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    Sworn Statement of Assets, Liabilities and Networth

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    imianmorales
    This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines as of December 31, 2019. It includes sections for the declarant's personal information, assets and their values, liabilities and amounts owed, business interests, relatives in government, and signatures authorizing the Ombudsman to access financial records for verification. The declarant certifies that the statement is true and correct as of March 11, 2020.

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    Download as XLS, PDF, TXT or read online from Scribd

    Sworn Statement of Assets, Liabilities and Networth

    Uploaded by

    imianmorales
    36 views4 pages
    This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines as of December 31, 2019. It includes sections for the declarant's personal information, assets and their values, liabilities and amounts owed, business interests, relatives in government, and signatures authorizing the Ombudsman to access financial records for verification. The declarant certifies that the statement is true and correct as of March 11, 2020.

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    This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines as of December 31, 2019. It includes sections for the declarant's personal information, assets and their values, liabilities and amounts owed, business interests, relatives in government, and signatures authorizing the Ombudsman to access financial records for verification. The declarant certifies that the statement is true and correct as of March 11, 2020.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    36 views4 pages

    Sworn Statement of Assets, Liabilities and Networth

    Uploaded by

    imianmorales
    This document is a sworn statement of assets, liabilities, and net worth that must be filed by public officials and employees in the Philippines as of December 31, 2019. It includes sections for the declarant's personal information, assets and their values, liabilities and amounts owed, business interests, relatives in government, and signatures authorizing the Ombudsman to access financial records for verification. The declarant certifies that the statement is true and correct as of March 11, 2020.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 4

    Revised as of January 2015

    Per CSC Resolution No. 1500088


    Promulgated on January 23, 2015

    SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH


    As of December 31, 2019
    (Required by R.A. 6713)

    Note: Husband and wife who are both public official and employees may file the required statements jointly or separately.
    Joint Filing Separate Filing Not Applicable

    DECLARANT POSITION
    (Family Name) (First Name) (M.I) AGENCY/OFFICE
    ADDRESS Office Address

    Spouse Name POSITION


    (Family Name) (First Name) (M.I) AGENCY/OFFICE
    Office Address
    UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

    NAME DATE OF BIRTH AGE

    ASSETS, LIABILITIES AND NETWORTH


    (Including those of the spouse and unmarried children below eighteen (18)
    years of age living in declarant's household)
    1. ASSETS

    a. Real Properties*

    DESCRIPTION EXACT ASSESSED CURRENT ACQUISITION


    KIND
    (e.g. lot, house, & lot, condominium LOCATION VALUE MARKET VALUE YEAR MODE ACQUISITION COST
    As found in the Tax Declaration of Real
    and improvements)
    Property)

    Subtotal : P -
    b. Personal Properties*

    Kind Year Acquired Acquisition Cost/Amount

    Subtotal: P -

    TOTAL ASSETS (a + b) P -

    Page 1 of 1
    ACQUISITION COST
    2. LIABILITIES*
    NATURE NAME OF CREDITORS OUTSTANDING BALANCE

    TOTAL LIABILITIES : 0.00

    NETWORTH: TOTAL ASSETS LESS TOTAL LIABILITIES: P -


    * Additional sheet/s may be used, if necessary

    BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

    (of Declarant/Declarant's spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
    I/We do not have any business interest or financial connection.

    NAME OF ENTITY/ Nature of Business Interest Date of Acquisition of


    BUSINESS ADDRESS
    BUSINESS ENTERPRISE and/or Financial Connection Interest or Connection

    RELATIVES IN THE GOVERNMENT SERVICE


    (within the Fourth Degree of Consaguinity or Affinity.Include also Bilas, Balae and Inso)
    I/We do not know of any relative/s in the government service
    NAME OF AGENCY/OFFICE
    NAME OF RELATIVE RELATIONSHIP POSITION
    AND ADDRESS

    I hereby certify that these are true and correct statements of of my assets, liabilities, net worth, business interests and
    financial connections, including those of my spouse and unmarried children below eighteen (18) years of age living in my
    household, and that to the best of my knowledge, the above-enumerated are names of my relatives in the government
    within the fourth civil degree of consaguinity or affinity.

    I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure from all appropriate
    government agencies, including the Bureau of Internal Revenue, such documents that may show my assets, liabilities,
    networth, business interests and financial connections, to include those of my spouse and unmarried children below 18
    years of age living with me in my household, covering previous years to include the year I first assumed office in the
    government.

    Date: MARCH 11, 2020

    Signature of Declarant Signature of Spouse

    Government Issued ID Government Issued ID


    ID No. ID No.
    Date Issued Date Issued

    SUBSCRIBED AND SWORN TO before me this 11th day of March, 2020 affiant exhibiting to me the above-stated
    government issued identification card.

    ALBERTO R. BOMEDIANO, JR.


    Chief, Legal Division
    PERSON ADMINISTERING OATH
    Page 2 of 2
    ALBERTO R. BOMEDIANO, JR.

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