SCHEDULE OF EXPENDITURES

Republic of the Philippines

Commission on Elections

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

TOTAL EXPENDITURES INCURRED

Certification
I hereby certify that: (1) the expenses listed above were incurred by
me as candidate/party treasurer; (2) all entries specified above are true &
correct; (3) they are supported by the official receipts, invoices & other
similar documents; and (4) the expenses comply with Section 102 of the
Omnibus Election Code.

(Full name & signature)

(Date Filed)

SUBSCRIBED AND SWORN TO before me this

day of
affiant exhibiting his/her
with number
with expiry date
.

Doc. No.
Page No.
Book No.
Series of

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, 20
, issued by

NOTARY PUBLIC