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Report of Contractor & Business Firms

This document is a report form from the Commission on Elections requiring contractors and business firms to disclose election-related transactions. It requests the name of the contractor/firm and president, contact details, office address, taxpayer ID, a list of election clients with transaction details, dates, receipt numbers and values of goods/services. The final part requires a certification that the reported transactions were for election purposes and in compliance with campaign finance law, signed and notarized with the signatory's printed name, title, ID details and notary information.

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Christine Joy Rivera
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1K views1 page

Report of Contractor & Business Firms

This document is a report form from the Commission on Elections requiring contractors and business firms to disclose election-related transactions. It requests the name of the contractor/firm and president, contact details, office address, taxpayer ID, a list of election clients with transaction details, dates, receipt numbers and values of goods/services. The final part requires a certification that the reported transactions were for election purposes and in compliance with campaign finance law, signed and notarized with the signatory's printed name, title, ID details and notary information.

Uploaded by

Christine Joy Rivera
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

May 13, 2019 FORM


National and Local Elections RCF
Report of Contractor and Business Firms
PART A: INFORMATION OF THE CONTRACTOR OR BUSINESS FIRM
NAME of CONTRACTOR
(Natural persons & sole
proprietors) (SURNAME) (FIRST NAME) (MIDDLE NAME)

NAME of BUSINESS FIRM:


NAME of PRESIDENT OR
GENERAL MANAGER:
(SURNAME) (FIRST NAME) (MIDDLE NAME)

CONTACT DETAILS: Mobile/Phone Nos.:

E-Mail Address:

OFFICE ADDRESS:
(STREET NO.) (STREET NAME) (BUILDING/SUBDIVISION)

(BARANGAY) (DISTRICT/AREA) (CITY/MUNICIPALITY) (PROVINCE)

Taxpayer Identification No. (Refers to the TIN of the contractor or business firm)

PART B: LIST OF ELECTION-RELATED BUSINESS TRANSACTIONS


AMOUNT OF GOODS
NAME OF CLIENT RECEIPT DESCRIPTION OF SERVICES
DATE OF TRANSACTION PURCHASED / VALUE OF SERVICES
(CANDIDATE OR PARTY) NUMBER RENDERED/GOODS PURCHASED
RENDERED

PART D: CERTIFICATION AND ACKNOWLEDGMENT

The undersigned contractor, president/general manager of company 0


after being duly sworn, do hereby certify that the foregoing transactions for goods/services were made for the purpose of the elections, that all the
information provided and stated in this report are true & correct; and that he/she complied with his/her duty to require every agent of a candidate or party
treasurer to present his/her written authority to incur electoral expenditures on behalf of such candidate or party treasurer as mandated by Section 112 of the
Omnibus Election Code.

AFFIX SIGNATURE HERE 


Input complete name of signatory here ➔ (DATE SIGNED)
Input job title/position of signatory here ➔ [job title/position in the company]

SUBSCRIBED AND SWORN TO BEFORE ME this , affiant exhibiting his/her


issued by , with expiry date on
[Identification (ID) Type] [Serial No. of ID] [Government Agency issuing the ID]
.
[Expiry date of ID]

Document No.:
Page No.:
Book No.:
Series of .
NOTARY PUBLIC

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