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SWORN STATEMENT OF ASSETS, LIABILITIES, AND NET WORTH,

DISCLOSURE OF BUSINESS INTEREST AND FINANCIAL CONNECTIONS,


AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE
As of 2018
(Required by Republic Act No. 6713)
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
/ /Joint Filling / /Separate Filling / /Not Applicable

DECLARANT: CASTRO RAYAN L Position: ___________________________


(Family Name) (First Name) (M.I) Agency Office: DepEd
Office Address: Palimbang, Sultan Kudarat
Address: STA. CLARA, KALAMANSIG, SULTAN KUDARAT ___________________________________
________________________________________________
Spouse: ______________________N/A________________________ Position: __________N/A______________
(Family Name) (First Name) (M.I) Agency Office: __________N/A______________
Office Address: __________N/A______________
________________________________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’ HOUSEHOLD
NAME DATE OF BIRTH AGE
1. ____________N/A___________ ___________N/A______________ _______N/A_______
2. __________________________ ____________________________ _________________
3. __________________________ ____________________________ _________________
4. __________________________ ____________________________ _________________
5. __________________________ ____________________________ _________________
6. __________________________ ____________________________ _________________
ASSETS, LIABILITIES AND NET WORTH
(Including those of the spouse and unmarried below eighteen (18) Years of age living in declarant’s household)
1. ASSETS
a. Real Properties
DESCRIPTION KINDS LOCATION ASSESSED CURRENT ACQUISITION ACQUISITI
Eg. Lot house, Eg. Residential, VALUE FAIR VALUE ON COST
condoniums and commercial,
improvements) agricultural, and
mixed use) As found in the Tax Declaration of
Real Property
YEAR MODE
N/A N/A N/A N/A N/A N/A N/A N/A

Subtotal: P ____________________
b. Personal and Other Properties
Kind YEAR ACQUIRED ACQUISITION COST
SMART PHONE 2017 5000
CLOTHING 2016 3000

Subtotal: P 8000
TOTAL ASSETS (a + b) : P 8000
2. LIABILITIES (Loans, Mortgages,etc.)
NATURE NAME OF CREDITORS AMOUNT
N/A N/A N/A

Total Liabilities : P 0.00


NETWORTH (Total Assets (1a + 1b) Less Total Liabilities (2) P 8 000
Note: Pls. Use additional Form if necessary.
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
Do you have any business and other financial connection including these your spouse and unmarried below 18
years of age living with you in your household / / Yes / / / No, If yes, give particulars:
NAME OF BUSINESS NATURE OF BUSINESS INTEREST DATE OF
ENTITY/BUSINESS AND/OR FINANCIAL CONNECTIONS ACQUISITION OR
ENTERPRISES CONNECTION
N/A N/A N/A N/A

RELATIVES IN THE GOVERNMENT SERVICE


(Within the fourth of consanguinity or Affinity. Include also Bilas, Bale 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
Lilibeth C. Caniel Aunt Teacher II Central Lebak District
Ricky L. Balolong Uncle Teacher I E. Arcaño Memorial National High School
Wendy B. Quintana Cousin Teacher I Palimbang District

I hereby certify that those are true and correct statements of my assets, liabilities, net worth, business interest 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 any relatives in the government within the fourth civil degree of
consanguinity or affinity.
I hereby authorized the ombudsman or his 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 interest and financial connections, to include those of my spouse and unmarried children below 18 years of age living with
me in my household covering past years to include the year I first assumed office in government.

Date: _____________________________ 2018.

RAYAN L. CASTRO ______________________________________________


Signature of Declarant Signature of Co-Declarant/spouse

Government Issued I.D: PRC Government Issued I.D: ________________________


I.D. No. 1458933 I.D. No. _____________________________________
Issued on: 6-8-2016 Issued on: ___________________________________

SUBSCRIBED AND SWORN TO before me this ____________ day of _________________, affiant exhibiting his/
her Residence Certificate was indicated.

___________________________________________
Personal Administering Oath

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