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SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 2023
(Required by R.A 6713)
Note: Husband and wife who are both public officials and employees mayfile the required statements jointly or separately)
Joint Filing Separate Filing Not Applicable

DECLARANT: POSITION:
(Family Name) (First Name) (M.I) AGENCY/OFFICE: .
ADDRESS: TAMBO, AYUNGON NEG. OR. OFFICE ADDRESS: .

SPOUSE: POSITION: NONE


(Family Name) (First Name) (M.I) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN HIS/HERHOUSEHOLD


NAME DATE OF BIRTH AGE
. .

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse andunmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION ASSESSED CURRENT FAIR ACQUISTION ACQUISTION COST

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

Subtotal: ___________________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT

PERSONAL BELONGINGS
APPLIANCES
IMPROVEMENTS OF HOUSE

Subtotal:
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOTAL LIABILITIES: .
TOTAL NET WORTH: Total Assets less Total Liabilities = .

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

Page 1 of ______
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of December 2020
(Required by R.A 6713)
Note: Husband and wife who are both public officials and employees mayfile the required statements jointly or separately)
Joint Filing Separate Filing Not Applicable

DECLARANT: GLINOGO, MARIA LEE ESTOCONING POSITION: BRGY. SECRETARY


(Family Name) (First Name) (M.I) AGENCY/OFFICE: BARANGAY TAMBO
ADDRESS: TAMBO, AYUNGON NEG. OR. OFFICE ADDRESS: TAMBO, AYUNGON, NEG. OR

SPOUSE: POSITION: NONE


(Family Name) (First Name) (M.I) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN HIS/HERHOUSEHOLD


NAME DATE OF BIRTH AGE
SANTA-ANA, KELLY RHEY GLINOGO SEPTEMBER 06, 2007 _______13______
SANTA-ANA, KURT LEE GLINOGO JULY 22, 2012 _______8________

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 LOCATION ASSESSED CURRENT FAIR ACQUISTION ACQUISTION COST

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

HOUSE TAMBO 2018 P100,000.00

Subtotal: __P100,000.00____________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT

MOTORCYCLE 2019 -2020 P74,500.00


APPLIANCES 2018- 2020 P 32,501.00

Subtotal: ph.107,001.00
TOTAL ASSETS (a+b): ph 207,001.00
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN DCCCO BAIS BRANCH 100,000.00

TOTAL LIABILITIES: ph100,000.00


TOTAL NET WORTH: Total Assets less Total Liabilities = ph107,000.01

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


Page 1 of ______

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


(of Declarant / Declarant’s spouse/Unmarried Children below Eighteen (18) years of age living inDeclarant’s household)
I/We do not have any business interest and financial connection.
NAME OF ENTITY / BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTERPRISE INTEREST&/ OR FINANCIAL INTEREST OR CONNECTION
CONNECTION

DUBEGAS DE TAMBO TAMBO, AYUNGON, NEG. OR. SUSTAiNABLE LIVELIHOOD 2018-2020


PROGRAM ASSOCIATION

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth degree of Consanguinity or Affinity, including Bilas, Balae and Inso)
I/We do not have any relative/ s in the government service.
NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
SARRAH MAE B. ESTOCONING COUSIN TEACHER DepEd

I hereby certify that these are true and correct statements of my assets, liabilities and 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 such 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, including
the year I first assumed office in the government.

Date: 2-2-2021
MARIA LEE ESTOCONING GLINOGO
(Signature of Declarant) (Signature of Co-Declarant/Spouse)

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


ID no.: G12-20-004780 ID no : __________________________________
Date Issue: 09-08-2020 Date Issued: __________________________________

SUBSCRIBED AND SWORN to before me this ____ day of ________, affiants exhibiting to me the above-stated
government issued identification card.

_________________________________________
(Person Administering Oath)

Page 2 of _____
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of December 2021
(Required by R.A 6713)
Note: Husband and wife who are both public officials and employees mayfile the required statements jointly or separately)
Joint Filing Separate Filing Not Applicable

DECLARANT: RENDOQUE JEANIE SALIMBAGAT POSITION: BRGY. TREASURER


(Family Name) (First Name) (M.I) AGENCY/OFFICE: BARANGAY TAMBO
ADDRESS: TAMBO, AYUNGON NEG. OR. OFFICE ADDRESS: TAMBO, AYUNGON, NEG. OR

SPOUSE: RENDOQUE ELDIE SEVILLANO POSITION: NONE


(Family Name) (First Name) (M.I) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN HIS/HERHOUSEHOLD


NAME DATE OF BIRTH AGE
NOVIE SHANE S.RENDOQUE NOVEMBER 2, 2008 13

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse andunmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION ASSESSED CURRENT FAIR ACQUISTION ACQUISTION COST

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

Subtotal: ___________________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT

PERSONAL BELONGINGS 2018-2021 30,000.00


APPLIANCES 2018-2021 30,000.00

Subtotal: 60,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN DCCCO GUIHULNGAN BRANCH 99,000.00


DEVIDER 2,300.00

TOTAL LIABILITIES: 101,300.00


TOTAL NET WORTH: Total Assets less Total Liabilities = -41,300.00
*Additional sheet/s may be used, if necessary.

Page 1 of ______

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of December 2022
(Required by R.A 6713)
Note: Husband and wife who are both public officials and employees mayfile the required statements jointly or separately)
Joint Filing Separate Filing Not Applicable

DECLARANT: RENDOQUE JEANIE SALIMBAGAT POSITION: BRGY. TREASURER


(Family Name) (First Name) (M.I) AGENCY/OFFICE: BARANGAY TAMBO
ADDRESS: TAMBO, AYUNGON NEG. OR. OFFICE ADDRESS: TAMBO, AYUNGON, NEG. OR

SPOUSE: RENDOQUE ELDIE SEVILLANO POSITION: NONE


(Family Name) (First Name) (M.I) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN HIS/HERHOUSEHOLD


NAME DATE OF BIRTH AGE
NOVIE SHANE S.RENDOQUE NOVEMBER 2, 2008 14

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse andunmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION ASSESSED CURRENT FAIR ACQUISTION ACQUISTION COST

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

Subtotal: ___________________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT

PERSONAL BELONGINGS 2018-2022 38,000.00


APPLIANCES 2018-2022 30,000.00

Subtotal: 68,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN 40,000.00 24,000.00

TOTAL LIABILITIES: 24,000.00


TOTAL NET WORTH: Total Assets less Total Liabilities = 44,000.00

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

Page 1 of ______
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant / Declarant’s spouse/Unmarried Children below Eighteen (18) years of age living inDeclarant’s household)
I/We do not have any business interest and financial connection.
NAME OF ENTITY / BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTERPRISE INTEREST&/ OR FINANCIAL INTEREST OR CONNECTION
CONNECTION

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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth degree of Consanguinity or Affinity, including Bilas, Balae and Inso)
I/We do not have any relative/ s in the government service.
NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
MA. FE S. ARCALA SISTER TEACHER DepEd / So—ok Mabato Elementary School

I hereby certify that these are true and correct statements of my assets, liabilities and 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 such 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, including
the year I first assumed office in the government.

Date: 2-1-2022
JEAANIE S. RENDOQUE
(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued: Voter’s Id Government Issued ID:


ID . No.VIN:4602-0065B-10276JSR20000 ID no : __________________________________
Date Issue: Date Issued: __________________________________

SUBSCRIBED AND SWORN to before me this ____ day of ________, affiants exhibiting to me the above-stated
government issued identification card.

_________________________________________
(Person Administering Oath)
Page 2 of _____

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of December 2022
(Required by R.A 6713)
Note: Husband and wife who are both public officials and employees mayfile the required statements jointly or separately)
Joint Filing Separate Filing Not Applicable

DECLARANT: RENDOQUE JEANIE SALIMBAGAT POSITION: BRGY. TREASURER


(Family Name) (First Name) (M.I) AGENCY/OFFICE: BARANGAY TAMBO
ADDRESS: TAMBO, AYUNGON NEG. OR. OFFICE ADDRESS: TAMBO, AYUNGON, NEG. OR

SPOUSE: RENDOQUE ELDIE SEVILLANO POSITION: NONE


(Family Name) (First Name) (M.I) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN HIS/HERHOUSEHOLD


NAME DATE OF BIRTH AGE
NOVIE SHANE S.RENDOQUE NOVEMBER 2, 2008 14

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse andunmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION ASSESSED CURRENT FAIR ACQUISTION ACQUISTION COST

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

Subtotal: ___________________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT

PERSONAL BELONGINGS 2018-2022 38,000.00


APPLIANCES 2018-2022 30,000.00

Subtotal: 68,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN DCCCO GUIHULNGAN BRANCH 24,000.00

TOTAL LIABILITIES: 24,000.00


TOTAL NET WORTH: Total Assets less Total Liabilities = 44,000.00

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

Page 1 of ______

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