Professional Documents
Culture Documents
Subtotal:
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
Laptop 2013 25,000.00
TV/Jewelries 2014 102,000.00
Ref 2016 12,000.00
Motorcycle 2017 73,990.00
Subtotal : 212,990.00
TOTAL ASSETS (a+b): 212,990.00
* Additional sheet/s may be used, if necessary.
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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Loan East West Bank 308,573.76
Loan GSIS 77,808.95
TOTAL LIABILITIES: 386,382.71
NET WORTH : Total Assets less Total Liabilities = -173, 392.71
* 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.
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