Appendix 62

REPORT ON THE PHYSICAL COUNT OF LAND & LAND IMPROVEMENTS

As at ______________________

For which ___(Name of Accountable Officer) , (Official Designation) , (LGU name) , is accountable, having assumed such accountability on
_______(Date of Assumption) .

Classification
ID No. Location Description Carrying Amount Condition Remarks
Land
Land Improvements

CERTIFIED CORRECT BY: VERIFIED BY:

Signature over Printed Name Signature over Printed Name Signature over Printed Name
Inventory Committee Chair and Members Local Chief Executive/Authorized Representative COA Representative