Bulacan State University

Central Human Resource Management Office

Step-by-Step
Procedures in Filling out the

(Sworn Statement of Assets,

Liabilities and Net Worth)
PAGE 1

SALN Form
(Sworn Statement of Assets,
Liabilities and Net Worth)
Date: As of December 31, 2021
“YEAR END”
 5 copies of SALN shall be printed out in case of Joint Filing
(if both are government employees) – all real and personal
properties shall be declared, including
paraphernal and capital properties

PARAPHERNAL –properties CAPITAL –properties exclusively

exclusively owned by the wife owned by the husband
 3 copies of SALN shall be printed out if both
decide that they will file separately in their
agency
Tick off the box marked “Separate Filing”
3 copies of SALN shall be printed out if the declarant
is single or married but whose spouse is not in
government service -
Tick off the box marked “Not Applicable”
 +-*--*

The declarant shall provide complete information on

his/her address, position, agency/office and office
address.
 +-*--*

If married, please provide the complete information of

your spouse including the position, agency/office and office
address
 +-*--*

• Kindly indicate “N/A” if the declarant is single, widowed,

legally separated or annulled as of the covered year of
submission.
Declarant must provide the information required
for all his/her unmarried children below eighteen
(18) years of age and living in his/her household,
whether legitimate or illegitimate.
Titled/Registered Properties under:
• Declarant’s name
• Declarant’s spouse
• Name of declarant’s unmarried children
below 18 years of age and living in the
declarant’s household
* Also include properties already covered by
deed of sale or extrajudicial settlement but
not yet titled
 Description
• Land only or land with building
• House and lot, Condominium unit
• Improvements – extension, garage etc.

Improvements
• Works constructed or introduced to the land
• Repairs or improvements made to the land or
building after its initial acquisition
• May be declared separately or together with
the land to which it is attached
Classified according to their use –
residential, commercial, agricultural,
industrial or mixed use and the like
Complete address of the property
• Land only or Land with Building - Street,
Subdivision/Village, Barangay, City/Municipality and
Province.
• House and lot, Condominium unit - House/Block/Lot
number, Street, Subdivision/Village, Barangay,
City/Municipality and Province.
• Improvements - House/Block/Lot number, Street,
Subdivision/Village, Barangay, City/Municipality and
Province.
 Fair Market Value
Assessed Value Amount indicated as market
Amount indicated in the tax value in the tax declaration
declaration of the real of the real properties
properties involved concerned
 Mode
Year
How it was acquired:
When it was acquired
inherited, sale, donation
and succession
Acquisition Cost
• Amount of money paid to acquire or own something
• Also refers to the amount of expenses incurred for
improvements introduced on a real property
No Acquisition Cost
• In the case of properties received gratuitously
• Ex. – Donation or Inheritance
 Subtotal
Add all the acquisition
cost of the declared real
properties
 Personal Property
Includes jewelry, appliances,
furniture, motor vehicles and
other tangible/movable
properties

Personal property also

include investments or other
assets, such as cash on hand or
in bank, negotiable
instruments, securities, stocks,
bonds, and the like
Year Acquired
• When it was acquired Acquisition Cost
• Personal properties collectively acquired or are of • The acquisition cost to be
minimal value may be declared generally or declared shall be the actual
collectively. In which case, the declarant may purchase price.
write/indicate “VARIOUS YEARS”.
 Subtotal
Add all the acquisition cost
of the declared personal
properties
 Subtotal of the Declared
Real Properties

Subtotal of the
Declared Personal
TOTAL ASSETS Properties
Formula (1a + 1b)
• Real Properties + Personal
Properties = Total Assets
• Ex. 4,450,000 + 6,925,000 =
Php 11, 375,000.00
PAGE 2

SALN Form
(Sworn Statement of Assets,
Liabilities and Net Worth)
 LIABILITIES
- Refers to financial liability or anything that can result to a
transfer or disposal of an asset. It includes not only those
incurred by the declarant but also those of his/her spouse
and unmarried children below eighteen (18) years of age
living in his/her household
 NATURE of Liability
- type of loan obtained from banks, financial
institutions, GSIS, PAG-IBIG and others, such as
personal, multi-purpose, salary, calamity loan
and the like.
 NAME OF CREDITORS
- Name of the person or company to whom
the outstanding balance of a declarant’s
liabilities is owed
 OUTSTANDING BALANCE
- refers to the amount of money that one still
owes on the loan as of December 31 of the
preceding calendar year

TOTAL LIABILITIES
Add all the outstanding
balance of the declared
liabilities
 Total ASSETS
• Real Properties – The acquisition cost shall be
used in the computation of the net worth
• Personal Properties – The acquisition cost or
amount/value of money shall be used in the
computation of the total net worth

NET WORTH Formula ( 1a + 1b) – 2

- Is the sum of all ASSETS • Assets – Liabilities = Net Worth
(real and personal) Less • Ex. 11,375,000 - 1,650,000 =
total LIABILITIES Php 9,725,000.00
 BUSINESS INTERESTS
Existing interest in any business enterprise or entity, aside from
his/her income from government
 FINANCIAL CONNECTIONS
Existing connections with any business enterprise or entity, whether
as a consultant, adviser and the like, with an expectation of
remuneration for services rendered
If none of the declarant, his or her spouse and unmarried children
has a business interest or financial connection, the declarant shall
Tick off the box marked
“I/We do not have any business interest or financial connection”.

BUSINESS ADDRESS
• Exact location of the declared business enterprise -
Block/Lot number, Street, Subdivision/Village,
Barangay, City/Municipality and Province.
NATURE OF INTEREST
Existing interest or connection in any business enterprise,
whether as proprietor, investor, promoter, partner,
shareholder, officer, managing director, executive, creditor,
lawyer, legal consultant or adviser, financial or business
consultant, and the like

- refers to the “YEAR” in

which the business interest
was first established
 The declarant shall disclose his/her relatives in the
government within 4th civil degree of relationship,
either by consanguinity or affinity.

CONSANGUINITY AFFINITY
Relationship by blood from the Relationship of a husband to the blood relatives of
same stock or common his wife, or a wife to the blood relatives of her
ancestor husband
Relatives within the 4th civil degree of relationship refer to the following:
RELATIONSHIP BY CONSANGUINITY
DEGREE
1st Declarant’s father, mother, son and daughter
2nd Declarant’s brother, sister, grandmother,
grandfather, grandson and granddaughter
3rd Declarant’s nephew, niece, uncle and aunt
4th Declarant’s first cousin
RELATIONSHIP BY AFFINITY
Declarant’s father-in-law, mother-in-law, son-in-law
and daughter-in-law
Declarant’s brother-in-law, sister-in-law, grandmother-
in-law and grandfather-in-law, grandson-in-law and
granddaughter-in-law
Declarant’s nephew-in-law, niece-in law, uncle-in-law
and aunt-in-law
Declarant’s first cousin-in-law
The disclosure shall state the declarant’s relationship with
the relative, the position of the relative as well as the
name of office/agency and address
In case the declarant has no relatives in the government within
the 4th civil degree of relationship, either by consanguinity or
affinity, including bilas, inso and balae
Tick off the box marked
“I/We do not know of any relative/s in the government service”.
 Declaration should be true and correct
statements

Identification of relatives only to the best of

declarant’s knowledge

Original signature of both spouses,

whether in the government or private sector
Date when the SALN was
accomplished or submitted If signature cannot be obtained, an
explanation letter should be attached
GOVERNMENT ISSUED ID:
• Passport
• SSS ID
• GSIS E-Card
• PRC ID
• IBP ID
• Senior Citizen’s ID
• Voter’s ID
• Digitized Postal ID
• Driver’s License
• TIN ID
 Person Administering Oath
for Regular Faculty Members –
Dr. Teody C. San Andres
 Person Administering Oath
for Regular Non-Academic Personnel –
Dr. Jaime P. Pulumbarit
 Person Administering Oath
for Members of the Administrative Council –
Dr. Cecilia S. Navasero-Gascon
PAGE 3
(additional sheet/s if necessary)

SALN Form
(Sworn Statement of Assets,
Liabilities and Net Worth)
You may use ADDITIONAL
SHEET/S if necessary

Signature of
Co-Declarant/Spouse

Signature of Declarant

Don’t forget to include this

in the page number
REMINDERS

SALN Form
(Sworn Statement of Assets,
Liabilities and Net Worth)
 PAGINATION

TOTAL PAGES PURPOSE

In case additional SAMPLE
To avoid
sheets are used, • Page 1 of 3
insertions or
the total number • Page 2 of 3
of pages must be pulling out of
• Page 3 of 3
specified pages
 Other REMINDERS
No unnecessary markings Legal size paper
Fill all applicable information – Otherwise, write
“Not applicable” or “N/A” Number of original copies to be submitted:
May be handwritten, computerized or 5 – joint filing, both are working in the
typewritten same agency
4 – joint filing, different government
Handwriting must be legible
agency
Before printing make sure to double check if all 3 – single and separate filing
information is valid and updated and that the 1 – for BulSU copy, if spouse will file to their
computations are correct
agency
Back to Back printing
 Bulacan State University
Central Human Resource Management Office

Accomplished
SALN Form
(Sworn Statement of Assets,
Liabilities and Net Worth)

Deadline of submission on or before

March 15, 2022