
Municipal Assessor