SUMMARY OF COLLECTIONS AND REMITTANCES – BT

Date

Barangay: City/Municipality: Matalom SCR - BT No.

Deputized Collector: Province: Leyte Page of

Nature of Collections
Date OR No. Payor Amount
CTC-Indv. CTC – Corp. RPT Others
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
TOTAL - - -
Acknowledgment:
Certification: I hereby acknowledge receipt of the certified
I hereby certify that the foregoing is the complete and SCR complete with duplicate copies of the Ors
correct record of all my collections for ___________ and the remittances
Duplicate copies of Ors and the remittance of P___________ of______________________________________
are hereto attached. ____________________________ (P ________).

_______________________________ ___________ _______________________

Signature over Printed Name Date ___________
Barangay Treasurer Signature over Printed Name Date
City/Municipal Treasurer

(For use by the BT as deputized by the City/Municipal Treasurer)

 SUMMARY OF COLLECTIONS AND REMITTANCES – DBC
________________________________________
Date
Barangay: City/Municipality: Matalom SCR - DBC No.
Deputized Collector: Province: Leyte Page of
Area:
Date
Ticket Series Qty. Denomination Payor Nature of Collections Amount
2007
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-
-

Certification: Acknowledgment:
I hereby certify that the foregoing is the complete and I hereby acknowledge receipt of the certified SCR
correct record of all my collections for _________________________ complete with the remittances of___________________
The remittances of P_______________________ are hereto attached. ___________________________________ (P ________).

_______________________________ ___________ _______________________ __________

Signature over Printed Name Date Signature over Printed Name Date
Deputized Barangay Collector Barangay Treasurer

(For use by the DBC as deputized by the BT)

 CASH ON HAND IN BANK REGISTER
For the Month of _______, 20___
Barangay: City/Municipality: Matalom CHB Reg. No:
Barangay Treasurer: Province: Leyte Page :
Cash on Hand
Deposits/CM/Bnks Cash in Bank
Date Particulars Ref. Receipt Deposit Balance Balance
(In) Checks/DM/Bnks
(In) (Out)

Certification: Acknowledgment:

I hereby to the correctness of the above data. Recordings are based on the This is to acknowledge that I have received from BT the CHBReg supported with SCDs, Sckls,
SCDs, Sckls, Debit/Credit Memos and Bank Statement received which are all Debit/Credit Memos and Bank Statements together with all the supporting documents.
submitted to the BRK.

______________________________ ______________________________
Signature over Printed Name Signature over Printed Name
Barangay Treasurer Barangay Treasurer

__________________ __________________
Date Date
 No. : _________
JOURNAL ENTRY VOUCHER
________
______________________________________________ Date:
Agency
ACCOUNTING ENTRIES
Responsibility
Account P Debit Credit
Center Accounts and Explanation
Code

Prepared by: Approved by:

LOLITA S. ARBIOL ______________________________

Barangay Bookkeeper City/Municipal Accountant

No. : _________
JOURNAL ENTRY VOUCHER
________
______________________________________________
Date:
Agency
ACCOUNTING ENTRIES
Responsibility
Account P Amount
Center Accounts and Explanation
Code Debit Credit

Prepared by: Approved by:

LOLITA S. ARBIOL ______________________________

Barangay Bookkeeper City/Municipal Accountant

No. : _________
JOURNAL ENTRY VOUCHER
__________
_______________________________________________________________ Date:
Agency
ACCOUNTING ENTRIES
Responsibility
Account P Amount
Center Accounts and Explanation
Code Debit Credit

Prepared by: Approved by:

LOLITA S. ARBIOL ______________________________

Barangay Bookkeeper City/Municipal Accountant
 CASH RECEIPTS AND DEPOSITS REGISTER
For the Month of _____________
Barangay: City/Municipality: Matalom CHB Reg. No:
Barangay Treasurer: Province: Leyte Page :
Distribution of Receipts
Undeposited/
Remittance Clearance Business Others
Date Particulars Ref. Receipts Deposits Unremitted Market Garbage Rent Misc.
C/MT IRA RPT & Cert. Permit Account
Collections Fees Fees Income Income Amount
Fees Fee Classification

Certification:

I hereby certify to the correctness of the above data. Recordings are based on the certified SCDs supported with duplicate copies of ORs
and VDS submitted by the BT, CMs, and bank statements which are all in my file.

________________________________________ ____________________
Signature over Printed Name Date
Barangay Record Keeper
 SUMMARY OF COLLECTIONS AND DEPOSITS
For the Period ___________________
Barangay: City/Municipality: Matalom CHB Reg. No:
Barangay Treasurer: Province: Leyte Page : of
Barangay As deputized by City/Municipality
Date OR/VDS/SCR No. Payor/Bank Particulars
Collections Deposits Balance Collections Remittances Balance

Certification: Acknowledgment:

I hereby certify that the foregoing is the complete and correct I hereby acknowledge receipt of the certified SCD complete with the
Records of all my collections and deposits from ___________ to _______. duplicate copies of the ORS issued, SCRs and the VDSs covering deposits as reported.
The duplicate copies of the ORS issued, SCRs and the originals of the VDs
Are hereto attached.

__________________________________________ __________________________________________
Signature over Printed Name Signature over Printed Name
Barangay Treasurer Barangay Record Keeper

__________________________________________ __________________________________________
Date Date
 For the use of Barangay Treasurer

REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS

For the month of _________________________
Barangay: City/Municipality: Matalom RAAF No.:
Barangay Treasurer: Province: Leyte
Accountable Forms Beginning Balance Receipt Issuance Ending Balance
GF Face Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos. Inclusive Serial Nos.
Name of Form Qty. Qty. Qty. Qty.
Number Value From To From To From To From To
A. WITH FACE VALUE

A CERTIFICATION: B ACKNOWLEDGMENT: C CERTIFICATION:

I hereby certify that the foregoing is a true statement of all I hereby acknowledge receipt of the RAAF for the above-stated I hereby certify that all the times enumerated in the
accountable forms received and issued during the period above- period. “receipt” portion are the only items issued by this Office.
stated and that the beginning and ending balance are correct.

_____________________ ____ ____________ _____________________ ____ ____________ _____________________ ____ ____________

Signature over Printed Name Date Signature over Printed Name Date Signature over Printed Name Date
Barangay Treasurer Barangay Record Keeper City/Municipal Treasurer
 SUMMARY OF CHECKS ISSUED
For the Period _________
Barangay: City/Municipality: Matalom SCKL No.:
Barangay Treasurer: Province: Leyte Page: of

Deductions
Gross
Date Check No. DV No. Fund Payee Particulars Withholding CWT CWT EVAT EVAT Amount
Amount
Tax 5% 3% 1 2

TOTAL
Certification: Acknowledgment:

I HEREBY CERTIFY that the foregoing is the complete & correct records I hereby acknowledge receipt of the Certified SCKL complete with
of all check issued from _________ to ________. The carbon copies of the checks carbon copies of all checks issued and originals of all paid DVs/payrolls
issued and originals of all paid DV’s/Payrolls are hereto attached. and supporting documents.

_________________________________ _________________________________
Signature over Printed Name ________________ Signature over Printed Name _____________
Barangay Treasurer Date Barangay Record Keeper Date
 CHECK DISBURSEMENTS REGISTER
For the Month of ____________

Barangay: City/Municipality: Matalom CkDReg No.:

Barangay Treasurer: Province: Leyte Page: of
BREAKDOWN OF EXPENDITURES Deductions
Amount
OTHERS Gross of
Salaries FE Capital Outlay
Date Particulars Ref. Payroll (See List at the back)
& Honoraria Amount Due to BIR Others Checks
Fund Account
Wages Electricity Water Amount Issued
Classification

Grand Total

I hereby certify to the correctness of the above data. Records are based on the SCKl submitted by the BT.

_____________________________________ ____________
Signature over Printed Name Date
Barangay Record Keeper
 CASH DISBURSEMENTS REGISTER
For the Month of __________, 20 ___
Barangay: City/Municipality: Matalom CD Reg No.:
Barangay Treasurer: Province: Leyte Page: of
Breakdown of Expenditures Deductions
Date Particulars Ref. Cash Advance Disbursements Balance Withholding
Honoraria
Tax

Certification:

I hereby certify to the correctness of the above data. Records are based on the SCP submitted by the AO
and that all the original paid DVs/payrolls are in my file.

_____________________________________
Signature over Printed Name
Barangay Record Keeper
 PAYROLL
______________________________
(Period Covered)
Barangay: City/Municipality: Matalom Payroll No.:
Barangay Treasurer: Province: Leyte

Compensation Deductions
Net Amount Signature of
No. Name Position Salaries & BIR
Due Recipient
Wages Honoraria Total Withholding Others Total
Regular Tax
1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

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16.

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19.

20.

A. Certified B. Certified C. Certified D. Paid by:

Funds (cash) available As to validity, propriety, and legality of
Existence of available approximations for claim
the charges/ expenses indicated above. Approved:
For payment
Signature : Signature :
Signature : Signature :
Printed Name : Printed Name :
Printed Name : Printed Name :
Position: Chairman, Committee on Appropriation. Position: Barangay Treasurer ____
Position: Punong Barangay Position : Barangay Treasurer
Date : Date :
Date : Date :

REGISTRY OF APPROPRIATIONS AND COMMITMENTS- SANGGUNIANG KABATAAN

For the Calendar Year ___________
Barangay: City/Municipality:
Tel. No. Province:
BREAKDOWN
Total
Date Particulars Ref Appropriations Balance
Commitments
 Prepared by: Certified Correct

____________________________ _______________________________
Signature Over Printed Name Signature Over Printed Name
Barangay Record Keeper Chairman, Committee on Appropriations

______________________________ ____________________________
Date Date
REGISTRY OF APPROPRIATIONS AND COMMITMENTS- 20% DEVELOPMENT FUND
For the Calendar Year ___________
Barangay: City/Municipality:
Tel. No. Province:
BREAKDOWN
Total
Date Particulars Ref Appropriations Balance
Commitments
 Prepared by: Certified Correct:

____________________________ _______________________________
Signature Over Printed Name Signature Over Printed Name
Barangay Record Keeper Chairman, Committee on Appropriations

______________________________ ____________________________
Date Date
REGISTRY OF APPROPRIATIONS AND COMMITMENTS- GENERAL FUND
PERSONAL SERVICES
For the Calendar Year ___________
Barangay: City/Municipality:
Tel. No. Province:
BREAKDOWN
Total
Date Particulars Ref Appropriations Balance
Commitments
 Prepared by: Certified Correct:

____________________________ _______________________________
Signature Over Printed Name Signature Over Printed Name
Barangay Record Keeper Chairman, Committee on Appropriations

______________________________ ____________________________
Date Date
REGISTRY OF APPROPRIATIONS AND COMMITMENTS- 20% CALAMITY FUND
For the Calendar Year ___________
Barangay: City/Municipality:
Tel. No. Province:
BREAKDOWN
Food
Total
Date Particulars Ref Appropriations Supplies Balance
Commitments
Expenses
 Prepared by: Certified Correct:

____________________________ _______________________________
Signature Over Printed Name Signature Over Printed Name
Barangay Record Keeper Chairman, Committee on Appropriations

______________________________ ____________________________
Date Date

REGISTRY OF APPROPRIATIONS AND COMMITMENTS- GENERAL FUND

MAINTENANCE AND OTHER OPERATING EXPENSES
For the Calendar Year ___________
Barangay: City/Municipality:
Tel. No. Province:
BREAKDOWN
Seminar Liga
Travelling Office Bond Lakbay Auditing Other Total
Date Particulars Ref Appropriations Electricity and Annual Balance
Expenses Supplies Premium Aral expenses Expenses Commitments
Training Dues
Prepared by: Certified Correct:

____________________________ _______________________________
Signature Over Printed Name Signature Over Printed Name
Barangay Record Keeper

______________________________ ____________________________
Date Date
 ALPHABETICAL LIST OF PAYEES Page of

FOR THE MONTH OF _____________ WITHOLDING AGENT TIN WITHOLDING AGENT NAME
(MMYYYY)

Schedule 11 ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHELD (Attach additional sheets if necessary)
SEQ PAYEE DETAILS INCOME PAYMENT TAX WITHELD DETAILS TAX TAX REQUIRED
No. TIN INDIVIDUAL/CORPORATION ATC NATURE OF PAYMENT AMOUNT RATE TO BE WITHELD
1 2 3 4 5 6 7 8
(LAST NAME/FIRST NAME MIDDLE
NAME FOR INDIVIDUALS OR
REGISTERED NAME FOR NON
INDIVIDUALS)

Xxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxxx

ALPHABETICAL LIST OF PAYEES Page of

FOR THE MONTH OF _____________ WITHOLDING AGENT TIN WITHOLDING AGENT NAME
(MMYYYY)

Schedule 11 ALPHABETICAL LIST OF PAYEES FROM WHOM TAXES WERE WITHELD (Attach additional sheets if necessary)
SEQ PAYEE DETAILS INCOME PAYMENT TAX WITHELD DETAILS TAX TAX REQUIRED
No. TIN INDIVIDUAL/CORPORATION ATC NATURE OF PAYMENT AMOUNT RATE TO BE WITHELD
1 2 3 4 5 6 7 8
(LAST NAME/FIRST NAME MIDDLE
NAME FOR INDIVIDUALS OR
REGISTERED NAME FOR NON
INDIVIDUALS)