Revised as of January 2015

Per CSC Resolution No. 1500088

Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December, 2018
(Required by R.A. 6713)

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

DECLARANT: LATO, ROSALINDA L. POSITION: T-III

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepED-ABUYOG NHS
ADDRESS: PHASE 3 BLK.11LLLOT 22 SEABREEZEHOMES OFFICE ADDRESS: ABUYOG EAST DISTRICT
CABID-AN EAST DISTRICT, SOR. CITY SORSOGON CITY

SPOUSE: 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
CARL JEOFFREY LADISLA LATO MAY 8, 2005 13

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 KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

(e.g. lot, house and (e.g. residential, LOCATION VALUE MARKET VALUE COST
lot, condominium commercial, industrial,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

MOTORCYCLE 2002 95,000.00

LAPTOP, CELLPHONES and TABLET 2012, 2014, 2015, 2018 140,000.00
TELEVISION, OVEN and WASHING MACHINE 2013, 2014, 2016, 2018 73,700.00
FURNITURES, MATRESSES and KITCHEN UTENSILS 2009, 20012, 2014, 2016 185,200.00
TRICYCLE 2015 130,000.00
JEWELRIES, WATCHES 2012, 2015, 2016, 2017 127,000.00
and 2018

Subtotal: 750,900.00
TOTAL ASSESTS (a+b) 750,900.00

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* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

CONSO LOAN GSIS 370,503.36

GFAL GSIS 353,310.54
TOTAL LIABILITIES: 723,813.90
NET WORTH : Total Assets less Total Liabilities = 27,086.10
* 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/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
TRICYCLE w/ BATASS 2015
franchise

RELATIVES IN THE GOVERNMENT SERVICE

(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)

 I/We do not know of any relative/s in the government service)

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
LYDIA G. LADISLA SISTER MT-I SOR.NHS-SORSOGON CITY
MA. JEAN L. MANDAP SISTER T-III ABUYOG NHS – ABUYOG, SOR. CITY
YOLANDA L. DOMANICO COUSIN T-III ABUYOG NHS – ABUYOG, SOR. CITY
VIOLETA L. ESTERNON COUSIN T-I CASIGURAN VTHS-CASIGURAN, SORSOGON
MAMER P. FAJARDO COUSIN MT-I BUHANG NHS-BULUSAN, SORSOGON

I hereby certify that these are true and correct statements 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 consanguinity 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, net worth, 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 government.

Date: FEBRUARY 20, 2019

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC LICENSE Government Issued ID:

ID No.: 0216870 ID No.:
Date Issued: 07-07-2021 Date Issued:

SUBSCRIBED AND SWORN to before me this 20th day of February , affiant exhibiting to me the
above-stated government issued identification card.

(Person Administering Oath)

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