Professional Documents
Culture Documents
15OOOB8
Promulgated on JaoqqrY 23, 2O15
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{of Dectarant / Declarant,s spouse/ llrunarri.ed Chi}dren Belou: Eighteen (18) years of Age Liuing in Decktrant's
Q I/ We d-o rwt hnue ang business interest or f;nnrwial cannecttort
I hereby certify that these a-re true and correct statements of my assets, liabilities, net w<lrth, business
interests and finascial connections, including those of my spouse and unmarried children below eighteen
(18) years of age triving in my household, and that to the best of my i<nowledge, the above-enumerated are
nalnes of m3i relatives in the government within the fourth civil degree of consanguinity or affinity'
hereby authoi.ize the Ombudsmal or his/her duly authorized" representative to obtain and
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secure from all appropnate government agencies, inclilding the Bureau of Internal Revenue such
documents that may show my assets, liabiiities, net worth, business interests and {inancial 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 offlce in government'