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 31, 2022
(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: TANGAROT BOBBY R POSITION: POLICE SENIOR MASTER

SARGEANT
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: NPTI
ADDRESS: PUROK 2A, KINAMLUTAN OFFICE ADDRESS: CAMP GEORGE BARBERS,
LIPATA, SURIGAO CITY
BUTUAN CITY

SPOUSE: TANGAROT MARY GRACE D POSITION: PATROLWOMAN

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: BUTUAN CITY MOBILE FORCE
COMPNY
ADDRESS: PUROK 2A, KINAMLUTAN OFFICE ADDRESS: JC AQUINO AVENUE, CORNER
AD CURATO ST. BUTUAN CITY
BUTUAN CITY

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE

MAVEY KRISTOFF D. TANGAROT JULY 09, 2011 11 YEARS OLD
KYLIE BRIANNA D. TANGAROT JUNE 07, 2013 9 YEARS OLD

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 COST

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

HOUSE AND RESIDENTIAL PUROK 2A, 2014 Php 300,000.00

LOT KINAMLUTAN, BUTUAN
CITY
LOT RESIDENTIAL PUROK 2A, 2020 Php 255,000.00
KINAMLUTAN, BUTUAN
CITY
HOUSE RESIDENTIAL PUROK 2A, 2022 Php 750,000.00
KINAMLUTAN, BUTUAN
CITY
Subtotal: Php 1,305,000.00

b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT

GADGETS 2020-2022 Php   60,000.00

CLOTHING 2020-2022 Php    40,000.00
TOYOTA VIOS 2020 Php  490,000.00
MIO SOUL I 125S 2017 Php    82,000.00
APPLIANCES 2020-2022 Php    50,000.00
JEWELRY 2021-2022 Php 25,000.00
Subtotal : Php  747,000.00

TOTAL ASSETS (a+b): Php2,052,000.00

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

Page 1 of 2
2 . LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN PSSLAI  Php 520,202.00

SALARY LOAN AFPSLAI Php 435,284.00
EMERGENCY LOAN AFPSLAI Php 423,840.00
PS EEHH LOAN PSSLAI Php 521,536.00
ULOAN PSSLAI Php 431,674.00
EMERGENCY LOAN AFPSLAI Php  187,920.00
TOTAL LIABILITIES: Php 2,520,456.00

NET WORTH : Total Assets less Total Liabilities = (Php 468,456.00)

* 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
N/A

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
JOHNNY R TANGAROT BROTHER POLICE SENIOR CAMP RAFAEL RODRIGUEZ, LIBERTAD, BUTUAN
MASTER CITY
SARGEANT

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:

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

Government Issued ID:  PNP ID Government Issued ID: PNP ID

ID No.: 20K0600419 ID No.: 20L1800136
Date Issued:  11/06/2020 Date Issued: 11/6/2020

SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the

above-stated government issued identification card.

PCOL GIOVANNI A. MUSICO

Chief, Training Center Caraga

(Person Administering Oath)

Page 2 of 2