You are on page 1of 2
( ‘ SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH ‘As of December, 2021, renires yA O19 ete: habe onde wo ofthis ofan employers may flee roared tenets on of eee UW Joint Bing Seperate Ping Not Appicable ectanarn __Rawos. roux 5 ronox Peace Fan Reacl Fantasy BL HE/OMRICR ‘aPaD GAN WORSE sant an pe tng Post ed BUY Aauncr/ornice —DEPED LAGAN WEST BTR Orme sponses: TURN INCI ‘MOUSEHOLD aces es etuding those ofthe spouse al unmarred chdren below eighteen (18) ‘years of age living in decerants household) 757,700.00 i i i * Adtitiona br. 5 sheet/s may be used, if necessary ad Mantes. ‘TOTAL LIABILITIES: 300,000 [NET WORTH : Total Assets les Total Lisilties ~ —§46,700.00 reer ae eS etl) ‘UnmortChen ewghen (8) yar fA ag Decor 1 Y/We do not have any business interest or financial connection — Ha hin the Routh Ore Enso or Afi. de io Bs, Pl and sy .1/We do not know of any relative/s in the government service) T hereby certify that these are rue and core statements of my assis, labile, net worth, business interests and financial connections, including those of my spouse and unmarried Children below eighteen (18) yeare of age living in my household, and that to the best of my knowledge, the aboverenumerated are names of my relatives in the government within the fourth civt degree of consanguinity or affinity. | hereby authori the Ombudsman or his/her duly authorized representative to obtain and ‘secure from all appropriate government agencies, including the Dureau of Internal Revenue such ocuments that may show my assets, Labilles, net worth, business interests and financial ccnnections, to include those of my spouse and unmarried children below 18 years of age living with tae in my household covering previous years to include the year Tfirst assumed office in goverment, Datil Decesber Ds a fo, 013365 ne m. 03, 2022.

You might also like