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Community Tax Certificate

COMMUNITY TAX CERTIFICATE INDIVIDUAL

YEAR: 2017 Place of Issue(City/Mun/Prov) DATE ISSUED: June 20, 2017 TAX PAYER'S COPY

TNT(If any)
Gomez, Selena
Sex: Female
Citizenship: Filipino Height: 170
Civil Status: Separated Weight: 145
PROFESSION/OCCUPATION/BUSINESS: Taxable Community
amount tax due
A.BASIC COMMUNITY TAX(Php 5.00) VOLUNTARY OR EXEMPTED (Php 1.00)
B.ADDITIONAL COMMUNITY TAX(tax not to exceed Php 5,000.00)
1.Gross receipts or earnings derived from business during the preceding year(Php 1.00 for everyPhp1,000.00)

2.Salaries or gross receipt or earnings derived from exercise of profession or pursuit of any occupation (Php 1.00 for every Php 1,000.00)
3.Income from real property (Php 1.00 for every Php 1,000)
Total
Gomez, Selena Interest
TAX PAYER'S NAME TAX PAYER'S NAME Total amount paid
(in
ALEX B. CABURIAS words)
CITY TREASURER

2162335

ID NUMBER