Professional Documents
Culture Documents
COl\llMISSION ON AUDIT
ADMINISTRATION SECTOR
Commonwealth Avenue. Quezon City, Philippines ....( .. :_, '
SUBJECT Filing and Subm ission of Statement of Assets, Liabilities and Net W orth for
CY 2017
In view of the app roaching dead line on April 30, 2018 for the filing and submission of the
2017 SALN, attached is t he Revi sed SALN Form as p rescribed under CSC MC No. 3, s. 2015 and
Guidelines in the Filling Out of the SALN Form Beginning CY 20 12 (CSC MC No. 10, s. 2013). The
above-mentioned SALN Form and guidelines may also be · dc:-.mdoaded from t he COA website at
www.coa.gov.ph.
All COA officials and employees assigned in t he Centra l Office (CO)/ National Capital Region I
l'
(NCR) are required to accomplish their SALN in two original copies and subm it the same to the
Human Resource Database Maintena nce Services (HRDMS), Human Resource M anagement Office
I
(HRMO) on or before February 28, 20 18 to give ample ·time for the review of said SALN prior to I;
subm ission to the Civil Service Comm ission not later than June 30, 2018.
\ ·.
Employees assigned in the Regio nal Office shall likewise submit their SALN in three origina l
copies to their respective Regional Offices not late r t han February 28, 2018. SALNs submitted in the
Regional Offices sha ll be forwarded to HRDMS, HRMO not later than May 30, 2018, together with a
Certif icate of Compliance with the fi ling, submission and review of the SALN executed by the Review
I [
[
and Compliance Committee of their r espective Regiona l Offices. The submission shou ld also include ·I
a copy of the o rder requ iring t hose with incomplete data in their SALN to correct/supply the desired
\
informat ion and those who did not file their SALN to comply w ithin the prescribed period in
compliance with Sectio n 3 of CSC Resolution No. 060231 dated l=e bruary 1., 2006 (CSC MC No. 1.0, s.
2006.)
To faci litate submission of the Revised SALN on or before the due date, Heads of Sectors,
Cluster/Office Directors, Regional Directors, Chiefs of Staff and Heads of Services/Audit
Groups/Audit Teams may sign the SALN as Person Ad minist...,r:n·; Oath for personnel under their
respe ctive supervisions. For Heads of Sectors/Regi onal Directors, their respe ct ive Chief
Administrative Officers may sign their SALN as Pe rso n Administering Oath .
j
I
i
-·
The submitted SALNs of COA officials and employees are to be di stributed as follows:
May we rem ind you that under CSC Resolution No. 1300174 dated January 24, 2013 as (
dissem inated by CSC MC No. 3, s. 2013, the offense of failure to file SALN is punishable with
suspension for one (1) month and one day to six (6) months for the 1st of fense, and dismissal from
the service for the 2"d offense.
Moreover, fai lure to comply with said SALN will disqualify them from entitlement to
Perform ance Based Bonus (PBB) and Productivity Enh ancement Incentive (PEl) f o r CY 2018, w ithout
prejudice to the filing of administrative case aga inst th em.
RUFINA $'~u;byfNli~:r\iuM l
l
Assista~'t Commissioner
1
I L
I.
'
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January ':'3, 2015
Note: Husband and wife who are both public officials and employees m ay file the required statements jointly or separately.
0 Joint Filing 0 Separate Filing 0 Not Applicable
"DECLARANT: POSITION:
(Family Name) (First Name) (M.I.) AGENCY /OFFICE:
ADDRESS: OFFICE ADDRESS:
SPOUSE: POSITION:
(Family Name) (First Name) (M.l.) AGENCY/ OFFICE:
OFFICE ADDRESS:
.!
I
UNMARRIED CHILDREN BELOW EIGHTEEN 118) YEARS OF AGE LIVING IN DECLARANT' S HOUSEHOLD
NAME DATE OF BIRTH AGE
..
·
I ~
I
I!
ASSETS, LIABILITIES AND NETWORTH I
(Including those ofthe spouse and unmarried c hildren below eighteen (18) I
y ears of age living in declarant's household) r
't
l
1. ASSETS
a. Real Properties*
,.
DESCRIPTION KIND EKACT .AssEBsEDl ~~:r.FAIR · ACQUI~ITION - ACQUISITION
(e.g. lot, house and
lot, condominium
(e .g. residential,
commen:ial, induatria.l,
LOCATION
~
:VALUE' .. · ~Y.U.UE. ·
(As found in· the Tax De~laration or
·. .. COST
and lmprovements] agrlcultUral.,f d mlxed
u se Re~. Pio~ny) ..
·YE:Ai · M;ODE .
'
t
l
i
l.
{
t
1
I
t
l
Subtotal: ---------------
b. Personal Properties*
DESCRD;"TION YEAR ACQUIRED ACQ~N
COST/~OUNT.
Subtouu: ______________
--
.
TOTAL LIABILITIES:
NET WORTH: Total A:.os \! ts less Total Liabilities::; -------------------
* Additional sheet/ s may be u sed, if necessa ry. -----------
.
r •
I
.•
-I
RELATIVES IN THE GOVERNMENT SERVICE
(W'tthin the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso}
0 II We do not know of any relative/ s in the government service)
NAME OF RELATIVE RELATIONSHIP POSITION
. NAME OF AGENCY/OFFICE AND ADDREsS
I
. II .
l hereby certify that these are true and correct statements of my assets, liabilities, net wor.h,
.
business interests and fmancial 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- \i
enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or
l
affmity. ~
I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and
secure from all appropriate govemment agencies, including the Bureau of Internal Revenue such \
document s that may show my assets, liabilities, net worth , business interests and financial connections,
to include those of my s p ouse and unmarried childr en below 18 y ears of age living with m e in my
household covering previous years to include the year I first assumed office in government.
Date:
·I
(Signature of Declarant) (Signature of Co-Declarant/ Spouse)
SUBSCRIBED AND SWORN to before me this _ _day of _ _ _ , affiant exhibiting to me the above-stated
government issued identification card.
I. OBJECTIVES
o To ensure that the assets, liabilities, net worth, frnancial connections and
business interests of the declarant's spouse and unmarried children below
eighteen (1 8) years of age living in declarant's household are also
disclosed.
II. SCOPE
All officials and employees of national and local governments, including state i
universities and colleges, and government-ow ned and controlled corporations (GOCC) f
I
and their subsidiaries, with or without original charter, shall be covered by these
guidelines.
!
'
I
j
GOCC refers to any agency organized as a stock or nonstock corporation, vested
with f unctions relating to public needs whether go_vernmental or proprietary in nature,
and owned by the Govemment of the Republic of the Philippines directly or through its
instrumentalities either wholly or, where applicable as in the case of stock corporations,
l I
Those serving in honorary capacity, laborers and casual or temporary workers are
exempted from f iling the SALN. H owever, those holding career positions under I
l
temporary status are required to file their SALN.
A. APPLICABLE L AW
For purposes of declaring one's assets, liabilities and net worth, the
governin g law shall be Republic Act No. 6713 or the Code of Conduct and
Ethical Standards for Public Officials and E mployees.
Guide/iues uu rhe SA LN Form , p .2
X· ···································· ··········X
1. BASIC INFORMATION
a. S pouses w ho are both public officers and e mployees shall have the
option to file their SALN either jointly or separately.
sheet attached to the SALN Form, see sample attached. For purposes
of such declaration, the provis ions in these guidelines shall likewise
apply.
REAL PROPERTillS
whe ther it is a land o nly or land with building, a house and lot.
condo minium unit, or an im provement such as an extens ion or garage,
and th e like.
1. Fair market value shall , for purposes of dec lar·ation in the SALN, refer
I-
to th e amount indicated as market value in the tax declaration of the
real properties concerned.
m. The declarant shall indicate those real properties which are. already
titled or registered under his/her name, the name of his/her spouse or
under the name of his/her unman·i ed children below 18 years of age
and living in the declarant' s household. However, real properties
already covered by a deed of sale, inherited or subj ect of an extra-
judicial settlement of estate but not yet titled under declarant's name
shall also be disclosed.
LIABILITIES
a. Net worth is the sum of all assets (real and personal) Jess total
liabilities. \
I
I
b. In the case of real properties, the acqui sition cost shall be used in the
computation of the net worth.
d. Excluded from the computation of real and personal properties are the
properties of unmanied children below 18 years of age living in the
declarant's household.
(2) Those obtained from the labor, indus try, work or profession of
either or both of the spouses;
(3) The f ruits, natural, industrial, or civi l, due or received during I '
the maniage from the comm on property, as well as the net
fruits from the exclusive property of each spouse;
(4) The share of either spouse in the h idden treasure which the law
awards to the finder or owner of the property where the
treasure is fo und; '
I
I
• I
I
I
(5) Those acquired through occupation such as fis hing or hunti ng;
k. In case of joint filing, the total asse ts of the spouses shall include their
respective pru:aphernal or capital properties.
I
l
~
I. In case of joint f il ing, the declarant's total net worth and that of
his/her spouse shall be the difference between the total assets (real
and personal pl'Operties) less the total liabili ties.
b. In case the declarant and his/her spouse join tly file their SALN, they
shall indicate all their relatives within the fourth civi l degree, either
by consanguinity or affinity, and shall include the above-mentioned
information.
c. In case the declarant has no relatives in the government within the 4lh
civil degree of relationship, either by consanguinity or affinity, ,I
including bilas, inso and balqe, the declarant shall tick off the
appropriate box in the form.
1
Defin ition under RA No. 6713
l
\
!·f
I
10. PUBLICATION/EFFECTIVITY
i
I
I
I
l
i
1-
r
t