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eet ay 2015 — e@ e rer temo 1088 ond on ny 23,215 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH Asof (Required by RA 6713) Note: shsband and wife who ar: brk publi ofcials an employees moy le the required statements aly or separately. Oslin iting U Separate Fling Not Applicable Pectanann vostrioR: ADMIMIOTRATIVE ASSISTANT I Aarncr/orrice, —DEPED -§D0 BISLIG CHTY ‘ADDRES: ‘OFFICE ADDRESS; —— GOVERNMENT COMPLEX, POBLACION, IBLIG CITY spouse: wa WA M/A unm BI TEEN, DECLARANT’S HC NAME, DATE OF Bieri ace. N/A N/A N/A. (including those of the spouse and unmarried children below eighteen (18) ‘years of age living in declarant’s household) Subtotal: 0.00 ‘Personal Properties" ie — YEAR ACQUERED ‘ACGEESTION COST/ AMOUNT ro 2023 20, 000.00 ‘VARIOUS GADGETS ‘VARIOUS YEARS 45, 000.00 ‘CASH IN BANK (VARIOUS BANKS) 2023 54,180.00 ‘VARIOUS STOCKS (COL FINANCIAL) ‘VARIOUS YEARS 17, $70.83 S ‘Subtotal: 236, $50.83 ‘TOTAL ASSETS (a+b: 236, 550.83 + Additional sheet/s may be used, if necessary. Page lof __ 2. ABILITIES CREDIT CARD VARIOUS CREDIT CARD BANKS: 111, 788.39 NET WORTH : Total Assote less Total Liabilities = __124, 762.44 * Additional sheet/s may be used, if necessary. (@fDesiarant /Declaran's spouse/ Unmarried Children Below Bighteen (18) years of Age Living in Decarant's Household) O'/ We do not have any business interest or financial connection. laume OST LIZN N/A N/A N/A {thin the Fourth Degre of Concanguinity or Ait. Include also Blas, Balae and Inso) OY We do not know of any relative/s in the government service) BERRIEDALE ALCANTARA cousin ‘TEACHER DEPED - SDO BISLIC. DIVINA ALCANTARA, ‘AUNT ‘ADMIN LGU BISLIG ASSISTANT, DAISY YTOM, ‘AUNT, ‘TEACHER DEPED — SDO BISLI MARIE SHERYL LAYNO COLE ‘COUSIN ADMIN DOH - HINATUAN DISTRICT HOSPITAL OFFICER DIOSDADO QUEVEDO ‘CousIN ADMIN, PHILHEALTH - TANDAG. OFFICER Thereby certify that these are true and correct statements of my assets, liabilities, net worth, business interests and financiel 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. 1 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. ad fp ara Bate oo Daa ay Corerment ened 1: a Dae: Sofa nga Date leu: SUBSCRIBED AND SWORN to before me this_H2diy 4 __, affiant exhibiting to me the above-tated government issued identification card,

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