You are on page 1of 12

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of _____DECEMBER 31, 2015____
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.

q Joint Filing

DECLARANT:

ADDRESS:

q Separate Filing

q Not Applicable

DERACO

MARIO JR.

B.

Surname

First Name

M.I.

POSITION:
AGENCY/OFFICE:

OFFICE ADDRESS:

PUROK 1, BULAON, CITY OF SAN FERNANDO (P)

SPOUSE:

DERACO

REINA

S.

Surname

First Name

M.I.

POSITION:
AGENCY/OFFICE:

OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSE
NAME

DATE OF BIRTH

JANUARY 6, 2008
SEPTEMBER 1, 2012

PRINCE JESU S. DERACO
PRINCE XIAN JIREH S. DERACO

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*
KIND

DESCRIPTION
(e.g. lot, house and lot,
condominium and
improvements)

HOUSE

LOT

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

EXACT LOCATION

ASSESSED VALUE

CURRENT FAIR
MARKET VALUE

ACQUISITION

(As found in the Tax Declaration of Real Property

YEAR

MODE

RESIDENTIAL

Purok 1, Bulaon, City of
San Fernando (P)

800,000.00

800,000.00

2009

Construction

MEMORIAL

Peter Anthony Memorial
Garden, San Rafael,
Mexico, Pampanga

30,000.00

30,000.00

2007

Installment

Subtota
b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

FURNITURE & FIXTURES

2009-2015

APPLIANCES

2008-2015

TOYOTA REVO

2014

ELECTRIC MOTORCYCLE

2015

GADGETS AND OTHER PERSONAL BELONGINGS

ACQUISIT

2007-2015
Subtotal :
TOTAL ASSETS (a+b):

Page 1 of 2 .

000.415.00 240.Ed.000.000. City of San Fernando.000.000.00 1. City of San Fernando.00 585.000.000.000.00 100. 1500088 Promulgated on Janary 23. licable MT-II/OIC-School Head Dep.00 830.-Division of City of San Fernando (P) Sindalan.000.Ed.-Division of City of San Fernando (P) Sindalan.000.00 35.00 . 2015 or separately.Revised as of January 2015 TH Per CSC Resolution No. Pampanga Teacher II Dep.00 50. Pampanga T’S HOUSEHOLD AGE 8 3 ION ACQUISITION COST MODE nstruction stallment Subtotal: 800.00 30.00 ACQUISITION COST/AMOUNT 160.

.

liabilities.: 605144 ID No. BUSINESS INTERESTRS AND FINANCIAL CONNECTIONS (of Declarant / Declarant's spouse / Unmarried Children Below Eighteen (18) years of Age Living in Declarant's H I/ We do not have any business interest or financial connection  NAME OF ENTITY / BUSINESS ENTERPRISE BUSINESS ADDRESS NATURE OF BUSINESS INTEREST &/OR DATE O FINANCIAL CONNECTION N/A RELATIVES IN THE GOVERNMENT SERVICE (Within the Fourth Degree of Consanguinity or Affinity. affiant exhibiting to me the above identification card. to include those of my spouse and unmarried children below 18 years of age living with me in my househ include the year I first assumed office in government. including the Bureau of Internal Revenue such documents that may show my assets. net worth. DERACO KIMBERLY B. Include also Bilas.2. bu connections. DAVID IVAN B. business interests including those of my spouse and unmarried children below eighteen (18) years of age living in my household. 2016 (Signature of Declarant) (Signature of Co-De Government Issued ID: PRC Government Issued ID: PRC ID No. Date: April 1. CASTRO MAVEL B. if necessary. 2016____. liabilities. HIPOLITO C . CORONEL SPOUSE COUSIN COUSIN COUSIN TEACHER II TEACHER III TEACHER III TEACHER I DEPED DEPED DEPED DEPED I hereby certify that these are true and correct statements of my assets.: 508527 Date Issued: 11/4/1999 Date Issued: 11/26/ SUBCRIBED AND SWORN to before me this __4th___ day of ___April. net worth. and that the above-enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or affi I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure from agencies. Balae and Inso) I/ We do not know of any relative/s in the government service) NAME OF RELATIVE RELATIONSHIP POSITION NAME OF REINA S.    LIABILITIES* NATURE NAME OF CREDITORS CONSOL LOAN SALARY LOAN SALARY LOAN POLICY LOAN O GSIS EAST WEST BANK CITY SAVINGS BANK GSIS TOTAL LIABILITIES: NET WORTH : Total Assets less Total Liabilities = * Additional sheet/s may be used.

Administrative (Person Adminis Page 2 of 2 .

000.OUTSTANDING BALANCE 389. business interests and financial my household covering previous years to of Co-Declarant/Spouse) PRC 508527 11/26/1998 the above-stated government issued POLITO C.00 815.000. MARIN .000.000.00 Declarant's Household) DATE OF ACQUISITION OF INTEREST OR CONNECTION and Inso) NAME OF AGENCY/OFFICE AND ADDRESS DEPED CITY OF SAN FERNANDO (P) DEPED CITY OF SAN FERNANDO (P) DEPED CITY OF SAN FERNANDO (P) DEPED CITY OF SAN FERNANDO (P) s interests and financial connections.00 31.00 600. ecure from all appropriate government worth.000.000. and that to the best of my knowledge. inity or affinity.00 40. .00 140.

ministrative Officer V son Administering Oath) .

000.000. SURNAME FIRST NAME M. ASSETS. house and lot.A. Bulaon. 2015____ (Required by R. ASSETS a.SWORN STATEMENT OF ASSETS.00 ACQUISITION YEAR 2009 2007 Sub b.000.00 ### 30. City of San Fernando (P) 800. lot. San Rafael. commercial.000.g. condominium and improvements) (e. 6713) NAME DERACO MARIO JR. Mexico. LIABILITIES AND NETWORTH 1. industrial. residential. Personal Properties* DESCRIPTION YEAR ACQUIRED FURNITURE & FIXTURES APPLIANCES TOYOTA REVO ELECTRIC GADGETS MOTORCYCLE AND OTHER PERSONAL BELONGINGS 2009-2015 2008-2015 2014 2015 2007-2015 Subtotal : TOTAL ASSETS (a+b): 2. agricultural and mixed use) HOUSE LOT EXACT LOCATION CURRENT FAIR MARKET VALUE ASSESSED VALUE (As found in the Tax Declaration of Real Property RES.00 MEMORIAL Peter Anthony. Pampanga 30. Purok 1. LIABILITIES AND NET WORTH As of _____DECEMBER 31.00 TOTAL LIABILITIES: BUSINESS INTERESTRS AND FINANCIAL CONNECTIONS NAME OF ENTITY / BUSINESS ENTERPRISE BUSINESS ADDRESS NATURE OF BUSINESS INTEREST &/OR FINANCIAL CONNECTION N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A N/A . Real Properties* DESCRIPTION KIND (e.g.    LIABILITIES* NATURE NAME OF CREDITORS CONSOL LOAN SALARY LOAN SALARY LOAN POLICY LOAN GSIS EAST WEST BANK CITY SAVINGS BANK GSIS 600. B.I.

N/A N/A N/A .

00 ACQUISITION COST/AMOUNT 160.000.000.Ed.00 Subtotal : TOTAL ASSETS (a+b): RS 585.415.00 35.000.000.00 140.000.-Division of City of San Fernando (P) AGENCY/OFFICE: TH ACQUISITION ACQUISITION COST MODE N/A Construction N/A Installment Subtotal: 830.00 31.00 ONNECTIONS RE OF BUSINESS INTEREST R FINANCIAL CONNECTION N/A N/A N/A N/A DATE OF ACQUISITION OF INTEREST OR CONNECTION N/A N/A N/A N/A .000.00 OUTSTANDING BALANCE 389.00 100.00 240.000.00 40.00 50.000.000.000.AND NET WORTH _ POSITION MT-II/OIC-School Head Dep.000.000.000.00 1.00 NK ANK TOTAL LIABILITIES: 600.

N/A N/A .