SWORNSTATEMENT 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: DUMBASE LOUELA M. POSITION: TEACHER II

(Family (First Name) (M.I.) AGENCY/OFFICE/ SOUTHERN DAVAO
Name) SCHOOL: NATIONAL HIGH SCHOOL
ADDRESS: PUROK 1-B NEW MALITBOG, PANABO OFFICE ADDRESS: SOUTHERN DAVAO,
CITY PANABO CITY

SPOUSE: DUMBASE RYAN D. POSITION: SECURITY GUARD

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: TADECO
OFFICE ADDRESS: PANABO CITY

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

NAME DATE OF BIRTH AGE

LIAN KICHIE M. DUMBASE FEB. 15, 2011 11

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 LOCATION ASSESSED CURRENT FAIR ACQUISITION ACQUISITION COST

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

House& lot Residential Prk. 1-B 230,000 280,000.00 2019 cash 150,000.00
New
Malitbog

Subtotal: 150,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

GADGETS& APPLIANCES 2016 - 2022 121,000.00

CLOTHING& ACCESSORIES 2018- 2021 45,000.00
MOTORCYCLE (2) 2015 - 2020 160,000.00

Subtotal : 326,000.00
TOTAL ASSETS (a+b): 476,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN TAGUM COOP 37,000.00

MPL GSIS 26,000.00
SALARY LOAN CITY SAVINGS BANK 11,976.00
SALARY LOAN CHINA BANK 32,000.00
TOTAL LIABILITIES: 106,976.00
NET WORTH : Total Assets less Total Liabilities = 370,000.00
 Additional sheet/s may be used, if necessary.
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 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 N/A N/A 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
CALLE, MA. LOROVI E. AUNT TEACHER DEPED- REGION VI

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:
LOUELA M. DUMBASE RYAN D. DUMBASE

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

Government Issued ID: UMID Government Issued ID: SSS

ID No.: 000-7217-6529-7 ID No.: 0009-2919283-7
Date Issued: 7/23/2012 Date Issued: N/A

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

___________________________________
(Person Administering Oath)

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