General Fund. Code. We hereby certify that the foregoing estimated receipts are reasonably projected as collectible for the Budget Year.

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1 LBP Form No. 1 STATEMENT OF RECEIPTS (As Revised Province/City/Municipality General Fund l. Beginning Cash Balance Particulars Account Code Income Classification Past Year (Actual) 2011 Current Year (Estimate) 2012 Budget Year (Proposed) 2013 ll. Receipts: A. Local (Internal) Sources 1. Tax Revenue a. Real Property Tax b. Special Education Fund Tax c. Other Local Taxes Total Tax Revenue 2. Non-Tax Revenue a. Regulatory Fees 1. License Fees 2. Permit Fees 3. Other Fees b. Business and Service Income c. Other Income/Receipts Total Non-Tax Revenue B. External Sources 1. Shares from National Internal Revenue Taxes (IRA) 2. Shares from GOCCs 1. Other Shares from National Tax Collections a. Share from Ecozone b. Share from EVAT c. Share from National Wealth d. Share from Tabacco Excise Tax 3.Extraordinary Receipts a. Grants and Donations b. Other Subsidy Income 4. Inter-local Transfers a. Subsidy from LGUs b. Subsidy from Other Funds 5. Capital/Investment Receipts a. Gain on Sale Assets b. Gain on Investments C. Receipts from Loans and Borrowings Total Receipts Less: Special Education Fund Tax Total Available Resources for Appropriation We hereby certify that the foregoing estimated receipts are reasonably projected as collectible for the Budget Year. LOCAL TREASURER LOCAL BUDGET OFFICER LOCAL PLANNING AND LOCAL ACCOUNTANT DEVELOPMENT COORDINATOR Approved by:

2 LOCAL CHIEF EXECUTIVE

3 LBP Form No. 2 STAMENT OF RECEIPTS AND EXPENDITURES Particulars Particulars 1 l. Beginning Cash Balance A. Local Sources 1. Tax Revenue a. Real Property Tax b. Special Education Tax c. Other Local Taxes Total Tax Revenue a. Regulatory Fees 1. License Fees 2. Permit Fees 3. Other Fees b. Business and Service Income c. Other Income Receipts Total Non-Tax Revenue Account Code Account Code 2 Past Year (Actual) Past Year (Actual) 3 CURRENT YEAR APPROPRIATION First Semester (Actual) 4 Second Semester (Estimated) 5 TOTAL 6 B.External Sources 1. Share from National Internal Revenue Taxes (IRA) 2. Shares from GOCCs 3. Other Shares from National Tax Collections a. Shares from Ecozone b. Shares from EVAT c. Shares from National Wealth d. Shares from Tabacco Excise Tax 4.Extraordinary Receipts a. Grants and Donations b. Other Subsidy Income 5. Inter-local Transfers a. Subsidy from LGUs b. Subsidy from Other Fund 6. Capital/Investment Receipts a. Gain on Sale of Assets b. Gain on Investments C.Receipts from loans and Borrowings Total Receipts (l + ll) lll. Expenditures A. General Public Services B. Economic Services C. Social Services D. Other Services

4 TOTAL EXPENDITURE IV. Ending Balance (l=ll)-lll Certified Correct: LOCAL TREASURER LOCAL BUDGET OFFICER LOCAL ACCOUNTANT Approved by: LOCAL CHIEF EXECUTIVE

5 LBP Form No. 3 PROGRAMMED APPROPRIATION AND OBLIGATION BY OBJECT OF EXPENDITURE OFFICE/SPECIAL PURPOSE APPROPRIATIONS: Object of Expenditure Current Operating Expenditures Account Code 2 Past Year (Actual) 3 Current Year (Estimated) 4 Budget Year (Proposed) Personal Services Salaries and Wages- Regular Salaries and Wages- Others 1.2 Maintenance and Other Operating Expenses Travel Expenses Training and Scholarship Expenses 2.0 Capital Outlay Building and Other Structures Office Equipment 3.0 Financial Expenses Total Appropriations Prepared: Reviewed: Approved: Department Head Local Budget Officer Local Chief Executive

6 LBP Form No. 3A PROGRAM APPROPRIATION AND OBLIGATION BY OBJECT OF EXPENDATURE SUMMARY FOR ALL OFFICES/ SPECIAL PURPOSE APPROPRIATION: Object of Expenditure (1) 4.0 Current Operating Expenditures 1.1 Personal Services Salaries and wages- Regular Salaries and Wages- Others Account Code (2) Past year (Actual) (3) Current Year (Estimate) (4) Budget Year (Proposed) (5) 1.2Maintenance and Other Operating Expenses Travel Expenses Training and Scholarship Expenses 5.0 Capital Outlay Buildings and Other Structures Office Equipment Land Transport Equipment 6.0 Financial Expenses Total Appropriations Prepared: Reviewed: Approved: Department Head Local Budget Officer local Chief Executive

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11 LBP Form No. 1 STATEMENT OF RECEIPTS (As Revised) Province/City/Municipality Particulars l. Beginning Cash Balance General Fund Account Code Income Classification Current Year (Estimate) ll. Receipts: C. Local (Internal) Sources 3. Tax Revenue d. Real Property Tax e. Special Education Fund Tax f. Other Local Taxes Total Tax Revenue 4. Non-Tax Revenue d. Regulatory Fees 4. License Fees 5. Permit Fees 6. Other Fees e. Business and Service Income f. Other Income/Receipts Total Non-Tax Revenue D. External Sources 3. Shares from National Internal Revenue Taxes (IRA) 4. Shares from GOCCs 2. Other Shares from National Tax Collections e. Share from Ecozone f. Share from EVAT g. Share from National Wealth h. Share from Tabacco Excise Tax 3.Extraordinary Receipts a. Grants and Donations b. Other Subsidy Income 4. Inter-local Transfers a. Subsidy from LGUs b. Subsidy from Other Funds 5. Capital/Investment Receipts a. Gain on Sale Assets b. Gain on Investments C. Receipts from Loans and Borrowings

12 Total Receipts Less: Special Education Fund Tax Total Available Resources for Appropriation

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