SALN (Revised 2013)

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 31, 2014
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statement jointly or separately.
✘

DECLARANT: BENITEZ FRANKLIN E. POSITION: TEACHER II

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DepEd - Sergio Osmeña NHS
OFFICE ADDRESS: SERGIO OSMEÑA, ZAMBOANGA DEL NORTE
ADDRESS: GALAS, DIPOLOG CITY

SPOUSE: BENITEZ AMELYN D. POSITION: TEACHER I

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DepEd - Sergio Osmeña NHS
OFFICE ADDRESS: SERGIO OSMEÑA, ZAMBOANGA DEL NORTE

UNMARRIED CHILDDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE

NATHANIEL D. BENITEZ December 14, 2013 2

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 Assessed Value Current Fair Market Acquisition ACQUISITION

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

N O N E

SUBTOTAL
B. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Motorcycle (HONDA XRM 125) 2011 60,000.00
Mobile Phone (Cherry Mobile W100) 2012 3,500.00
Bass Guitar with casing (ASPIRE) 2012 7,400.00

Page 1 of 20
SALN (Revised 2013)

SUBTOTAL 70,900.00
TOTAL ASSETS (A+B): 70,900.00
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Salary Loan Dipolog Angelyn Lending Corp. 70,000.00
Salary Loan Rural Bank of Katipunan 100,000.00

TOTAL LIABILITIES: 170,000.00

NET WORTH: Total Assets Less Total Liabilities = -99,100.00

AMOUNT AND SOURCES OF GROSS INCOME
(All Amount received from all sources for the preceding Calendar Year)
NATURE (Salary/Income, business, etc.) SOURCES AMOUNT
Salary DepEd 222,588.00
PERA/ACA DepEd 24,000.00
Clothing Allowance DepEd 5,000.00
Incentives DepEd 5,000.00
22,000.00
TOTAL 278,588.00
AMOUNT OF PERSONAL AND FAMILY EXPENSES
(For the preceding Calendar Year)
Personal Expenses Estimated Amount Family Expenses Estimated Amount
CELLPHONE LOAD 2,000.00 HOUSE RENTAL 21,000.00
CLOTHING 2,000.00 BILL (WATER/ELECTRICITY) 7,200.00
FUEL (GASOLINE) 15,000.00
FOODS AND DRUGS 100,000.00
EDUCATION 50,000.00
Total 4,000.00 Total 193,200.00
AMOUNT OF INCOME TAXES PAID
(For the preceding Calendar Year)
NATURE AMOUNT
WITHHOLDING TAX 26,051.02
COMMUNITY TAX CERTIFICATE 270.00

TOTAL 26,321.02
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 Enterprise Business Address Nature of Business Interest Date of Acquisition of
&/or Financial Connection Interest or Connection

Page 2 of 20
SALN (Revised 2013)
N O N E

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 Office/Address

N O N E

I/We hereby certify that these are my/our true and detailed assets, liabilities, net worth, amount and sources of income, personal and family expenses, amount of
income taxes paid, business interest and financial connection, including those of my spouse and my/our children below 18 years of age living in my household and
name/s of my relative/s in the Government as of December 31, 2015 as required by and in accordance with Republic Act No. 3019 and 6713.
I/We 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 such assets, liabilities, net worth, business interests and financial connection, including those of my spouse
and my/our children below 18 years of age living with me in my household covering previous years, and if possible, including the years I/We first assumed office in
government.
I/We further undertake to produce all supporting documents for each of entries herein made when required.

Date: February 13, 2014 Date:

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

Government Issued ID:PRC Government Issued ID:

ID No.: 1053072 ID No.:
Date Issued: May 15, 2014 Date Issued:

SUBSCRIBED AND SWORN to before me this 13th day of February, 2015, affiant/s exhibiting to me the
above-stated government issued identification card.

(Person Administering Oath)

Page 3 of 20
SALN (Revised 2013)

Page 4 of 20
SALN (Revised 2013)
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of December 31, 2014
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statement jointly or separately.
✘

DECLARANT: BENITEZ AMELYN D. POSITION: TEACHER I

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DepEd - Sergio Osmeña NHS
OFFICE ADDRESS: SERGIO OSMEÑA, ZAMBOANGA DEL NORTE
ADDRESS: GALAS, DIPOLOG CITY

SPOUSE: BENITEZ FRANKLIN E. POSITION: TEACHER II

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DepEd - Sergio Osmeña NHS
OFFICE ADDRESS: SERGIO OSMEÑA, ZAMBOANGA DEL NORTE

UNMARRIED CHILDDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE

NATHANIEL D. BENITEZ December 14, 2013 1

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 Assessed Value Current Fair Market Acquisition ACQUISITION

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

N O N E

SUBTOTAL
B. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
ACER LAPTOP COMPUTER 2013 22,000.00
FLAME CHERRY MOBILE 2013 6,200.00
CANON PRINTER 3-IN-1 2014 3,500.00

Page 5 of 20
SALN (Revised 2013)

SUBTOTAL 31,700.00
TOTAL ASSETS (A+B): 31,700.00
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Salary Loan Dipolog Angelyn Lending Corp. 60,000.00

TOTAL LIABILITIES: 60,000.00

NET WORTH: Total Assets Less Total Liabilities = -28,300.00

AMOUNT AND SOURCES OF GROSS INCOME
(All Amount received from all sources for the preceding Calendar Year)
NATURE (Salary/Income, business, etc.) SOURCES AMOUNT
Salary DepEd 222,588.00
PERA/ACA DepEd 24,000.00
Clothing Allowance DepEd 5,000.00
Incentives DepEd 5,000.00
22,000.00
TOTAL 278,588.00
AMOUNT OF PERSONAL AND FAMILY EXPENSES
(For the preceding Calendar Year)
Personal Expenses Estimated Amount Family Expenses Estimated Amount
CELLPHONE LOAD 2,000.00 HOUSE RENTAL 21,000.00
CLOTHING 2,000.00 BILL (WATER/ELECTRICITY) 7,200.00
FUEL (GASOLINE) 15,000.00
FOODS AND DRUGS 100,000.00
EDUCATION 50,000.00
Total 4,000.00 Total 193,200.00
AMOUNT OF INCOME TAXES PAID
(For the preceding Calendar Year)
NATURE AMOUNT
WITHHOLDING TAX 26,051.02
COMMUNITY TAX CERTIFICATE 270.00

TOTAL 26,321.02
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 Enterprise Business Address Nature of Business Interest Date of Acquisition of
&/or Financial Connection Interest or Connection

Page 6 of 20
SALN (Revised 2013)
N O N E

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 Office/Address

N O N E

I/We hereby certify that these are my/our true and detailed assets, liabilities, net worth, amount and sources of income, personal and family expenses, amount of income
taxes paid, business interest and financial connection, including those of my spouse and my/our children below 18 years of age living in my household and name/s of my
relative/s in the Government as of December 31, 2015 as required by and in accordance with Republic Act No. 3019 and 6713.
I/We 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 such assets, liabilities, net worth, business interests and financial connection, including those of my spouse and
my/our children below 18 years of age living with me in my household covering previous years, and if possible, including the years I/We first assumed office in
government.
I/We further undertake to produce all supporting documents for each of entries herein made when required.

Date: February 13, 2014 Date:

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

Government Issued ID:BIR Government Issued ID:

ID No.: 950983362 ID No.:
Date Issued: September 18, 2012 Date Issued:

SUBSCRIBED AND SWORN to before me this 13th day of February, 2015, affiant/s exhibiting to me the
above-stated government issued identification card.

(Person Administering Oath)

Page 7 of 20
SALN (Revised 2013)

Page 8 of 20
 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of ___________________________
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statement jointly or separately.

DECLARANT: POSITION:
(Family Name) ( First Name) (M.I.) AGENCY OFFICE:
OFFICE ADDRESS:
ADDRESS:

SPOUSE: POSITION:
(Family Name) ( First Name) (M.I.) AGENCY OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE

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 CURRENT FAIR

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

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

Page 9 of 20
 Subtotal:
TOTAL ASSETS (a+b):
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOTAL LIABILITIES:

NET WORTH: Total Assets Less Total Liabilities =

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/ Declarant's spouse/ Unmarried Children Below Eighteen (18) years of Age Living inDeclarant's Household)
I/We do not have any business interest or financial connection.

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

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 ADDRESS

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
Page 10 of 20
with me in my household covering previous years to include the year I first assumed office in government.
 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: Government Issued ID:

ID No.: ID No.:
Date Issued: Date Issued:

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

above-stated government issued identification card.

(Person Administering Oath)

Page 11 of 20
 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of December 31, 2015
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statement jointly or separately.
✘

DECLARANT: BENITEZ AMELYN D. POSITION: TEACHER I

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DEPED -SERGIO OSMEÑA NHS
OFFICE ADDRESS:POB. BAJO, SERGIO OSMEÑA, ZN
ADDRESS: GALAS, DIPOLOG CITY

SPOUSE: BENITEZ FRANKLIN E. POSITION: TEACHER II

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DEPED -SERGIO OSMEÑA NHS
OFFICE ADDRESS:POB. BAJO, SERGIO OSMEÑA, ZN

UNMARRIED CHILDDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE

NATHANIEL D. BENITEZ December 14, 2013 2

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

House and Lot ResidentiAL Galas, Dipolog 2015 Cash ₱200,000.00

City

Subtotal: ₱200,000.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Mobile Phone Samsung J1 2015 ₱5,000.00
 Subtotal: ₱5,000.00
TOTAL ASSETS (a+b): ₱205,000.00
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Salary Loan Dipolog Angelyn Lending investor ₱90,000.00
Salary Loan UCPB ₱200,000.00
Salary Loan PAG-IBIG ₱4,500.00

TOTAL LIABILITIES: ₱294,500.00

NET WORTH: Total Assets Less Total Liabilities = -₱89,500.00

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/ Declarant's spouse/ Unmarried Children Below Eighteen (18) years of Age Living inDeclarant's Household)
✘

NATURE OF BUSINESS
BUSINESS ADDRESS INTEREST &/OR FINANCIAL DATE OF ACQUISITION OF
INTEREST OR CONNECTION
CONNECTION

N O N E

RELATIVES IN THE GOVERNMENT SERVICE

(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
✘

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/ OFFICE ADDRESS

N O N E

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.
 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: Government Issued ID:

ID No.: ID No.:
Date Issued: Date Issued:

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

above-stated government issued identification card.

(Person Administering Oath)

 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 employees may file the required statement jointly or separately.
✘

DECLARANT: ALMEDILLA PRUDELYN P. POSITION: TEACHER II

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: DEPED -SERGIO OSMEÑA NHS
OFFICE ADDRESS:POB. BAJO, SERGIO OSMEÑA, ZN
ADDRESS: DANSULLAN,POLANCO ZAMBO.NORTE

SPOUSE: ALMEDILLA, JERIC Y. POSITION: Salesman(Senior)

(Family Name) ( First Name) (M.I.) AGENCY OFFICE: MDSI
OFFICE ADDRESS:Minaog,Dipolog City

UNMARRIED CHILDDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE

N-----O-----N----E N-----O-----N----E N-----O-----N----E

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*

ASSESSED CURRENT FAIR ACQUISITION

VALUE MARKET VALUE ACQUISITION
LOCATION COST
(As found in the Tax Declaration of Real Property) YEAR MODE
(e.g. (e.g. residential,

N O N O

Subtotal: ₱0.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
ASUS LAPTOP 2018 ₱17,000.00
JEWELRY 2020 ₱16,000.00
CELLPHONE 2018 ₱11,500.00
JEWELRY 2021 ₱15,000.00
LENOVO LAPTOP 2022 ₱30,995.00
HOUSE 2021 ₱500,000.00

Subtotal: ₱590,495.00
TOTAL ASSETS (a+b): ₱590,495.00
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Loans Payable PRODUCERS BANK ₱600,000.00
FIRST CONSOLIDATED BANK ₱47,000.00

TOTAL LIABILITIES: ₱647,000.00

NET WORTH: Total Assets Less Total Liabilities = ₱647,000.00

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/ Declarant's spouse/ Unmarried Children Below Eighteen (18) years of Age Living inDeclarant's Household)
✘

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

N O N E
 RELATIVES IN THE GOVERNMENT SERVICE
(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
✘

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/ OFFICE ADDRESS

N O N E

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: January 14, 2022

PRUDELYN P. ALMEDILLA N/A

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

Government Issued ID: PRC Government Issued ID: N/A

ID No.: 1536264 ID No.: N/A
Date Issued: 6/1/2017 Date Issued: N/A

SUBSCRIBED AND SWORN to before me this 14th day of January, 2022 affiant exhibiting to me the
above-stated government issued identification card.

(Person Administering Oath)