Lease Application - Parang Municipality

Transaction Information

TRANSACTION NO.

TRACKING NO.

DATE OF APPLICATION

Lessee Information

Personal Details

SURNAME

FIRST NAME

MIDDLE NAME

EXT.

BIRTHDATE

AGE Auto-computed from birthdate

CIVIL STATUS

NATIONALITY

CONTACT NO.

EMAIL ADDRESS

CTC NUMBER

CTC DATE ISSUED

CTC PLACE ISSUED

COMPLETE ADDRESS

Business Details (if applicable)

BUSINESS / ORGANIZATION NAME

BUSINESS ADDRESS

BUSINESS TIN

BUSINESS INDUSTRY

Lease Details

TYPE OF LEASE

PLEASE SPECIFY IF OTHER

PROPERTY NAME

PROPERTY LOCATION

STALL NO.

BUILDING NO.

SECTION NO.

FLOOR NO.

PROPERTY TYPE / CATEGORY

REFERENCE NO. (Unit ID)

PURPOSE OF LEASE

Lease Term

START DATE

END DATE

TERM (YEARS / MONTHS)

yr mo

EXPIRY DATE

MONTHLY RATE (₱)

ADVANCE DEPOSIT (₱)

TOTAL LEASE AMOUNT (₱)

RENEWAL NOTICE (DAYS BEFORE EXPIRY)

Payment Details

PAYMENT TYPE

OTHER PAYMENT TYPE

BANK / EWALLET NAME

CHECK / REFERENCE NO.

AMOUNT PAID (₱)

TRANSACTION DATE

LGU O.R. NO.

PAYMENT SCREENSHOT / RECEIPT

Documents & Attachments

Required Documents: Please upload clear scans/photos of the following:

Valid Government ID (Front & Back)
Community Tax Certificate (CTC)
Business Permit / DTI / SEC Registration (if applicable)
Proof of Billing / Address
Sketch or Photo of the Property/Unit
Other supporting documents

Drag & Drop Files Here

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Maximum 10 files • Max 10MB per file • JPG, PNG, PDF, DOC, DOCX

Contract Parties

AGREED BY (Lessee Full Name)

WITNESSED BY (LGU Representative)

Certification & Consent

Certification of Truthfulness
I hereby certify that all the information provided in this application is true, correct, and complete to the best of my knowledge. I understand that any false statement or misrepresentation may result in the denial of this application or the revocation of any lease agreement granted in connection with it, and may subject me to legal action under applicable laws of the Republic of the Philippines. *

Data Privacy Consent
I hereby give my free and voluntary consent to the Local Government Unit to collect, process, store, and share my personal information for the purpose of evaluating this lease application and for related administrative, regulatory, and legal purposes, in accordance with Republic Act No. 10173 (Data Privacy Act of 2012) and its Implementing Rules and Regulations. I understand that I may exercise my rights as a data subject in accordance with the law. *

Both checkboxes are required before this application can be submitted.