Professional Documents
Culture Documents
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: .
(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 = .
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
(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: __P100,000.00____________
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISTION COST/AMOUNT
Subtotal: ph.107,001.00
TOTAL ASSETS (a+b): ph 207,001.00
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
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)
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
(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
Subtotal: 60,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Page 1 of ______
(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
Subtotal: 68,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
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
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)
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 _____
(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
Subtotal: 68,000.00
TOTAL ASSETS (a+b): _______________
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Page 1 of ______