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SER C Statement of Expenses On Public Rally

This document is a statement of expenses for a public rally submitted to the Commission on Elections. It requires a candidate to disclose contributions received and expenses incurred for the rally, including receipts and details of donors and vendors. The candidate must then certify the accuracy of the reported information and consent to the disclosure being used for legitimate purposes.

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Jernel Felipe Ilac
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832 views1 page

SER C Statement of Expenses On Public Rally

This document is a statement of expenses for a public rally submitted to the Commission on Elections. It requires a candidate to disclose contributions received and expenses incurred for the rally, including receipts and details of donors and vendors. The candidate must then certify the accuracy of the reported information and consent to the disclosure being used for legitimate purposes.

Uploaded by

Jernel Felipe Ilac
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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COMMISSION ON ELECTIONS FORM

October 30, 2023


Barangay and Sangguniang Kabataan Elections SER-C
Statement of Expenses on Public Rally

NAME OF CANDIDATE:
(SURNAME) (FIRST NAME) (MIDDLE NAME) (EXTENSION)

ELECTIVE POSITION: CONSTITUENCY:


BARANGAY CITY/MUNICIPALITY PROVINCE REGION

DATE OF RALLY: Rally Venue & Address:

PART B: CONTRIBUTIONS RECEIVED BY CANDIDATE FOR THE PUBLIC RALLY


DATE OF RECEIPT OF RECEIPT CONTRIBUTOR'S TAXPAYER CONTRIBUTION TYPE
NAME OF CONTRIBUTOR ADDRESS OF CONTRIBUTOR AMOUNT / VALUE
CONTRIBUTIONS NUMBER ID No. (TIN) (Cash/In-Kind)

TOTAL CONTRIBUTIONS (IN CASH & IN KIND) RECEIVED FOR THE PUBLIC RALLY ₱ -

PART C: EXPENSES INCURRED BY THE CANDIDATE FOR THE PUBLIC RALLY


DATE EXPENSE WAS RECEIPT BUSINESS FIRM/ NAME OF BUSINESS FIRM OR ADDRESS OF BUSINESS FIRM OR
DESCRIPTION OF EXPENSE AMOUNT
INCURRED NUMBER CONTRACTOR'S TIN CONTRACTOR CONTRACTOR

TOTAL EXPENSES INCURRED FOR THE PUBLIC RALLY ₱ -

PART D: CERTIFICATION, CONSENT & ACKNOWLEDGMENT

I hereby certify that: (1) the expenses listed in Part C were made by me as candidate or by my duly authorized representative; SUBSCRIBED & SWORN TO before me this
(2) the contributions listed in Part B were received by me as candidate or by my duly authorized representative; (3) all entries affiant exhibiting his/her expiring on
specified above are true & correct; (4) both contributions & expenses are supported by receipts, invoices, & similar (Gov't-Issued Identification) (ID Number)
documents; (5) the expenses were incurred in accordance with the Omnibus Election Code & other pertinent laws; and (6) the
udersigned consents on the general use and sharing of information obtained in this disclosure and its attachments for , and issued by .
legitimate and authorized purposes. (Expiry Date of ID) (Issuing Government Agency)

Doc. No.: ______


Page No.: ______
Book No.: ______
(SIGNATURE OVER PRINTED NAME) DATE SIGNED Series of 2023. NOTARY PUBLIC

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