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 31 December 2021
(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: ISLA FREDERICK P RANK / AFSN: LTC / O-14323

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PAF / AFP
ADDRESS: 77 MATAYUNCAB OFFICE ADDRESS: BGBNEAB, LAPULAPU CITY
GERONA, TARLAC

SPOUSE: ISLA MARICEL C POSITION: BUSINESSWOMAN

(Family Name) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS: GERONA, TARLAC

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
FERRY MAXENE C ISLA 13 JULY 2005 16
DEAN CEDRIC C ISLA 14 JANUARY 2009 12
DRAKE FREDRICH C ISLA 26 SEPTEMBER 2010 11
HUEY DERICK C ISLA 01 SEPTEMBER 2017 4

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

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

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

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

TOYOTA INNOVA (2012) AND WIGO (2017) 2012, 2017 Php 1,604,000.00
JEWELRIES/BOOKS/FURNITURES 2018-2021 658,500.00
CASH ON BANKS 2015-2021 934,450.00
GADGETS/DONATIONS/BIKES 2019-2021 895,000.00
PETS/ANIMALS 2021 180,000.00
Subtotal : Php 4,271,950.00

TOTAL ASSETS (a+b): Php 4,271,950.00

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

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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN ACDI (RENEWED) Php 150,000.00

SALARY LOAN AFPSLAI (RENEWED) 200,000.00
SALARY LOAN ACCC 180,000.00
SALARY LOAN MBAI, AMWSLAI, CWSLAI 800,500.00
TOTAL LIABILITIES: Php 1,330,500.00
NET WORTH : Total Assets less Total Liabilities = Php 2,941,450.00
* 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
CENTER ISLAND DON BOCOBO ST. VARIETY STORE 2021
VARIETY STORE POBLACION 1, GERONA,
TARLAC
N/A N/A N/A N/A
N/A N/A N/A N/A
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
FELY P ISLA MOTHER COUNCILOR BRGY MATAYUNCAB, GERONA
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A

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:__01 FEBRUARY 2022____

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

Government Issued ID: AFP ID Government Issued ID: DRIVER’S LICENSE

ID No.: AF20-O-7074 ID No.: C11-07-000168
Date Issued: 28 AUGUST 2020 Date Issued: 28 JANUARY 2019

SUBSCRIBED AND SWORN to before me this 1ST day of February 2022, affiant exhibiting to me the above-
stated government issued identification card.

CPT CHRISTINE V AQUINO PAF

(Person Administering Oath)

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