SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 31, 2021

Required by R.A. 6713

Note: Husband and wife who are both public officials and emplyees must file the required statements jointly or separately

Joint Filling Separate Filling Not Applicable

DECLARANT ELOGSONG OFELIA G. POSITION FARM WORKER I

(Family Name) (First Name) (Middle Initial) AGENCY/OFFICE MUNICIPAL AGRICULTURE
OFFICE ADDRESS LGU- NAGA, ZAMBOANGA SIBUGAY
ADDRESS PUROK 2, TAMBANAN, NAGA, ZAMBOANGA SIBUGAY

SPOUSE ELOGSONG JR. JOVENCIO C. POSITION SSS PENSIONER

(Family Name) (First Name) (M.I.) AGENCY/OFFICE
OFFICE ADDRESS

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME DATE OF BIRTH AGE

HONEY FAYE G. ELOGSONG JULY 24, 2006 15

ASSETS, LIABILITIES AND NET WORTH

(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 LOCATION ASSESSED CURRENT FAIR
(e.g. lot home & (e.g. residential, commercial, VALUE MARKET VALUE ACQUISITION
ACQUISITION COST
lot condominium industrial, agricultural (As found in the Tax Declaration YEAR MODE

and improvements and mixed use. of Real Property)

HOUSE Naga, Z.S. 2018 600,000.00
HOUSE Titay, Z.S. 2020 210,000.00
LAND Titay, Z.S. 24,350.00 9,740.00 1990 34,090.00
Subtotal: 844,090.00

b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION COST
MOTORCYCLE RAIDER FI 115 2018 72,000.00
APPLIANCES 2017 47,000.00
FURNITURES 2020 65,600.00
GADGETS 2018 31,980.00
GADGETS 2021 20,890.00

Subtotal: P 327,740.00
TOTAL ASSETS (a + b): 1,171,830.00
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

AGRICULTURAL LOAN SIVAMCO 100,000.00

FINANCIAL LOAN BAFAMCO 25,000.00
SALARY LOAN DBP 90,000.00

TOTAL LIABILITIES: 215,000.00

NET WORTH: Total Assets less Total Liabilities = 956,830.00
 2015 2004 11
2015 2006 9

6,300
12
75,600
180,000
20,000 550
60 36

333 19,800
22,925
3,125

7,200.00 82,800.00
 BUSINESS INTEREST AND FINANCIAL CONNECTIONS
(Declarant/Declarant's Spouse/Unmarked Children below eighteen (18) years of age living in Decalrant's Household)

I/We do not have any business intersts or financial connections.

NATURE OF BUSINESS
NAME OF ENTITY/BUSINESS DATE OF ACQUISITION OF
BUSINESS ADDRESS INTEREST &/OR CAPITAL
ENTERPRISE INTEREST OR CONNECTION
CONNECTION

N/A N/A N/A N/A

RELATIVES IN THE GOVERNMENT SERVICE

(Within the fourth degree of consanguinity or afffinity, includie also bilas, balae and inso.)

I/We do not have any relative/s in the government service.

NAME OF AGENCY/OFFICE AND

NAME OF RELATIVE RELATIONSHIP POSITION
ADDRESS

KEVIN G. ELOGSONG SON POI PNP

JOVENCIO G. ELOGSONG III SON NURSE II (HRH) DOH

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 inmarried children below eighteen (18) years of age living in my household, and that to the
best of my knowledge, the above-enumerated names of my relatives in the government within the fourth civil degree of consanguinity or
affinity.
I hereby authorized the ombudsman or his/her 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 1 first assumed office in government.

Date: FEBRUARY 7, 2022

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

Government Issued ID SSS UMID CARD Government Issued ID N/A

ID No. CRN:011-5477201-8 ID No. N/A
Date Issued 2015 Date Issued N/A

SUBSCRIBED AND SWORN to before me this day of __________________ 20 _____, Affiant exhibiting to me the above
stated government issued identification card.

HON. RINO O. DELOS REYES

Municipal Mayor
Naga, Zamboanga Sibugay
(Person Administering Oath)