Claim assessment 2
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8/12/2019 Claim assessment 2
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■REPUBLIKA NG PILIPINAS
KAGAWARAN NG KATARUNGANPANGASIWAAN SA PATALAAN NG LUPAIN
(LAND REGISTRATION AUTHORITY)East Avenue cor NIA Roa!
"ue#on $%t&
Re'%str& o Dee!s or "ue#on $%t&
REGISTRATION APPLICATION ACKNOWLEDGEMENT & CLAIM FORM
ASSESSMENT FORM AND PAYMENT ORDER
Reference No : 201 0010! 001 Pr"n#e$ D%#e : 10 0 201 1':22
Book : Re(")#ere$ L%n$ EPEB No : EPEB Date : 10 0 201 1':1*201 0010!
Presenter Name Presenter AddressMACOY +ARLES ,-E.ON CITY
Registry of Deeds Title Type Title No Title Date,/e on C"# TCT N 2342! 0 10 200'
,/e on C"# TCT N 2342* 0 10 200'
Transaction Details
Anno#%#"on on Cer#"f"c%#e of T"#5e "n S/6)e7/en# Re(")#r%#"on ■ Aff"$%8"#
EPE+ No : 201 0010!Con)"$er%#"on : 0900A))e))e$: 0900
Documentary Requirements No. of CopiesRecei ed!ty
1Y Aff"$%8"# 1
1YO ner) D/;5"c%#e Co; of T"#5e 2
EPEB No : "#$%##$#&% 1'ees Assessment
Amount (P)P*'ee Description'ee Type
En#r Fee En#r Fee) 0900
Re(")#r%#"on Fee< 41*9 2
Anno#%#"on Fee< For e%c= )/6)e7/en#cer#"f"c%#e of #"#5e
1'>900
Le(%5 Re)e%rc= F/n$ F"?e$ fee 10900
Fee for A$$"#"on%5 P%(e Fee for %$$"#"on%5 ;%(e 0900
Total 'ees in +ords: Total : ,- .%"P)p /i0 1undred Eig)ty2'our And %" 3 $## only
*Inclusive of IT Service Fees**Value Added Tax (VAT)on IT Service Fees ‐ P !'9 '
For C=ec@ P% en#B ;5e%)e ;re;%re )e;%r%#e MC) %) fo55o ):
%9 For LRA Fee) #=e M%n%(er ) C=ec@ )=%55 6e "n #=e n% e of Registry of Deeds of !ue4on City "n #=e % o/n# of P$%#.##%n$
69 For IT Ser8"ce Fee) #=e M%n%(er ) C=ec@ )=%55 6e "n #=e n% e of Registry of Deeds of !ue4on City 2 for t)e account of PNB Trust Banking 5roup as Escro+ Agent for Trust Account No. $,$$ TA#$6 "n #=e % o/n# of P&& .%"9
Re(")#ere$ L%n$B 201 0010! B ,/e on C"# B P%(e 1 of 2
8/12/2019 Claim assessment 2
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REMINDERS:
1. Please check the details above before paying.You may get a detailed breakdown of the assessed fees from the RegistrationInformation Officer (RIO .
!. "ll re#uests for registration and$or information submitted to %R" and its Registries of &eeds' shall undergo processing under the%R" s )omputeri*ed +ystems' and are thus considered as rendered service' regardless of the result.
Registries of &eeds shall not refund payments for services rendered. Registration ,ees and other charges may be refunded by the )entral Office' upon the re#uest of the client' in accordance with e-isting pertinent laws.
. /indly present this form with the Official Receipt at the Releasing )ounter when claiming title(s and$or registered document(s .
0. "ny transaction left unpaid after days shall be automatically voided.
. 2o get updates on the status of your transaction' please visit www.lra.gov.ph' and use the %R" On3line 2racking +ystem.
Re(")#ere$ L%n$B 201 0010! B ,/e on C"# B P%(e 2 of 2
8/12/2019 Claim assessment 2
http://slidepdf.com/reader/full/claim-assessment-2 3/4
■REPUBLIKA NG PILIPINAS
KAGAWARAN NG KATARUNGANPANGASIWAAN SA PATALAAN NG LUPAIN
(LAND REGISTRATION AUTHORITY)East Avenue cor NIA Roa!
"ue#on $%t&
Re'%str& o Dee!s or "ue#on $%t&
REGISTRATION APPLICATION ACKNOWLEDGEMENT & CLAIM FORM
ASSESSMENT FORM AND PAYMENT ORDER
Reference No : 201 0010! 001 Pr"n#e$ D%#e : 10 0 201 1':22
Book : Re(")#ere$ L%n$ EPEB No : EPEB Date : 10 0 201 1':1*201 0010!
Presenter Name Presenter AddressMACOY +ARLES ,-E.ON CITY
Registry of Deeds Title Type Title No Title Date,/e on C"# TCT N 2342! 0 10 200'
,/e on C"# TCT N 2342* 0 10 200'
Transaction Details
Anno#%#"on on Cer#"f"c%#e of T"#5e "n S/6)e7/en# Re(")#r%#"on ■ Aff"$%8"#
EPE+ No : 201 0010!Con)"$er%#"on : 0900A))e))e$: 0900
Documentary Requirements No. of CopiesRecei ed!ty
1Y Aff"$%8"# 1
1YO ner) D/;5"c%#e Co; of T"#5e 2
EPEB No : "#$%##$#&% 1'ees Assessment
Amount (P)P*'ee Description'ee Type
En#r Fee En#r Fee) 0900
Re(")#r%#"on Fee< 41*9 2
Anno#%#"on Fee< For e%c= )/6)e7/en#cer#"f"c%#e of #"#5e
1'>900
Le(%5 Re)e%rc= F/n$ F"?e$ fee 10900
Fee for A$$"#"on%5 P%(e Fee for %$$"#"on%5 ;%(e 0900
Total 'ees in +ords: Total : ,- .%"P)p /i0 1undred Eig)ty2'our And %" 3 $## only
*Inclusive of IT Service Fees**Value Added Tax (VAT)on IT Service Fees ‐ P !'9 '
For C=ec@ P% en#B ;5e%)e ;re;%re )e;%r%#e MC) %) fo55o ):
%9 For LRA Fee) #=e M%n%(er ) C=ec@ )=%55 6e "n #=e n% e of Registry of Deeds of !ue4on City "n #=e % o/n# of P$%#.##%n$
69 For IT Ser8"ce Fee) #=e M%n%(er ) C=ec@ )=%55 6e "n #=e n% e of Registry of Deeds of !ue4on City 2 for t)e account of PNB Trust Banking 5roup as Escro+ Agent for Trust Account No. $,$$ TA#$6 "n #=e % o/n# of P&& .%"9
Re(")#ere$ L%n$B 201 0010! B ,/e on C"# B P%(e 1 of 2
8/12/2019 Claim assessment 2
http://slidepdf.com/reader/full/claim-assessment-2 4/4
REMINDERS:
1. Please check the details above before paying.You may get a detailed breakdown of the assessed fees from the RegistrationInformation Officer (RIO .
!. "ll re#uests for registration and$or information submitted to %R" and its Registries of &eeds' shall undergo processing under the%R" s )omputeri*ed +ystems' and are thus considered as rendered service' regardless of the result.
Registries of &eeds shall not refund payments for services rendered. Registration ,ees and other charges may be refunded by the )entral Office' upon the re#uest of the client' in accordance with e-isting pertinent laws.
. /indly present this form with the Official Receipt at the Releasing )ounter when claiming title(s and$or registered document(s .
0. "ny transaction left unpaid after days shall be automatically voided.
. 2o get updates on the status of your transaction' please visit www.lra.gov.ph' and use the %R" On3line 2racking +ystem.
Re(")#ere$ L%n$B 201 0010! B ,/e on C"# B P%(e 2 of 2
