Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Name of candidate
Name of treasurer (if
filed on behalf of
party)
Elective office
sought by candidate
Date of Elections
(Surname)
(First Name)
(Middle Name)
(Surname)
(First Name)
(Middle Name)
Municipality/City/Province
(specify if national candidate)
Period Covered
Date expenses
incurred
O.R./Invoice
No.
Annex H
Taxpayers
Identification No.
(TIN) of candidate
Taxpayers
Identification No.
(TIN) of party
Telephone No.
Mobile No.
___-___-___
___-___-___
Email Address
Full Name of Payee
Nature/Description of expense
(i.e. transportation, postal or
courier fees, allowances, etc.)
Address of Payee
Taxpayers ID
No. (TIN) of
payee
Amount
(Date Filed)
Doc. No.
Page No.
Book No.
Series of
;
;
;
.
, 20
, issued by
NOTARY PUBLIC