Download - NATIONAL TAX RESEARCH CENTER Forms
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NATIONAL TAX RESEARCH CENTER
Forms
Conforms to ISO 9001:2015
December 19, 2016
© 2016; All rights reserved. Document is uncontrolled unless otherwise marked; uncontrolled documents
are not subject to update notification.
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Branch Forms Code
Planning and Coordinating Branch
Branch Performance Commitment and Review
NTRC-QMS-PAWIM-FR-001
Quarterly Physical Report of Operation NTRC-QMS-PAWIM-FR-002
AFB Disbursement Voucher NTRC-QMS-PAWIM-FR-003
Itinerary of Travel NTRC-QMS-PAWIM-FR-004
Reimbursement Expense Receipt NTRC-QMS-PAWIM-FR-005
Certification of Travel Completed NTRC-QMS-PAWIM-FR-006
AFB – HR Division Payroll NTRC-QMS-PAWIM-FR-007
Individual Performance and Commitment
NTRC-QMS-PAWIM-FR-008
AFB – IT Unit Website Form 1 NTRC-QMS-PAWIM-FR-009
Website Form 2 NTRC-QMS-PAWIM-FR-010
Website Form 3 NTRC-QMS-PAWIM-FR-011
AFB – Administrative Division
Petty Cash Voucher NTRC-QMS-PAWIM-FR-012
Report on Paid Petty Cash Voucher NTRC-QMS-PAWIM-FR-013
Petty Cash Fund Custodian NTRC-QMS-PAWIM-FR-014
Petty Cash Fund Register NTRC-QMS-PAWIM-FR-015
Stock Card NTRC-QMS-PAWIM-FR-016
Inventory Custodian Slip NTRC-QMS-PAWIM-FR-017
Purchase Request NTRC-QMS-PAWIM-FR-018
Purchase Order NTRC-QMS-PAWIM-FR-019
Inspection and Acceptance Report NTRC-QMS-PAWIM-FR-020
Requisition and Issue Slip NTRC-QMS-PAWIM-FR-021
Reports of Supplies and Materials Issued
NTRC-QMS-PAWIM-FR-022
Waste Material Report NTRC-QMS-PAWIM-FR-023
Report on the Physical Count of Inventories
NTRC-QMS-PAWIM-FR-024
Report of Accountability of Accountable Forms
NTRC-QMS-PAWIM-FR-025
Property Card NTRC-QMS-PAWIM-FR-026
Property, Plant and Equipment Ledger Card
NTRC-QMS-PAWIM-FR-027
Property Acknowledgement Receipt NTRC-QMS-PAWIM-FR-028
PROCEDURES AND WORK INSTRUCTIONS MANUAL
List of Forms
Code: Revision No.: 0 Effectivity Date: 19 December 2016 Page: i
Prepared by:
TERESITA L. SOLOMON Acting Deputy Executive Director
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Branch Forms Code
AFB – Administrative Division
Report on the Physical Count of Property, Plant and Equipment
NTRC-QMS-PAWIM-FR-029
Inventory and Inspection Report of Unserviceable Property
NTRC-QMS-PAWIM-FR-030
Report of Lost, Stolen, Damaged or Destroyed Property
NTRC-QMS-PAWIM-FR-031
AFB – Accounting Division
General Journal NTRC-QMS-PAWIM-FR-032
Cash Receipts Journal NTRC-QMS-PAWIM-FR-033
Cash Disbursements Journal NTRC-QMS-PAWIM-FR-034
Check Disbursements Journal NTRC-QMS-PAWIM-FR-035
General Ledger NTRC-QMS-PAWIM-FR-036
Subsidiary Ledger NTRC-QMS-PAWIM-FR-037
Registry of Revenue and Other Receipts - Summary
NTRC-QMS-PAWIM-FR-038
Registry of Revenue and Other Receipts NTRC-QMS-PAWIM-FR-039
Notice of Budget Utilization Request and Status Adjustment
NTRC-QMS-PAWIM-FR-040
Aging of Due and Demandable NTRC-QMS-PAWIM-FR-041
Monthly Report of Disbursements NTRC-QMS-PAWIM-FR-042
Quarterly Report of Revenue and Other Receipts
NTRC-QMS-PAWIM-FR-043
Order of Payment NTRC-QMS-PAWIM-FR-044
Notice of Obligation Request and Status Adjustment
NTRC-QMS-PAWIM-FR-045
Journal Entry Voucher NTRC-QMS-PAWIM-FR-046
Advice to Debit Account Disbursements Journal
NTRC-QMS-PAWIM-FR-047
Index of Payments NTRC-QMS-PAWIM-FR-048
Cash Disbursements Record NTRC-QMS-PAWIM-FR-049
Report of Cash Disbursements NTRC-QMS-PAWIM-FR-050
Liquidation Report NTRC-QMS-PAWIM-FR-051
Schedule of Accounts Payable NTRC-QMS-PAWIM-FR-052
Schedule of Accounts Receivable NTRC-QMS-PAWIM-FR-053
Registry of Accounts Written off NTRC-QMS-PAWIM-FR-054
Supplies Ledger Card NTRC-QMS-PAWIM-FR-055
Bank Reconciliation Statement, Cash – MDS
NTRC-QMS-PAWIM-FR-056
Bank Reconciliation Statement, Cash – Local Currency, Savings Account
NTRC-QMS-PAWIM-FR-057
PROCEDURES AND WORK INSTRUCTIONS MANUAL
List of Forms
Code: Revision No.: 0 Effectivity Date: 19 December 2016 Page: ii
Prepared by:
TERESITA L. SOLOMON Acting Deputy Executive Director
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Branch Forms Code
AFB – Budget and Cash Division
Obligation Request and Status NTRC-QMS-PAWIM-FR-058
Summary of LDDAD-ADAs Issued and Invalidated ADA Entries
NTRC-QMS-PAWIM-FR-059
Report of Advice to Debit Account Issued NTRC-QMS-PAWIM-FR-060
Budget Utilization Request and Status NTRC-QMS-PAWIM-FR-061
Statement of Appropriations, Allotments, Obligations Disbursements and Balances
NTRC-QMS-PAWIM-FR-062
Statement of Appropriations, Allotments, Obligations Disbursements and Balances by Object of Expenditures
NTRC-QMS-PAWIM-FR-063
List of Allotments and Sub-Allotments NTRC-QMS-PAWIM-FR-064
Statement of Approved Budget, Utilizations, Disbursements and Balances
NTRC-QMS-PAWIM-FR-065
Summary of Approved Budget, Utilizations, Disbursements and Balances by Object of Expenditures
NTRC-QMS-PAWIM-FR-066
Notice of Dishonored Checks NTRC-QMS-PAWIM-FR-067
Report of Collections and Deposits NTRC-QMS-PAWIM-FR-068
Cash Receipts Register NTRC-QMS-PAWIM-FR-069
Cash Receipts Record NTRC-QMS-PAWIM-FR-070
Registry of Allotments and Notice of Allocation
NTRC-QMS-PAWIM-FR-071
Checks and Advice to Debit Account Disbursement Record
NTRC-QMS-PAWIM-FR-072
Report of Checks Issued NTRC-QMS-PAWIM-FR-073
Cash in Bank Register NTRC-QMS-PAWIM-FR-074
Advice of Checks Issued and Cancelled NTRC-QMS-PAWIM-FR-075
List of Due and Demandable Accounts Payable – Advice to Debit Accounts (LDDAP-ADA)
NTRC-QMS-PAWIM-FR-077
Cash Disbursements Register NTRC-QMS-PAWIM-FR-078
PROCEDURES AND WORK INSTRUCTIONS MANUAL
List of Forms
Code: Revision No.: 0 Effectivity Date: 19 December 2016 Page: iii
Prepared by:
TERESITA L. SOLOMON Acting Deputy Executive Director
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS
Planning and Coordinating Branch
Branch Performance Commitment and Review
Prepared by:
NEDINIA B. MENDIOLA OIC, Planning and Coordinating Branch
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-001 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 1 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS Planning and Coordinating Branch
Quarterly Physical Report of Operation
Prepared by:
NEDINIA B. MENDIOLA OIC, Planning and Coordinating Branch
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-002 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 2 of 78
Current Year Appropriations
Supplemental Appropriations
Continuing Appropriations
Off-Budget Account
2 3 4 5 6 7=(3+4+5+6) 8 9 10 11 12=(8+9+10+11) 13 14
Part A
I. Operations
MFO 1 - [Description]
Performance Indicator (Set 1)
Quantity
Quality
Timeliness
…continue down to the last Set of PIs
…continue down to the last MFO
II.Projects
Target 1
Target 2
… continue down to the last target
… continue down to the last project
III.Automatic Appropriations
Special Account in the General Fund (Please specify)
MFO 1 - [Description]
Performance Indicator (Set 1)
… continue down to the last SAGF/MFO
Part B
Major Programs/Projects
KRA No. 1 - Anti-Corruption, Transparent, Accountable
and Participatory Governance
Program Budgeting: Education Program
MPP
Target 1
Target 2
…
Other Major Programs and Projects
PAP
Target 1
Target 2
…
…continue down to the last PAP
…continue down to the last Program Budgeting
…continue down to the last KRA
Prepared By: In coordination with: Approved by:
Date: ________________________ Date: ________________________ Date: ________________________
1
Nedina B. Mendiola Cecilia V. Salvatierra Trinidad A. Rodriguez
OIC, Planning and Coordinating Branch Chief, Budget and Cash Division Acting Executive Director
Variance as of
_______Remarks
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter Total 1st Quarter 2nd Quarter 3rd Quarter
Physical Accomplishments
4th Quarter Total
Organization Code (UACS) : _____________________________________________
ParticularsUACS
CODE
Physical Targets
Operating Unit : 01
BAR No. 1
QUARTERLY PHYSICAL REPORT OF OPERATION
As at ______________________
Department : Department of Finance
Entity Name : National Tax Research Center
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB
Disbursement Voucher
Prepared by:
GIAN CARLO D. RODRIGUEZ Chief Administrative Officer
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-003 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 3 of 78
MDS Check Commercial Check ADA Others (Please specify)
_________________
A.
B. Accounting Entry:
C. Certified: D. Approved for Payment
Cash available
Subject to Authority to Debit Account (when applicable)
Supporting documents complete and amount claimed Supporting documents complete and amount claimed
proper
E. Receipt of Payment JEV No.
Date
Official Receipt No. & Date/Other Documents
Check/ ADA No. :Date : Bank Name & Account Number:
Signature :Date : Printed Name:
Date Date
Printed Name Printed Name
PositionGrace A. Manalo
PositionTrinidad A. Rodriguez
Chief, Accounting Division Acting Executive Director
Approved for Payment
Signature Signature
Account Title UACS Code Debit Credit
Amount Due
Certified: Expenses/Cash Advance necessary, lawful and incurred under my direct supervision.
Particulars
Printed Name, Designation and Signature of Supervisor
National Tax Research Center Fund Cluster : 01
DISBURSEMENT VOUCHERDate :
DV No. :
________________________________________
Mode of Payment
PayeeTIN/Employee No.: ORS/BURS No.:
Address
Responsibility Center MFO/PAP Amount
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB
Itinerary of Travel
Prepared by:
GIAN CARLO D. RODRIGUEZ Chief Administrative Officer
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-004 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 4 of 78
Entity Name : National Tax Research Center
Fund Cluster: 01
Means of Per
Departure Arrival Transportation Diem
TOTAL
Prepared by :
Approved by:
ITINERARY OF TRAVEL
No.: _______________
Name : ____________________________________________Date of Travel : _____________________________
Position : __________________________________________Purpose of Travel : __________________________
(Destination)
Places to be visited
Official Station : _____________________________________ ___________________________________________
DateT I M E
Transporstation Others
Total Amount
I certify that : (1) I have reviewed the
foregoing itinerary, (2) the travel is
necessary to the service, (3) the period
covered is reasonable and (4) the
expenses claimed are proper.
Signature over Printed Name Signature over Printed Name
Immediate Supervisor Agency Head/Authorized Representative
_____________________________________________
Signature over Printed Name
____________________________________ ______________________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Entity Name: National Tax Research Center Fund Cluster : 01
Date : _______________________ RER No. : ___________________
Address ________________________________________________
purpose, distance, inclusive points of travel, etc.)
PAYEE
Name/Signature __________________________________________
Address ________________________________________________
WITNESS
Name/Signature __________________________________________
_________________________________________________________
RECEIVED from ______________________________________
(Name)
_________________________________________________ the amount
(Official Designation)
of __________________________________________ (P__________)
(In Words) (in Figures)
in payment for _______________________________________________
(Payments for subsistence, services,
_________________________________________________________
rental or transportation should show inclusive dates,
FORMS AFB
Reimbursement Expense Receipt
Prepared by:
GIAN CARLO D. RODRIGUEZ Chief Administrative Officer
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-005 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 5 of 78
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Entity Name: National Tax Research Center Fund Cluster: 01
___________________________
___________________________
Director in-Charge Station
I HEREBY CERTIFY THAT I have completed the travel as authorized in the Travel
Order/Itinerary of Travel No. ________ dated ________ under conditions indicated below:
/ x / Strictly in accordance with the approved itinerary.
/ / Cut short as explained below. Excess payment in the amount of
P_______ was refunded under O. R. No. ________ dated __________
/ / Extended as explained below, additional itinerary was submitted
/ / Other deviation as explained below.
Explanation or justifications:
______________________________________________________________________________
Evidence of travel:
__________________________________________________________________________________
__________________________________________________________________________________
_______________________________
Respectfully submitted:
_____________________________
Name of Employee
On evidence and information of which I have the knowledge, the travel was actually
undertaken.
Approved:
________________________
Name of Director
FORMS AFB
Certification of Travel Completed
Prepared by:
GIAN CARLO D. RODRIGUEZ Chief Administrative Officer
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-006 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 6 of 78
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FORMS AFB – HR Division
Payroll
Prepared by:
LORELLI D. VILLAFLORES Chief, HR Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-007 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 7 of 78
Entity Name : National Tax Research Center Payroll No. : _______________________
Fund Cluster : 01 Sheet _________of __________Sheets
A C
Date
B D E
ORS/BURS No. : __
Date : _______
JEV No. : _________
Date Date : _________
PAYROLL
We acknowledge receipt of cash shown opposite our name as full compensation for services rendered for the period covered.
Serial
No.Name Position
Employe
e No.
COMPENSATIONS D E D U C T I O N S
Net Amount Due Signature of RecipientSalaries
and
Gross
Amount
Total
Deductio
Grace A. Manalo
Chief, Accounting
Division
Milagros Alvarez
Disbursing Officer
CERTIFIED: Services duly rendered as stated. APPROVED FOR PAYMENT: _________________________________________________________________
_____________________________________________________________________(P )
Lorelli Villaflores
Chief, HR Division
Trinidad A. Rodriguez
Acting Executive Director
Date
CERTIFIED: Supporting documents complete and
proper; and cash available in the amount of P__.
CERTIFIED: Each employee whose name appears on the
payroll has been paid the amount as indicated opposite his/her
name
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – HR Division
Individual Performance and Commitment Review
Prepared by:
LORELLI D. VILLAFLORES Chief, HR Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-008 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 8 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
TO
: Website Committee
FROM
:
SUBJECT
:
You are hereby directed to:
1. Upload 2. Update 3. Delete/Replace 4. Modify
The following issuances/studies/publications/reports/others:
Remarks:
Requested by:
Chief of Branch
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
FORMS AFB – IT Unit
Website Form 1
Prepared by:
ABRAHAM P. SOLOMON Computer Maintenance Technologist III
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-009 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 9 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
TO
: Website Committee
FROM
:
SUBJECT
:
You are hereby directed to:
1. Upload 2. Update 3. Delete/Replace 4. Modify
The following issuances/studies/publications/reports/others:
Remarks:
Requested by:
Chief of Branch
Approved by:
TERESITA L. SOLOMON
Acting Deputy Director
FORMS AFB – IT Unit
Website Form 2
Prepared by:
ABRAHAM P. SOLOMON Computer Maintenance Technologist III
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-010 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 10 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
TO
: Website Committee
FROM
:
SUBJECT
:
You are hereby directed to:
1. Upload 2. Update 3. Delete/Replace 4. Modify
The following issuances/studies/publications/reports/others:
Remarks:
Requested by:
Chief of Branch
Approved by:
NEDINIA B. MENDIOLA
OIC – Planning and Coordinating Branch
FORMS AFB – IT Unit
Website Form 3
Prepared by:
ABRAHAM P. SOLOMON Computer Maintenance Technologist III
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-011 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 11 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Petty Cash Voucher
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-012 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 12 of 78
Date : _________________
I. To be filled out upon request II. To be filled out upon liquidation
Requested by:
Approved by:
Paid by:
Cash Received by:
Signature over Printed Name Signature over Printed Name
Payee Payee
Date: _______________ Date: _______________
__________________________ __________________________
Name of Requestor
__________________________ __________________________
Signature over Printed Name Signature over Printed Name
Name of Immediate Supervisor Petty Cash Custodian
Liquidation Submitted
__________________________
Signature over Printed Name Reimbursement Received by:
Petty Cash Custodian
Received Refund
__________________________
Signature over Printed Name Reimbursement Paid
______________
Amount Refunded/
(Reimbursed)
OR/Invoice No. _______
Total Amount Paid per
Total Amount Granted______________
PETTY CASH VOUCHERNo. : __________________
Entity Name : National Tax Research Center
Fund Cluster: 01
Payee/Office : ____________________________ Responsibility Center Code:
Address : ______________________________________________________
Particulars Amount
A C
B DD
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Entity Name: National Tax Research Center Report No:__________________
Fund Cluster: 01 Sheet No.:___________________
Date Petty Cash Particulars
Voucher No.
C E R T I F I C A T I O N
I hereby certify to the correctness of the above information.
________________________________ ____________
Elizabeth Miriam L. Paredes Date
REPORT ON PAID PETTY CASH VOUCHER
Amount
FORMS AFB – Administrative Division
Report on Paid Petty Cash Voucher
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-013 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 13 of 78
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Fund Cluster: 01
Date
Reference/
Check/
PCV No.
Cash Advance/
Replenishments
Received
Disbursements
Cash
Advance
Balance
Date
PETTY CASH FUND CUSTODIAN
________________
Payee Nature of Payment
C E R T I F I C A T I O N
I hereby certify that the foregoing is a correct and complete record of all
cash advances received and disbursements made by me in my capacity as Petty
Cash Fund Custodian of________________________ during the period from
_________________ to _______________, inclusive, as indicated in the
corresponding columns.
___________________________________
Elizabeth Miriam L. Paredes
Petty Cash Fund Custodian Official Designation Station
Entity Name : National Tax Research Center
_____________________________________________________________________________________________________
FORMS AFB – Administrative Division
Petty Cash Fund Custodian
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-014 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 14 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Petty Cash Fund Register
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-015 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 15 of 78
Department/Agency : National Tax Research Center Petty Cash Fund Custodian : _________________
Sub-Office/District/Division: ______________________________ Fund Cluster : 01
Municipality/City/Province:_______________________________ Sheet No. : ________________________________
PERSONNEL
SERVICES
(+) (-) (50101020) (50201010) (50203010) (50204010) (50204020) (5020502002)
TOTALS - - - - - - - - -
PETTY CASH FUND REGISTER
Telephone
Expenses -
Landline
Date
PCV/
Check
No.
Particulars
PETTY CASH FUND
(10101020)
BREAKDOWN OF PAYMENTS
MAINTENANCE AND OTHER OPERATING
EXPENSES
Receipts
Payments Balance
___________________________________
Elizabeth Miriam L. Paredes
Petty Cash Custodian
Salaries and Wages-
Casual/ Contractual
Traveling
Expenses-
Local
Office
Supplies
Expenses
Water
Expenses
Electricity
Expenses
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Stock Card
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-016 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 16 of 78
Entity Name: National Tax Research Center Fund Cluster: 01
Item : Stock No. :
Description : Re-order Point :
Unit of Measurement :
Receipt Balance
Qty. Qty. Office Qty.
STOCK CARD
Date ReferenceIssue No. of Days to
Consume
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Inventory Custodian Slip
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-017 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 17 of 78
Entity Name: National Tax Research Center
Fund Cluster : 01 ICS No : ______________
Received from: Received by:
INVENTORY CUSTODIAN SLIP
Date Date
__________________________________ ______________________________
Position/Office Position/Office
__________________________________ ______________________________
__________________________________ ______________________________
Signature Over Printed Name Signature Over Printed Name
Quantity Unit
Amount
DescriptionInventory
Item No.
Estimated
Useful LifeUnit Cost Total Cost
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Purchase Request
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-018 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 18 of 78
Entity Name: National Tax Research Center
Signature :
Printed Name:
Designation :
PURCHASE REQUEST
Fund Cluster: 01
Office/Section : _____________ PR No.: ______________ Date: ____________
Responsibility Center Code : ______
Stock/
Property No.Unit
Item
DescriptionQuantity
Unit
CostTotal Cost
Purpose: ____________________________________________________________
_______________________________________________________________
_______________________________________________________________
_________________________ ___________________________
Requested by: Approved by:
_________________________ ___________________________
_________________________ ___________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Purchase Order
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-019 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 19 of 78
Supplier : _____________________________________________P.O. No. : ____________________________
Address : _____________________________________________
Gentlemen:
Place of Delivery : ___________________________________
Date of Delivery : ____________________________________
Stock/
Property
No.
Unit Description Quantity Unit Cost Amount
(Total Amount in Words)
Fund Cluster : ___________________________________ORS/BURS No. : ______________________
Funds Available : _________________________________Date of the ORS/BURS: _______________
Amount : ____________________________
PURCHASE ORDER
National Tax Research CenterEntity Name
Date : _______________________________
TIN : ________________________________________________Mode of Procurement : _________________
Please furnish this Office the following articles subject to the terms and conditions contained herein:
Delivery Term : ________________________
Payment Term : ________________________
In case of failure to make the full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day
of delay shall be imposed on the undelivered item/s.
Conforme: Very truly yours,
__________________________ ________________________________
Signature over Printed Name of Supplier Signature over Printed Name of Authorized Official
___________________________ _____________________________
Date Designation
________________________________________
Grace A. Manalo
Chief, Accounting Division
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Inspection and Acceptance Report
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-020 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 20 of 78
Entity Name : National Tax Research Center
IAR No. : _______________
Date : _________________
Invoice No. : ____________
Date : _________________
Stock/
Property No.Unit
INSPECTION AND ACCEPTANCE REPORT
Fund Cluster : 01
Supplier : ______________________________________________
PO No./Date : ___________________________________________
Requisitioning Office/Dept. : _______________________________
Responsibility Center Code : _______________________________
Description Quantity
INSPECTION ACCEPTANCE
Inspection Officer/Inspection Committee Supply and/or Property Custodian
Date Inspected : ________________________ Date Received : _____________________
Inspected, verified and found in order as to quantity and
specifications
Complete
Partial (pls. specify quantity)
____________________________________________ ___________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Requisition and Issue Slip
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-021 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 21 of 78
Entity Name : National Tax Research Center Fund Cluster : 01
Division : _______________________________________________Responsibility Center Code : ______________________
Office : ________________________________________________RIS No. : _____________________________________
Stock No. Unit Description Quantity Yes No Quantity Remarks
Purpose:
Requested by: Received by:
Signature :
Printed Name :
Designation :
Date :
REQUISITION AND ISSUE SLIP
Requisition Stock Available? Issue
Approved by: Issued by:
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Reports of Supplies and Materials Issued
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-022 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 22 of 78
Entity Name: National Tax Research Center Serial No. : _______________________
Fund Cluster: 01 Date : ___________________________
Posted by:
______________
Date
I hereby certify to the correctness of the above information.
_____________________________________________ __________________________
Signature over Printed Name of Supply and/or
Property Custodian
Signature over Printed
Name of Designated
Accounting Staff
Recapitulation: Recapitulation:
Stock No. Quantity Unit Cost Total Cost UACS Object Code
REPORT OF SUPPLIES AND MATERIALS ISSUED
To be filled up by the Supply and/or Property Division/Unit To be filled up by the Accounting Division/Unit
RIS No.Responsibility Center
Code Stock No. Item Unit
Quantity
IssuedUnit Cost Amount
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Waste Materials Report
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-023 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 23 of 78
Entity Name : National Tax Research Center Fund Cluster : 01
Place of Storage : ___________________________________________ Date : ________________________________
No. Date Amount
1
2
3
4
5
6
7
8
9
10
Certified Correct :
I hereby certify that the property enumerated above was disposed of as follows:
Item ________ Destroyed
Item ________ Sold at private sale
Item ________ Sold at public auction
Item ________ Transferred without cost to __(Name of the Agency/Entity)__
Certified Correct: Witness to Disposal:
WASTE MATERIALS REPORT
ITEMS FOR DISPOSAL
Item Quantity Unit Description
Record of Sales
Official Receipt
Signature over Printed Name of
Inspection Officer
Signature over Printed
Name of Witness
TOTAL
Disposal Approved :
__________________________________
Signature over Printed Name of
Supply and/or Property Custodian
Signature over Printed Name of
Head of Agency/Entity or his/her
CERTIFICATE OF INSPECTION
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Fund Cluster : 01
(Quantity) (Quantity) Quantity Value
Certified Correct by: Approved by: Verified by:
________________________________ ___________________
Signature over Printed Name
of COA Representative
REPORT ON THE PHYSICAL COUNT OF INVENTORIES
Signature over Printed Name of Head of
Agency/Entity or Authorized Representative
For which ___(Name of Accountable Officer )_________, _ (Official Designation )___, National Tax Research Center
Article DescriptionStock
Number
Unit of
Measure
Unit
Value
is accountable, having assumed such accountability on ___(Date of Assumption)____.
Balance Per
Card
On Hand Per
CountShortage/Overage
Remarks
Signature over Printed Name of Inventory
Committee Chair and Members
FORMS AFB – Administrative Division
Report on the Physical Count of Inventories
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-024 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 24 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB- Administrative Division
Report of Accountability for Accountable Forms
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-025 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 25 of 78
Entity Name : National Tax Research Center
From To From To From To From To
Inclusive Serial Nos.Quantity
REPORT OF ACCOUNTABILITY FOR ACCOUNTABLE FORMS
For the month of ______________________________, 20___
Fund Cluster : 01
Accountable Forms Beginning Balance Receipt Issue Ending Balance
A. WITH FACE VALUE
Name of Form NumberFace
Value Quantity
Inclusive Serial Nos.Quantity
Inclusive Serial Nos.Quantity
Inclusive Serial Nos.
B. WITHOUT FACE VALUE
Signature over Printed Name of the Accountable Officer
C E R T I F I C A T I O N
I hereby certify that the foregoing is a true statement of all accountable forms received,
issued and transferred by me during the period above-stated and that the beginning and ending balances are correct.
_________________________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Property Card
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-026 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 26 of 78
Entity Name : National Tax Research Center Fund Cluster: 01
Property Number: ____
Receipt Balance
Qty. Qty. Qty.
PROPERTY CARD
Property, Plant and Equipment :
Description :
Date Reference/
PAR No.
Issue/Transfer/ Disposal
Amount Remarks
Office/Officer
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Entity Name : National Tax Research Center
Qty.Unit
Cost
Total
Cost
Nature of
RepairAmount
PROPERTY, PLANT AND EQUIPMENT LEDGER CARD
Fund Cluster : 01
Property, Plant and Equipment: Object Account Code: ___________________________________
Estimated Useful Life: __________________________________
Description: Rate of Depreciation: __________________________________
Date Reference
Receipt
Accumulated
Depreciation
Accumulated
Impairment
Losses
Issues/Transfers/
Adjustment/s
Adjusted
Cost
Repair History
FORMS AFB – Administrative Division
Property, Plant and Equipment Ledger Card
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-027 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 27 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Property Acknowledgment Receipt
Prepared by:
ELIZABETH MIRIAM L. PAREDES
Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-028 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 28 of 78
Entity Name : National Tax Research Center
Issued by:
PROPERTY ACKNOWLEDGMENT RECEIPT
Fund Cluster: 01 PAR No.: _________________
Amount
Received by:
_________________________________________ __________________________________________
Signature over Printed Name of End User Signature over Printed Name of Supply
and/or Property Custodian
Quantity Unit DescriptionProperty
Number
Date
Acquired
Date Date
__________________________________ _______________________________
Position/Office Position/Office
_________________________ _________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Report on the Physical Count of Property, Plant and Equipment
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-029 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 29 of 78
Fund Cluster : ________________________________
Q UANTITY per Q UANTITY per
REMARKS
Certified Correct by: Approved by:
Signature over Printed
Name of Inventory
Committee Chair and
Members
ARTICLE DESCRIPTIONPROPERTY
NUMBER
UNIT OF
MEASUREUNIT VALUE
REPORT ON THE PHYSICAL COUNT OF PROPERTY, PLANT AND EQUIPMENT
________________________________
(Type of Property, Plant and Equipment)
As at ________________________________
For which ___(Name of Accountable Officer )__, _ (Official Designation )___, _______(Entity Name )________ is accountable, having assumed such accountability on _(Date of Assumption) .
SHORTAGE/OVERAGE
Verified by:
_______________________________
Signature over Printed Name of Head of Agency/Entity or
Authorized Representative
Signature over Printed Name of COA
Representative
PHYSICAL CO UNTPRO PERTY CARD
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Inventory and Inspection Report of Unserviceable Property
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-030 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 30 of 78
Entity Name: National Tax Research Center
______________________________
(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12) (13) (14) (15) (16) (17) (18)
Requested by: Approved by:
INVENTORY AND INSPECTION REPORT OF UNSERVICEABLE PROPERTY
As at _________________________________
Fund Cluster : 01
______________________________ ______________________________
Date
Acquired
Particulars
/ Articles
Property
No.Qty
Unit
Cost
(Name of Accountable Officer) (Designation) (Station)
INVENTORY INSPECTION and DISPOSAL
Total
Cost
Accumulat
ed
Depreciati
on
Accumulat
ed
Impairment
Losses
Carrying
AmountRemarks
Appraised
Value
RECORD OF SALES
Sale Transfer DestructionOthers
(Specify)Total OR No. Amount
DISPOSAL
(Designation of Accountable Officer) (Designation of Authorized Official)
I HEREBY request inspection and disposition, pursuant to Section 79 of PD 1445, of the property enumerated above.
I CERTIFY that I have inspected each
and every article enumerated in this report,
and that the disposition made thereof was,
in my judgment, the best for the public
interest.
I CERTIFY that I have
witnessed the disposition of the
articles enumerated on this
report this ____day of
_____________, _____.
(Signature over Printed Name of
Inspection Officer)
(Signature over Printed Name
of Witness)
(Signature over Printed Name of Accountable
Officer)
(Signature over Printed Name of
Authorized Official)
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Administrative Division
Report of Lost, Stolen, Damaged or Destroyed Property
Prepared by:
ELIZABETH MIRIAM L. PAREDES Chief, Administrative Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-031 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 31 of 78
Police Notified : Yes
No
Status of Property : (check applicable box)
Lost Damaged
Stolen Destroyed
Circumstances:
Noted by:
Government Issued ID : __________________
ID No. : _____________________________
Date Issued : _________________________
Doc. No. _________
Page No. _________
Book No. _________
Series of _________
REPORT OF LOST, STOLEN, DAMAGED OR DESTROYED PROPERTY
Entity Name : National Tax Research Center Fund Cluster: 01
Department/Office : ___________________________________________RLSDDP No. : ______________
Accountable Officer : _________________________________________RLSDDP Date : _____________
Designation : ________________________________________________PAR No. : _________________
Police Station : ____________________PAR Date : ________________
Date : ___________________________
Property No. Description Acquisition Cost
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Date Date
SUBSCRIBED AND SWORN to before me this ______day of _____________, affiant exhibiting the above
government issued identification card.
Notary Public
I hereby certify that the item/s and circumstances stated
above are true and correct.
__________________________________________ __________________________________
Signature over Printed Name of the Accountable Officer Signature over Printed Name of the Immediate Supervisor
________________ ________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
General Journal
Month ______________
Entity Name : National Tax Research Center
Fund Cluster : 01 Sheet No. : ___________
Date JEV
Particulars UACS
P Amount
No. Object Code Debit Credit
Totals
CERTIFIED CORRECT:
Grace A. Manalo
Chief, Accounting Division
FORMS AFB – Accounting Division
General Journal
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-032 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 32 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Cash Receipts Journal
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-033 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 33 of 78
Entity Name : National Tax Research Center
Fund Cluster : 01
UACS
Object
Code
P Amount
UACS
Object
Code
P Amount
Totals
AO 5-14-02
Recapitulation:
Debit Credit
Certified Correct:
CASH RECEIPTS JOURNAL
SUNDRY
Total
Grace A. Manalo
Chief, Accounting Division
Account Code PAmount
Month _________________
Sheet No. : __________
Date
RCD/
CRReg
No.
JEV No.
Name of
Collectin
g Officer
COLLECTIONS DEPOSITS
DEBIT
CREDIT DEBIT
CREDIT
SUNDRY
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Cash Disbursements Journal
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-034 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 34 of 78
Entity Name : National Tax Research Center
Fund Cluster : 01 Sheet No. : __________
Account
Title
UACS
Object
Code
P AmountAccount
Title
UACS
Object
Code
P Amount
AO 5-14-02
Recapitulation:
Debit Credit
Total
Certified Correct:
Account Code PAmount
Grace A. Manalo
Chief, Accounting Division
CASH DISBURSEMENTS JOURNAL
Month _________________
DATE JEV No.RCDisb
No.
Name of
Disbursi
ng
Officer
CREDIT
Office
Supplies
Expenses
(5020301
Transport
ation and
Delivery
Expenses
Fuel, Oil
and
Lubricant
s
DEBIT
SUNDRYAdvances
for
Payroll
(1990102
Advances
for
Operating
Expenses
Advances
to Special
Disbursin
g Officer
SUNDRY Water
Expenses
(5020401
0)
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Check Disbursements Journal
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-035 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 35 of 78
Entity Name : National Tax Research Center
Fund Cluster : 01
From To
UACS
Object
Code
P Amount
UACS
Object
Code
P Amount
Totals
Recapitulation:
Debit Credit
Certified Correct:
SUNDRYSUNDRY
CHECK DISBURSEMENTS JOURNAL
Month __________________
Sheet No. : ______________________
CREDIT DEBIT
Total
Chief, Accounting Division
DATE JEV No.RCI/DV
No.
Serial No. of
Checks Name of
Disbursi
ng
Officer
Grace A. Manalo
Account Code PAmount
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
GENERAL LEDGER
Entity Name: National Tax Research Center Fund Cluster : 01
Account Title: ______________________ UACS Object Code: _______
Date Particulars Ref. Amount
Debit Credit Balance
Totals
FORMS AFB – Accounting Division
General Ledger
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-036 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 36 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
SUBSIDIARY LEDGER
Entity Name : National Tax Research Center Fund Cluster : 01
Account of: Account Code
Office/Address: GL _____________________
Contact Person: SL _____________________
Contact Number/Email Address:
Date Particulars Ref. Amount
Debit Credit Balance
Totals
FORMS AFB – Accounting Division
Subsidiary Ledger
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-037 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 37 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Registry of Revenue and Other Receipts - Summary
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-038 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 38 of 78
Entity Name : National Tax Research Center
Date Reference
UACS
Object
Code
Estimated
Revenue
Revenue
Collections
Non-Revenue
Collections/Oth
er Receipts
Cumulative
Revenue/
Other Receipts
Variance
(Estimated
Revenue over
Cumulative
Revenue and
Other Receipts)
Remittance to
BTr
Deposit
with AGDB/
AABs
Cumulative
Remittances
and Deposits
Unremitted/
Undeposited
Revenue and
Other Receipts
(a) (b) (c) d= (b+c) e= (a-d) (f) (g) h= (f+g) i= (d-h)
REGISTRY OF REVENUE AND OTHER RECEIPTS - SUMMARY
For the year ___________________
Fund Cluster : 01
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FORMS AFB – Accounting Division
Registry of Revenue and Other Receipts
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-039 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 39 of 78
Entity Name: National Tax Research Center
Fund Cluster: Regular Agency/Foreign Assisted Projects Fund Sheet No. : ______________________
Income
Tax
Profession
al Tax
Travel
Tax
Immigratio
n Tax Permit Fees
Registration
Fees
Registration
Plates, Tags
& Sticker
Fees
Clearance
and
Certification
Fees
Franchising
Fees
(40101010) (40101020) (40101030) (40101040) (40201010) (40201020) (40201030) (40201040) (40201050)
(a) (b) (c) (d) (e) (f) (g) (h) (i)=(b+c+d+e+f) (j) (k) (l) (m) (n) (o) (p)=(h+i+j+k+l+m) (q) (q) (r)= (o+p) (s)= (g+n) (t)= (a-q) (u) (v) (w)=(s+t) (x)=(q-u)
REGISTRY OF REVENUE AND OTHER RECEIPTSFor the year ___________________
Date Reference
Estimated Revenue Tax Revenue Collections Non-Tax Revenue Collections Non-Revenue Collections
Cumulati
ve
Revenue
/ Other
Receipts
OriginalAdjustme
ntsFinal Total
Variance
(Estimated
Revenue over
Cumulative
Revenue and
other Receipts)
Remittance to
BTr
Deposit
with
AGDBs/
AABs
Cumulativ
e
Remittanc
es and
Deposits
Unremitted
/
Undeposite
d Revenue
and Other
Receipts
Total
Refunds of
Overpayment
of Expenses
Total
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Notice of Budget Utilization Request and Status Adjustment
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-040 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 40 of 78
NBURSA No. : _______
Date : _____________
Fund Cluster : 01
For: The Budget Officer:
Budget Division/Unit
Please adjust BURS No. ___________________dated _______________
due to the following changes:
Responsibility Center to ___________________________
Particulars to ___________________________
MFO/PAP to ___________________________
Account Code to ___________________________
Amount to P ___________________________
Please adjust RBUD for excess/under obligation per attached
JEV No. ___________dated ____________.
Prepared by: Approved by:
Certified Correct: Verified by:
___________________________ Cecilia V. Salvatierra
Head of the Requesting Division Chief, Budget and Cash Division
NOTICE OF BUDGET UTILIZATION
REQUEST AND STATUS ADJUSTMENT
National Tax Research Center
___________________________ Grace A. Manalo
Accounting Staff-in-Charge Chief, Accounting Division
A. B.
C. D.
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Aging of Due and Demandable Obligations
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-041 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 41 of 78
Number Date Amount
2 3 4 5 6 7 8 9 10 11
Certified Correct by:
Certified Correct by:
Date: ____________
Date: ________ Date: _________________
Chief, Accounting Division Acting Executive Director
TOTAL
Recommended by: Approved by:
Grace A. Manalo Trinidad A. Rodriguez
RemarksAmount
90 days &
below
91 to 180
days
181 to 270
days
271 to 360
days
Beyond
360 days
FAR No. 3
AGING OF DUE AND DEMANDABLE OBLIGATIONS
As of December 31, _______
Department: Department of Finance
Entity Name: National Tax Research Center
Operating Units: 01
Chief, Budget and Cash Division
Cecilia V. Salvatierra
Gian Carlo D. Rodriguez
Chief Administrative Officer
Date: _________________
Organization Code (UACS): ___________________________________________
Funding Source Code (as clustered): 01
Name of CreditorObligation Request
AGING OF DUE AND DEMANDABLE OBLIGATIONS
1
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FORMS AFB – Accounting Division
Monthly Report of Disbursements
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-042 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 42 of 78
PS MOOE Fin. Exp CO Sub-Total PS MOOE Fin. Exp CO Sub-Total
2 3 4 5 6= (2+
3+4+5)7 8 9 10
11= (7+
8+9+10)12 13 14 15
16=
(12+
13+14+1
5)
17=(11+16)18=(6+17) 19 20 2122=(19+
20+21)23 24 25 26
27=(23+2
4+25+26)28
Notice of Cash Allocation (NCA)
MDS Checks Issued
Advice to Debit Account
Working Fund (NCA issued to BTr)
Tax Remittance Advices Issued (TRA)
Cash Disbursement Ceiling (CDC)
Non-Cash Availment Authority (NCAA)
Others (CDT, BTr Docs Stamp, etc.)
TOTAL
Advice to Debit Account
Tax Remittance Advices Issued
Cash Disbursement Ceiling
Non-Cash Availment Authority
Others (CDT, Docs Stamp, etc.)
TOTAL
Advice to Debit Account
Tax Remittance Advices Issued
Cash Disbursement Ceiling
Non-Cash Availment Authority
Others (CDT, Docs Stamp, etc.)
TOTAL
Advice to Debit Account
Tax Remittance Advices Issued
Cash Disbursement Ceiling
Non-Cash Availment Authority
Others (CDT, Docs Stamp, etc.)
SUMMARY:
As of Date
Total Disbursement Authorities Received
NCA Less: * Actual Disbursements
Working Fund
TRA
CDC
NCAA
Others (CDT, BTr Docs Stamp, etc.)
Less: Notice of Transfer Allocations (NTA)* issued
Total Disbursements Authorities Available
Less: Lapsed NCA
Disbursements *
Balance of Disbursements Authorities as of to date
Notes: The use of NTA is discouraged
* Amounts should tally
Certified Correct: Approved By:
Operating Unit: 01
FAR No. 4
MONTHLY REPORT OF DISBURSEMENTS
For the month of ______, 20___Department: Department of Finance
Entity Name: National Tax Research Center
Organization Code (UACS): __________________________________
Funding Source Code (as clustered): 01
PARTICULARS
CURRENT YEAR BUDGET PRIOR YEAR'S BUDGET
TOTAL
TRUST LIABILITIES GRAND TOTAL
RemarksPS MOOE Fin. Exp CO TOTAL
PRIOR YEAR'S ACCOUNTS PAYABLE CURRENT YEAR'S ACCOUNTS PAYABLE
SUB-
TOTA
L
Notice of Cash Allocation
Fin. Exp CO TOTAL
1
FEBRUARY
Notice of Cash Allocation
PS MOOE CO TOTAL PS MOOE
MDS Checks Issued
MARCH
Notice of Cash Allocation
MDS Checks Issued
1ST QUARTER
MDS Checks Issued
GRAND TOTAL
Previous Report (Feb) This month (March) This month (March) As of Date
Total Disbursements Program
(Over)/Under spending
Grace A. Manalo Trinidad A. Rodriguez
Chief, Accounting Division Acting Executive Director
Date: ____________________________ Date: ____________________________
Previous Report (Feb)
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Quarterly Report of Revenue and Other Receipts
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-043 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 43 of 78
1st Quarter 2nd Quarter 3rd Quarter 4th Quarter TOTALRemittance to
BTr
Deposited
with AGDBTotal Amount %
2 3 4 5 6 7 8=(4+5+6+7) 9 10 11=(9+10) 12=(8-3) 13 = (12 / 3) 14
A. General Fund (formerly Fund 101)
- Tax
Documentary Stamp Tax 40104010 00
- Non-Tax
Permit Fees Import 40201010 01
B. Special Account in the
General Fund (formerly Fund 105, 183, 401, 151-159)
- Tax
- Non-Tax
C. Off-Budget Accounts (formerly Fund 161 to 164, etc.)
D. Custodial Funds (formerly Fund 101-184, 187)
TOTAL
Certified Correct: Approved By:
Entity Name: National Tax Research Center
Grace A. Manalo
FAR No. 5
QUARTERLY REPORT OF REVENUE AND OTHER RECEIPTSAs of the Quarter Ending _____________
(In Pesos)
Department: Department of Finance
Operating Unit: 01
Organization Code (UACS): ___________________________________
CLASSIFICATION / SOURCES
OF REVENUE AND OTHER RECEIPTSUACS Code
REVENUE
TARGET
(Annual)
VARIANCE
Remarks
1
Trinidad A. Rodriguez
ACTUAL REVENUE AND OTHER RECEIPTS/COLLECTIONS
Chief, Accounting Division Acting Executive Director
Date: ______________________________________ Date: __________________
CUMULATIVE REMITTANCE
/DEPOSITS TO DATE
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FORMS AFB – Accounting Division
Order of Payment
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-044 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 44 of 78
Total
Entity Name : National Tax Research Center Serial No. : _______________
Fund Cluster : 01 Date : __________________
ORDER OF PAYMENT
The Collecting Officer
Budget and Cash Division
Please issue Official Receipt in favor of
(Name of Payor)
P
(Address/Office of Payor)
in the amount of _____________________________________(P_____________)
for payment of
(Purpose)
per Bill No. ________________ dated __________________.
Please deposit the collections under Bank Account/s:
No. Name of Bank Amount
P
Grace A. Manalo
Chief, Accounting Division
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Notice of Obligation Request and Status Adjustment Serial No. : _________
National Tax Research Center Date : _____________
Fund Cluster : ______
For: The Budget Officer:
Budget Division/Unit
Please adjust ORS No. __________dated _______
due to the following changes:
Responsibility Center to ___________________________
Particulars to ___________________________
MFO/PAP to ___________________________
Account Code to ___________________________
Amount to P ___________________________
Please adjust RAOD for excess/under obligation per
attached JEV No. _______dated _____.
Prepared by: Approved by:
____________________________
Accounting Staff-in-Charge Grace A. Manalo
Chief, Accounting Division
Certified Correct:
Verified by:
_____________________________ Cecilia V. Salvatierra
Head of Requesting Office/ Chief, Budget and Cash Division
Authorized Representative
FORMS AFB – Accounting Division
Notice of Obligation Request and Status Adjustment
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-045 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 45 of 78
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FORMS AFB – Accounting Division
Journal Entry Voucher
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-046 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 46 of 78
TOTAL
Prepared by: Certified Correct:
Administrative Officer III Chief, Accounting Division
Angelito L. Olaes Grace A. Manalo
Entity Name : National Tax Research Center
Fund Cluster : 01
_______________________________ __________________________________
JOURNAL ENTRY VOUCHER JEV No.:________
Date :
Responsibility
Center
ACCOUNTING ENTRIES
Accounts and Explanation
UACS
Object
Code
Amount
Debit Credit
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FORMS
AFB – Accounting Division
Advice to Debit Account Disbursements Journal
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-0 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 47 of 78
DATE J E V RADAI
No. No. From To
UACS
Object
Code
P Amount
UACS
Object
Code
P Amount
Totals
Debit Credit
Total
Certified Correct:
ADVICE TO DEBIT ACCOUNT DISBURSEMENTS JOURNAL
Chief, Accounting Division
S U N D R Y
Recapitulation:
Account
CodeP
Amount
Grace A. Manalo
Entity Name : National Tax Research Center
Fund Cluster : 01 Sheet No. : ____________________
LDDAP-
ADA No.Name of
Disbursing
Officer/
Cashier
C R E D I T D E B I T
S UND R Y
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Index of Payments
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-048 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 48 of 78
INDEX OF PAYMENTS
Entity Name: National Tax Research Center Fund Cluster: 01
Creditor: _________________________________Address: _____________________________________Employee No.: _________________
TIN: _________________________
DateReference/DV/
Payroll No.Particulars
Check/LDDAP-ADA AMOUNT
Date No.Gross
Amount
Deductions Net
Amount
________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Cash Disbursements Record
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-049 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 49 of 78
Entity Name : National Tax Research Center
Fund Cluster : 01
Milagros Alvarez
________________
Date
C E R T I F I C A T I O N
I hereby certify on my official oath that the foregoing is a correct and complete record of all
cash disbursements had by me in my capacity as ______(Designation)____ of National Tax
Research Center during the period from _______________ to _______________,inclusive, as
indicated in the corresponding columns.
_______________________________
Accountable Officer Disbursing Officer
Date
ADA/Check/
DV/Payroll/
Reference
No.
Payee
UACS
Object
Code
Nature of Payment
Cash
Advance
Received/
(Refunded)
Disbursements
Cash
Advance
Balance
Sheet No. : _________________
Milagros Alvarez ________________________________ ________________
Station
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FORMS AFB – Accounting Division
Report of Cash Disbursements
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Executive Director
Code: NTRC-QMS-PAWIM-FR-050 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 50 of 78
Entity Name : National Tax Research Center Report No. : ______________________
Fund Cluster : 02 Sheet No. : _______________________
______________
Official Designation Date
REPORT OF CASH DISBURSEMENTS
Rita B. Par
UACS Object Code Nature of Payment Amount
CERTIFICATION
I hereby certify on my official oath that this Report of Cash Disbursements
in _________ sheet(s) is a full, true and correct statement of all cash
disbursements during the period stated above actually made by me in payment for
obligations shown in pertinent disbursement vouchers/payroll.
DateDV/Payroll
No.
ORS/BURS
No.
Responsibility
Center CodePayee
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Serial No.: _________________
Date: _____________________
Responsibility Center Code:
__________________________
A Certified: Correctness of the Certified: Purpose of travel /
above data cash advance duly accomplished
________________________ ________________________ ________________________
Signature over Printed Name Signature over Printed Name Grace A. Manalo
Claimant Immediate Supervisor Chief, Accounting Division
JEV No.: ___________________
Date: ______________________Date: _____________________ Date: _____________________
AMOUNT OF CASH ADVANCE PER DV NO.______DTD. ______
AMOUNT REFUNDED PER OR NO. ________DTD. ___________
AMOUNT TO BE REIMBURSED
Certified: Supporting documents
complete and proper
TOTAL AMOUNT SPENT
LIQUIDATION REPORT
Entity Name : National Tax Research Center
Fund Cluster : 01
PARTICULARS AMOUNT
B C
FORMS AFB – Accounting Division
Liquidation Report
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-051 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 51 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Schedule of Accounts Payable
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-052 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 52 of 78
Entity Name: National Tax Research Center
Fund Cluster: 01 UACS Object Code : ______________
less than 91-365 Over Over Over 3 years
90 days days 1 year 2 years and onwards
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Certified Correct :
Grace A. Manalo
Chief, Accounting Division
SCHEDULE OF ACCOUNTS PAYABLE
No.
Name of Creditor
(in alphabetical
order)
Amount
Balance
Amount Due
RemarksCurrent Past Due
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
less than 91-365 Over Over Over 3 years
90 days days 1 year 2 years and onwards
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Certified Correct :
SCHEDULE OF ACCOUNTS RECEIVABLE
Entity Name: National Tax Research Center
Fund Cluster: 01 UACS Object Code : ______________
No.
Name of Debtor
(in alphabetical
order)
Amount
Balance
Amount Due
RemarksCurrent Past Due
Grace A. Manalo
Chief, Accounting Division
FORMS AFB – Accounting Division
Schedule of Accounts Receivable
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-053 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 53 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Registry of Accounts Written Off
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-054 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 54 of 78
Date No.Amount
REGISTRY OF ACCOUNTS WRITTEN OFF
Account Title :___________________________________ Fund Cluster : 01
UACS Object Code :______________________________ Sheet No. : ________________
ReferenceParticulars
Reason for
Write-offAuthority
No. of Years
Uncollected
Entity Name : National Tax Research Center
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Accounting Division
Supplies Ledger Card
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-055 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 55 of 78
Entity Name : National Tax Research Center
Item : Item Code :
Description : Re-order Point :
Unit of Measurement :
SUPPLIES LEDGER CARD
Fund Cluster : 01
Date Reference
Receipt Issue Balance No. of
Days to
ConsumeQty.
Unit
CostTotal CostQty.
Unit
CostTotal Cost Qty.
Unit
CostTotal Cost
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Particulars Agency Bank Explanatory Comment
Unadjusted Balances xxx xxx
Add/Deduct: Bank
Reconcilng Items
1. Unrecorded NCA xxx See Schedule ___
2. Errors which understates the
bank balance xxx
3. Lapsed NCA (xxx)
4. Outstanding Checks (xxx) See Schedule ___
5. Errors which overstates the
bank balance (xxx)
Add/Deduct: Agency Book
Reconcilng Items
1. Unrecorded NCA xxx NCA No. ____
2. Cancelled Checks xxx See Schedule ___
3. Errors which understates the
book balance xxx CM No. ____
4. Lapsed NCA (xxx) See Schedule ___
5. Errors which overstates the
book balance (xxx) DM No. ____
6. Bank Charges (xxx) DM No. ____
Adjusted Balances xxx xxx
Name of the Agency
Cash - MDS, Regular
Monthly Reconciliation Statement
As of ____________________
Fund Cluster: 01
FORMS AFB – Accounting Division
Bank Reconciliation Statement, Cash – MDS
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-056 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 56 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
Particulars Agency Bank Explanatory Comment
Unadjusted Balances xxx xxx
Add/Deduct: Bank
Reconcilng Items
1. Unrecorded NCA xxx See Schedule ___
2. Errors which understates the
bank balance xxx
3. Lapsed NCA (xxx)
4. Outstanding Checks (xxx) See Schedule ___
5. Errors which overstates the
bank balance (xxx)
Add/Deduct: Agency Book
Reconcilng Items
1. Unrecorded NCA xxx NCA No. ____
2. Cancelled Checks xxx See Schedule ___
3. Errors which understates the
book balance xxx CM No. ____
4. Lapsed NCA (xxx) See Schedule ___
5. Errors which overstates the
book balance (xxx) DM No. ____
6. Bank Charges (xxx) DM No. ____
Adjusted Balances xxx xxx
Name of the Agency
Cash - Local Currency Savings Account
Monthly Reconciliation Statement
As of ____________________
Fund Cluster: 01
FORMS AFB – Accounting Division
Bank Reconciliation Statement, Cash – Local Currency Savings Account
Prepared by:
GRACE A. MANALO Chief, Accounting Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-057 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 57 of 78
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FORMS AFB – Budget and Cash Division
Obligation Request and Status
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-058 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 58 of 78
Certified: Allotment available and obligated
for the purpose/adjustment necessary as
supporting documents valid, proper and legal indicated above
Signature : _________________
Printed Name: _________________
Position : Cecilia Salvatierra
Date : ______________
C.
Not Yet DueDue and
Demandable
(a) (c) (a-b) (b-c)
Balance
(b)
Date ParticularsORS/JEV/Check/
ADA/TRA No.
Obligation Payable Payment
Chief, Budget and Cash Division
Date : ___________________________________
STATUS OF OBLIGATION
Reference Amount
Signature : ___________________________________
Printed Name: ____________________________________
Position : ____________________________________
Head, Requesting Office/Authorized Representative
A.Charges to appropriation/alloment are
B.Certified:
necessary, lawful and under my direct supervision;and
Responsibility Center Particulars MFO/PAPUACS Object
CodeAmount
Payee
Office
Address
OBLIGATION REQUEST AND STATUS Serial No. :
National Tax Research Center Date : _________________________
Fund Cluster : 01
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Summary of LDDAP-ADAs Issued and Invalidated ADA Entries
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-059 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 59 of 78
Department: Department of Finance
To: The Bank Manager
(Bank Branch)
(Address)
PS MOOE CO FE
No. of pcs of LDDAP-ADA _____________
PS MOOE CO FE TOTAL
Certified Correct by: Approved by:
Chief, Budget and Cash Division Head of Agency/Authorized Official
(Signature) (Signature)
Cecilia V. Salvatierra (Name in Print)
Total Amount
LDDAP-ADA No. AmountDate
Issued
OF WHICH INVALIDATED ENTRIES OF PREVIOUSLY ISSUED LDDAP-ADAs
Allotment/Object Class
Remarks
LDDAP-ADA No.Date of
Issue
Amount For GSB Use Only
TotalAllotment/Object Class
Remarks
Operating Unit: ______________________________ Date : _____________________________
Fund Cluster: 01
Entity Name: National Tax Research Center SLIIAE No.: _________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Report of Advice to Debit Account Issued
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-060 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 60 of 78
Entity Name : National Tax Research Center
Date Serial No.
Bank Name/Account No. : __________________________________ Sheet No.: ____________________________
REPORT OF ADVICE TO DEBIT ACCOUNT ISSUED
Period Covered: ________________
Fund Cluster : 01 Report No.: ____________________________
Rita B. Par
ADA DV/Payroll
No.
ORS/BURS
No.
Responsibility
Center CodePayee
UACS
Object CodeNature of Payment Amount
CERTIFICATION
I hereby certify on my official oath that the above is a true statement of all ADAs issued by me during
the period stated above for which ADA Nos. ____________ to ___________ inclusive, were actually issued by me in the amounts shown thereon.
Cashier
________________________________ ________________________
Official Designation Date
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Budget Utilization Request and Status
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-061 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 61 of 78
Certified: Budget available and utilized for
lawful and under my direct supervision; and supporting the purpose/adjustment necessary as
documents valid, proper and legal indicated above
Signature : ___________________
Printed Name: ______________
Position : Cecilia V. Salvatierra
Date : ____________________________
C.
Not Yet Due
Due and
Demanda
ble
(a) (c) (a-b) (b-c)
BUDGET UTILIZATION REQUEST AND STATUS Serial No. : ___________________
Date : _______________________
National Tax Research Center Fund Cluster : 01
Payee
Office
Address
Responsibility Center Particulars MFO/PAPUACS Object
Code/ Amount
Total
A. B.Certified: Charges to appropriation/budget necessary,
Reference Amount
Signature : ____________________________________
Printed Name: ____________________________________
Position : ____________________________________
Head, Requesting Office/Authorized Representative Chief, Budget and Cash Division
Date : _______________________________
STATUS OF UTILIZATION
Balance
(b)
Date ParticularsBURS/JEV/RCI/
RADAI/RTRAI No.
Utilization Payable Payment
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Statement of Appropriations, Allotments, Obligations, Disbursements and Balances
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-062 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 62 of 78
(e.g. Old Fund Code: 101,102, 151)
2 3 4 5=(3+4) 6 7 8 9 10=[{6+(-)7}-8+9] 11 12 13 14 15=(11+12+13+14) 16 17 18 19 20=(16+17+18+19) 21=(5-10) 22=(10-15) 23 24
II. Automatic Appropriations
RLIP 1 04 102
CSpecial Account in the General Fund (Please specify)
Motor Vehicle Users Charge Fund `
MOOE
CO
Sub-Total, Automatic Appropriations
PS
MOOE
Fin Exp.(if applicable)
CO
III. Special Purpose Fund (Please specify)
MPBF-PS 1 01 406
PGF-PS (Pension Benefits) 1 01 407
Sub-Total, Special Purpose Fund
PS
MOOE
Fin Exp.(if applicable)
CO
GRAND TOTAL
PS
MOOE
Fin Exp.(if applicable)
CO
Recapitulation by MFO:
MFO 1
MFO 2
…continue down to the last MFO
OF WHICH:
Major Programs/Projects
KRA No. 1 - Anti-Corruption, Transparent,
Accountable and Participatory Governance
Program Budgeting:
MPP
Other Major Programs and Projects
and monitored by the President through
PMS
PAP
…continue down to the last PAP
…continue down to the last Program Budgeting
…continue down to the last KRA
Certified Correct: Recommending Approval: Approved By:
Trinidad A. Rodriguez
Date: ____________________________________ Date: ____________________________________ Date: _________________________________ Date: _____________________________
Chief, Budget and Cash Division Chief, Accounting Division Chief Administrative Officer Acting Executive Director
Unreleased
Appropriations
Unobligated
Allotment
Authorized
Appropriation
Adjustments
(Transfer
To)/From,
Realignment)
Adjusted
Appropriations
Allotments
Received
Adjustments
(Withdrawal,
Realignment)
Transfer
To
Certified Correct:
Cecilia V. Salvatierra Grace A. Manalo Gian Carlo D. Rodriguez
1
Total1st Quarter
Ending March
31
2nd Quarter
Ending June
30
3rd Quarter
Ending Sept.
30
Transfer
From
Adjusted Total
Allotments
1st Quarter
Ending March
31
2nd Quarter
Ending June
30
3rd Quarter
Ending Sept. 30
4th Quarter
Ending Dec.
31
Current Year Disbursements Balances
Unpaid Obligations
Due and
Demandable
Not Yet Due and
Demandable
4th Quarter
Ending Dec.
31
TotalParticulars
UACS
CODE
Appropriations Allotments Current Year Obligations
STATEMENT OF APPROPRIATIONS, ALLOTMENTS, OBLIGATIONS, DISBURSEMENTS AND BALANCES
As of the Quarter Ending _______________
Funding Source Code (as clustered): 01 Supplemental Appropriations
Continuing Appropriations
Current Year Appropriations
Department : Department of Finance
Entity Name : National Tax Research Center
Operating Unit : 01
Organization Code (UACS) : _____________________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division – Statement of Appropriations, Allotments,
Obligations, Disbursements and Balances by Object of Expenditures
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-063 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 63 of 78
1 2 3 4 5=(3+4) 6 7 8 9 10=[{6+(-)7}-8+9] 11 12 13 1415=(11+12+13+1
4)16 17 18 19
20=(16+17+18+19
)21=(5-10) 22=(10-15) 23 24
Financial Expenses
Capital Outlays
Property, Plant and Equipment Outlay50604040 00
50604040 01
50604040 02
50604040 03
50604040 04
50604050 00
50604050 01
50604050 02
50604050 03
B. AUTOMATIC APPROPRIATIONS
Retirement and Life Insurance Premium
Customs Duties and Taxes
C. SPECIAL PURPOSE FUNDS
Miscellaneous Personnel Benefits Fund
Pension and Gratuity Fund
GRAND TOTAL
Certified Correct: Recommending Approval: Approved By:
Unreleased
Appropriatio
ns
Unobligated
Allotment
Date: _________________________ Date: _________________________ Date: _________________________
Grace A. Manalo Gian Carlo D. Rodriguez Trinidad A. Rodriguez
Chief, Accounting Division Chief Administrative Officer Acting Executive Director
Transfer
To
Transfer
From
Adjusted
Total
Allotments
1st Quarter
Ending
'March 31
Unpaid Obligations
Due and
Demandable
Not Yet Due
and
Demandable
2nd Quarter
Ending
'June 30
3rd Quarter
Ending
'Sept. 30
4th Quarter
Ending 'Dec.
31
Total
1st Quarter
Ending 'March
31
2nd Quarter
Ending 'June
30
3rd Quarter
Ending 'Sept.
30
4th Quarter
Ending 'Dec.
31
Total
Organization Code (UACS): ________________________________________________________________________________ Supplemental Appropriations
Funding Source Code (as clustered) : _________________________________________________________________________ Continuing Appropriations
ParticularsUACS
CODE
Appropriations Allotments Current Year Obligations Current Year Disbursements Balances
Authorized
Appropriation
Adjustments
(Transfer
(To)/From,
Realignment)
Adjusted
Appropriati
ons
Allotments
Received
Adjustments
(Withdrawal,
Realignment)
SUMMARY OF APPROPRIATIONS, ALLOTMENTS, OBLIGATIONS, DISBURSEMENTS AND BALANCES BY OBJECT OF EXPENDITURES
As of the Quarter Ending _______________________________________________
Department: Department of Finance
Entity Name: National Tax Research Center
Operating Unit: 01 Current Year Appropriations
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
List of Allotments and Sub-Allotments
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-064 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 64 of 78
Current Year Appropriations
Continuing Appropriations
Supplemental Appropriations
Number Date DescriptionUACS Code PS MOOE CO Total PS MOOE CO Total PS MOOE CO Total
1 2 3 4 5 6 7 8 9=(6+7+8) 10 11 12 13=(10+11+12) 14 = (6+10) 15 = (7+11) 16 = (8 + 12) 17=(14+15+16)
1
Comprehensive Release per
Annex A and
A-1 of NBC No. 551 2-Jan-14
Agency
Specific
Budget 1 01 101
2 GARO No. 2014-1 (RLIP) 2-Jan-14 RLIP 1 04 102
3
4 SARO (MPBF) 1 01 406
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Sub-total - - - - - - - - - - - -
1
2
3
4
5
6
Sub-Total - - - - - - - - - - - -
Total Allotments - - - - - - - - - - - -
Summary by Funding Source Code:
1 01 101
1 04 102
1 01 406
Sub-Allotment to Regions/Operating Units Total Allotments / Net of Sub-allotments
A. Allotments received from DBM
B. Sub-allotments received from
Central Office/Regional Office
Agency Specific
RLIP
MPBF
Organization Code (UACS): _______________________________________________________________
Funding Source Code (as clustered) : ________________________________________________________
No. Allotments / Sub-Allotments Funding Source Allotments / Sub-Allotments
Operating Unit: 01
FAR No. 1-B
List of Allotments and Sub-Allotments
As of the quarter ending ___________, 20___
Department: Department of Finance
Entity Name: National Tax Research Center
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Statement of Approved Budget, Utilizations, Disbursements and Balances
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-065 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 65 of 78
2 3 4 5=[3+(-)4] 6 7 8 910=(6+7+8+9
)11 12 13 14
15=(11+12
+13+14)16=(5-10) 17 18
I. Agency Approved Budget
General Administration and Support
General Administration and Supervision
PAP
PS
PS
MOOE
Fin Exp.(if applicable)
CO
Support to Operations
PAP
PS
PS
PS MOOE
MOOE Fin Exp.(if applicable)
Fin Exp.(if
applicable) CO
CO Operations
MFO 1 - [MFO Description]
PAP
PS
PS
MOOE
PS Fin Exp.(if applicable)
MOOE CO
…continue down to the last PAP
…continue down to the last MFO
PS Locally-Funded Project(s)
MOOE PAP
Fin Exp.(if
applicable) PS
CO MOOE
… Fin Exp.(if applicable)
CO
…continue down to the last PAP
PS Foreign-Assisted Project(s)
MOOE PAP
Fin Exp.(if
applicable) PS
CO MOOE
… Fin Exp.(if applicable)
CO
…continue down to the last PAP
Sub-Total, Agency Specific Budget
PS
MOOE
Fin Exp.(if applicable)
CO
II. Automatic Appropriations
RLIP
CO Special Account in the General Fund (Please specify)
Motor Vehicle Users Charge Fund
MOOE
CO
Sub-Total, Automatic Appropriations
PS
MOOE
Fin Exp.(if applicable)
CO
III. Special Purpose Fund (Please specify)
MPBF-PS
PGF-PS (Pension Benefits)
Sub-Total, Special Purpose Fund
PS
MOOE
Fin Exp.(if applicable)
CO
GRAND TOTAL
PS
PS
MOOE
Fin Exp.(if applicable)
CO
Recapitulation by MFO:
MFO 1
MFO 2
…continue down to the last MFO
OF WHICH:
Major Programs/Projects
KRA No. 1 - Anti-Corruption, Transparent, Accountable
and Participatory Governance
Program Budgeting:
MPP
Other Major Programs and Projects
and monitored by the President through PMS
PAP
…continue down to the last PAP
…continue down to the last Program Budgeting
…continue down to the last KRA
3rd Quarter
Ending 'Sept.
30
4th Quarter
Ending 'Dec.
31
TotalUnutilized
Budget
Date: ___________________________ Date: ___________________________ Date: ___________________________ Date: ___________________________
Cecilia V. Salvatierra Grace A. Manalo Gian Carlo D. Rodriguez Trinidad A. Rodriguez
Chief, Budget and Cash Division Chief, Accounting Division Chief Administrative Officer Acting Executive Director
1
Certified Correct: Certified Correct: Recommending Approval: Approved By:
Disbursements BALANCES
Approved
Budgeted
Revenue
Adjustments
(Additions,
Reductions,
Realignment)
Adjusted
Budgeted
Revenue
1st Quarter
Ending 'March
31
2nd Quarter
Ending 'June
30
3rd Quarter
Ending 'Sept.
30
4th Quarter
Ending 'Dec.
31
Total
Budget Utilization
Unpaid Utilizations
Due and
Demandable /
Accounts Payable
Not
Yet
Due
and
1st Quarter
Ending
'March 31
2nd Quarter
Ending 'June
30
Organization Code (UACS): ________________________________________
Funding Source Code (as clustered) : ________________________________
ParticularsUACS
CODE
Approved Budget
Operating Unit: 01
FAR No. 2
STATEMENT OF APPROVED BUDGET, UTILIZATIONS, DISBURSEMENTS AND BALANCESAs of the Quarter Ending _________________
Department: Department of Finance
Entity Name: National Tax Research Center
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division – Summary of Approved Budget,
Utilizations, Disbursements and Balances by Object of Expenditures
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-066 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 66 of 78
2 3 4 5=[3+(-)4] 6 7 8 910=(6+7+
8+9)11 12 13 14
15=(11+12+13
+14)16=(5-10) 17 18
Financial Expenses
Management Supervision/Trusteeship Fees
Interest Expenses
Interest Paid to Non Residents
Interest Paid to Residents other than General Government
Interest Paid to other General Government Units
Continue down to the last object of expenditure…
Capital Outlays
Property, Plant and Equipment Outlay
Buildings and Other Structures Outlay 50604040 00
Buildings 50604040 01
School Buildings 50604040 02
Hospitals and Health Centers 50604040 03
Markets 50604040 04
Machinery and Equipment Outlay 50604050 00
Machinery 50604050 01
Office Equipment 50604050 02
Information and Communication Technology Equipment 50604050 03
(sample object of expenditure only)
Continue down to the last object of expenditure…
GRAND TOTAL
Certified Correct: Certified Correct:
Date: ________________________________ Date: __________________________ Date: __________________________ Date: __________________________
Cecilia V. Salvatierra Grace A. Manalo Gian Carlo D. Rodriguez Trinidad A. Rodriguez
Chief, Budget and Cash Division Chief, Accounting Division Chief Administrative Officer Acting Executive Director
1
Recommending Approval: Approved By:
1st Quarter
Ending
'March 31
2nd Quarter
Ending
'June 30
3rd Quarter
Ending
'Sept. 30
4th Quarter
Ending
'Dec. 31
Disbursements BALANCES
Approved
Budgeted
Revenue
Adjustments
(Additions,
Reductions,
Realignment)
Adjusted
Budgeted
Revenue
1st Quarter
Ending
'March 31
2nd Quarter
Ending
'June 30
3rd Quarter
Ending
'Sept. 30
4th Quarter
Ending
'Dec. 31
Total
Budget Utilization
Unpaid Utilizations
(10-15) = (17+18)
Due and
Demandable
/ Accounts
Payable
Not Yet
Due and
Demandable
TotalUnutilized
Budget
Organization Code (UACS): ____________________________________________
Funding Source Code (as clustered): 01
Particulars UACS CODE
Approved Budget
Operating Unit: 01
FAR No. 2-A
SUMMARY OF APPROVED BUDGET, UTILIZATIONS, DISBURSEMENTS AND BALANCES BY OBJECT OF EXPENDITURES
As of the Quarter Ending _______________
Department: Department of Finance
Entity Name: National Tax Research Center
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
NOTICE OF DISHONORED CHECKS
_______________________
_______________________
_______________________
Sir/Madam:
You are hereby notified that your (name of bank) Check No. _________ dated
__________, 20__, in the amount of P__________ paid to us and acknowledged by our Official
Receipt No. __________ dated ___________, 20__ has been deposited but was dishonored
and returned to us due to __________________________.
In view thereof, we have, today, reversed the payment recorded and reinstated your
liability in the same manner as if you had never tendered any payment.
Please settle your account in cash or by certified check to the undersigned within five
days from receipt of this notice. Otherwise, we will be constrained to institute criminal action
against you as may be warranted under Article 315 of the Revised Penal Code and Batas
Pambansa Blg. 22.
Very truly yours,
Trinidad A. Rodriguez
Acting Executive Director
By:
_______________________
(Collecting Officer)
Note: The last paragraph applies only to cases where the cause of the dishonor of the check is lack or
insufficiency of funds. Where the check is dishonored by reason of defect in form, such as
incomplete signature or the like, the following paragraph should be used in lieu of the
aforementioned last paragraph.
Please settle your account in cash or by certified check to the undersigned
within three days from receipt of this notice. Otherwise, we will be constrained
to initiate appropriate action to enforce our claim.
FORMS AFB – Budget and Cash Division
Notice of Dishonored Checks
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-067 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 67 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Report of Collections and Deposits
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-068 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 68 of 78
Report No. : ______________________
Entity Name : National Tax Research Center Sheet No. : _______________________
Fund Cluster : 01 Date : ___________________________
Taxes Fees
Date Number 40101010 40201010
Total
Summary:
Undeposited Collections per last Report
Deposits
Date: ________________ P xxx.xx
Date: ________________ xxx.xx
Undeposited Collections, this Report
_________________________
Collecting Officer Date
Milagros Alvarez
REPORT OF COLLECTIONS AND DEPOSITS
Official Receipt/ Report
of Collections by Sub-
Collector
Responsibility
Center CodePayor Particulars MFO/PAP
Amount
Total per
OR
Breakdown of Collections
Collections per OR Nos. __________to____________
CERTIFICATION
I hereby certify on my official oath that
the above is a true statement of all collections
and deposits had by me during the period stated
above for which Official Receipt Nos.
____________ to ___________ inclusive,
were actually issued by me in the amounts
shown thereon. I also certify that I have not
P xxx.xxxxx.xx
xxx.xxP xxx.xx
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Cash Receipts Register
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-069 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 69 of 78
Entity Name : National Tax Research Center Name of Collecting Officer/Cashier : Milagros Alvarez
Sub-Office/District/Division : ______________________________ Fund Cluster : 01
Municipality/City/Province : ______________________________ Sheet No. : ____
Date : __________
National
Treasury AGDB
(+) (-) (-) (=) (40201010) (40201020) (40201040) (40201140)
TOTALS - - - - - - - 0
CERTIFIED CORRECT:
Official Receipt/
Deposit Slip
Payor
Cash - Collecting Officer
(10101010)
BREAKDOWN OF RECEIPTS
Permit
Fees
CASH RECEIPTS REGISTER
Date Number Receipts
Deposits
Balance
Date
Registration
Fess
Clearance
and
Certification
Fees
Fines and
Penalties -
Service
Income
OTHERS
Account
Description
UACS
Object
Code
Amount
Milagros Alvarez
___________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Cash Receipts Record
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-070 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 70 of 78
MFO/PAPObject
Code
Milagros Alvarez
Date
DepositUndeposited
Collection
C E R T I F I C A T I O N
I hereby certify on my official oath that the foregoing is a correct and complete record
of all collections and deposits had by me in my capacity as Collecting Officer of
National Tax Research Center during the period from _________________ to
Date
Reference
No./OR
No./DS
Payor
UACS Code Nature
of CollectionCollection
_______________, inclusives, as indicated in the corresponding columns.
_______________________ _____________________________ ______________
Accountable Officer Official Designation Station
CASH RECEIPTS RECORD
Entity Name : National Tax Research Center Sheet No. : _________________
Fund Cluster : 01 Year : _____________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
REGISTRY OF ALLOTMENTS AND NOTICE OF ALLOCATION
Entity Name (RO/OU) : National Tax Research Center Fund Cluster : 01
Sheet Number : _____________
Date Reference
AMOUNT
Allotment
Received
Notice of Transfer of
Allocation Balance
Received Utilized Unutilized
NTA Unfunded Allotment
(a) (b) ( c) (b - c) (a - b)
FORMS AFB – Budget and Cash Division
Registry of Allotments and Notice of Transfer of Allocation
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-071 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 71 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Checks and Advice to Debit Account Disbursement Record
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-072 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 72 of 78
Entity Name : National Tax Research Center
Bank Name/Bank Account Number : _____________________
Check ADA
CHECKS AND ADVICE TO DEBIT ACCOUNT DISBURSEMENT RECORD
Fund Cluster : 01
Sheet No. : _____________________
________________________________________________ __________________________________________________
Accountable Officer Official Designation Station
NCA/DS/DV/Payr Check/ADA
Payee
UACS
Object
Code
Nature
of
Payment
Amount
No.
________________
Date
ADA
Issued
NCA/Bank
Balance
C E R T I F I C A T I O N
I hereby certify on my official oath that the foregoing is a correct and complete record of all checks/ADAs issued by me in my capacity as
_____________________________ of National Tax Research Center
(Designation) (Name of Agency)
during the period from _______________ to _______________, inclusive, as indicated in the corresponding columns.
___________________________
Rita B. Par
Date
Serial No.
DateDate
Released
NCA
Received/
Deposit
Made
Check
Issued
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Report of Checks Issued
Prepared by:
CECILIA V. SALVATIERRA Chief, Cash and Busget Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-073 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 73 of 78
Entity Name : National Tax Research Center
Fund Cluster : 01 Report No.: __________
Bank Name/Account No. : __________________________________ Sheet No.: ___________
Date Serial No.
______________
Date
REPORT OF CHECKS ISSUED
Rita B. Par
CheckDV/Payroll
No.
ORS/BURS
No.
Responsibility
Center CodePayee
UACS
Object
Code
Nature of Payment Amount
C E R T I F I C A T I O N
I hereby certify on my official oath that this Report of Checks Issued in _________ sheet(s) is a full, true and correct
statement of all checks issued by me during the period stated above for which Check Nos. ___ to ____ inclusive,
were actually issued by me in payment for obligations shown in the attached disbursement vouchers/payroll.
____________________________________________
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Cash in Bank Register
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-075 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 75 of 78
Sheet No.: ____________________________________
Name of Disbursing Officer: Milagros Alvarez
Station: ______________________________________
Bank : _______________________________________
Location: _____________________________________
(50101020) (50201010) (50203010) (50201010) (50299040) (50212020)
TOTALS - - - - - - - - -
Certified Correct:
CASH IN BANK REGISTER
Date Check No.
Entity Name: National Tax Research Center
Particulars
CASH IN BANK BREAKDOWN OF WITHDRAWALS/PAYMENTS
PERSONNEL SERVICES MAINTENANCE AND OTHER OPERATING EXPENSES OTHERS
Deposits
Withdrawals/
Payments
Balance
Salaries and
Wages-
Casual
Travelling
Expenses-
Local
Office
Supplies
Expenses
Electricity
Expenses
Municipality/City/Province:_________________________________
Fund Cluster : 01
Sub-Office/District/Division: ________________________________
Amount
Milagros Alvarez
Disbursing Officer
Transportati
on and
Delivery
Expenses
Janitorial
Services Account
Description
UACS
Code
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Advice of Checks Issued and Cancelled
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-075 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 75 of 78
To: The Bank Manager ACIC No. :
___________________ Bank Account No. ______________ Organization Code :
___________________ Fund Cluster : 01
Date _________________________ Area Code :
NCA No. :
DATE OF
ISSUE DATE NEGT'D. REMARKS
Total ACIC Amount
Total number of checks: ___________ Amount in words __________________________________________________
ADVICE OF CHECKS ISSUED AND CANCELLED
National Tax Research Center
CHECK NO. PAYEE AMOUNT
UACS
OBJECT
CODE
FOR GSB USE ONLY
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Advice of Checks Issued and Cancelled
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-076 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 76 of 78
Certified Correct By: Received by:
Check No. Date Issued R e m a r k s
Approved by: Delivered by:
Number of ACIC(s) : __________________________________
Grand Total : _________________________________________
Amount in Words : _________________________________________________________________________________
Certified Correct by : Received by:
Approved by: Delivered by:
CANCELLED CHECK
Signature over Printed Name of
Disbursing Officer/Cashier/Head of
Cash/Treasury Unit
Signature over Printed Name of GSB
personnel who received the ACIC
Signature over Printed Name of
Head of Office/Unit or his/her
authorized representative
Signature over Printed Name of Agency personnel
who delivered the ACIC to the GSB
Signature over Printed Name of Head
of Office/Unit or his/her authorized
representative
Signature over Printed Name of
Agency personnel who delivered the
ACIC to the GSB
R E P O R T S U M M A R Y
Signature over Printed Name of
Disbursing Officer/Cashier/Head of
Cash/Treasury Unit
Signature over Printed Name of GSB personnel who
received the ACIC
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
NAMEGROSS
AMOUNT
WITHHOLDING
TAX
NET
AMOUNT
FOR MDS-
GSB USE
ONLY
P______ P _____ P ______ -
Certified Correct: Approved:
To: MDS-GSB of the Agency
Please debit MDS Sub-Account Number : ________________________________
Please credit the accounts of the above listed creditors to cover payment of accounts payable
TOTAL AMOUNT : P
Department : Department of Finance LDDAP-ADA No. ________________
Entity Name : National Tax Research Center Date : __________________________
Sub-total
I. Current Year A/Ps
Operating Unit : _________________________ Fund Cluster : 01
MDS-GSB BRANCH/MDS SUB ACCOUNT NO.: _____________________________
I. LIST OF DUE AND DEMANDABLE ACCOUNTS PAYABLE (LDDAP)
CREDITOR
Obligation
Request and
Status No.
ALLOTMENT
CLASS per
(UACS)
In Pesos
REMARKSPREFERRED SERVICING
BANKS/SAVINGS/CURRENT
ACCOUNT NO.
II. Prior Year's A/Ps
Sub-total
TOTAL
I hereby warrant that the above List of Due and
Demandable A/Ps was prepared in accordance with existing
budgeting, accounting and auditing rules and regulations.
Agency Authorized Signatories
1. 2.
(Erasures shall invalidate this document)
I hereby assume full responsibility for the veracity
and accuracy of the listed claims, and the authencity of
the supporting documents as submitted by the
claimants.
(Signature over Printed Name)
Head of Accounting Division/Unit
(Signature over Printed Name)
Head of Agency or
II. ADVICE TO DEBIT ACCOUNT (ADA)
(In Words)
FORMS AFB – Budget and Cash Division - List of Due and Demandable
Accounts Payable – Advice to Debit Accounts (LDDAP-ADA)
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ
Executive Director
Code: NTRC-QMS-PAWIM-FR-077 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 77 of 78
THIS DOCUMENT WHEN PRINTED IS AN UNCONTROLLED COPY. IT IS THE RESPONSIBILITY OF THE USER TO CHECK IF THE DOCUMENT BEING USED IS THE CURRENT VERSION WHICH COULD BE VERIFIED FROM THE NTRC DOCUMENT CENTRAL CONTROLLER.
FORMS AFB – Budget and Cash Division
Cash Disbursements Register
Prepared by:
CECILIA V. SALVATIERRA Chief, Budget and Cash Division
Approved by:
TRINIDAD A. RODRIGUEZ Acting Executive Director
Code: NTRC-QMS-PAWIM-FR-078 Revision No.: 0 Effectivity Date: 19 December 2016 Page: 78 of 78
Entity Name: National Tax Research Center Name of Accountable Officer: Milagros Alvarez
Official Designation: ____________________________
Station: _______________________________________
Register No. : __________________________________
Sheet No. : ____________________________________
(50101010) (50101020) (50203010)
Totals
Recapitulation:
Account Description
UACS
Object
Code
Amount
Total
Signature over Printed Name
Date: ____________________
Signature over Printed Name
Date: ______________________
Amount
The total of the ‘Advances for Operating Expenses – Payments’ column must always be equal to the
sum of the totals of the ‘Breakdown of Payments’ columns.
CERTIFIED CORRECT: RECEIVED BY:
________________________
DateDV/Payroll/
Check No.Particulars
Advances for BREAKDOWN OF PAYMENTS
(19901010)
Amount Salaries
and Wages
Salaries and
Wages -
Office
Supplies
O T H E R S
Cash
Advance
Payments Balance
Account
Description
UACS
Object
CASH DISBURSEMENTS REGISTER
Sub-Office/District/Division: __________________________
Municipality/City/Province: ___________________________
Fund Cluster : 01