Professional Documents
Culture Documents
SALN Form
SALN Form
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
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
Farm lot Agricultural Togar, Brgy. Not yet 2021 Deed of None
Buayaan- Lilod, assessed Donation
Ditsaan-
Ramain, Lanao
del Sur
2nd floor Residential Togar, Brgy. Not yet 2023 Donation None
(14x12) Buayaan- Lilod, assessed
Ditsaan-
Ramain, Lanao
del Sur
Subtotal: None
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b. Personal Properties*
Two cellphone units (Tecno Pova 3 & Oppo A16k) 2021 and 2023 P15, 000.00
Lenovo laptop G14 (Windows 7) 2019 P 24, 000.00
Gym equipment 2023 P10, 000.00
HP Printer 2023 P18, 719.00
Books and other reading materials 2019 P25, 000.00
Clothing, other wardrobes 2019 and 2023 P15, 000.00
Residential improvements or renovations 2023 P100,000.00
Other appliances 2019 and 2023 P25,000.00
Subtotal : P 232, 719.00
2. LIABILITIES*
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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:
None
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
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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