Professional Documents
Culture Documents
Sworn Statement of Assets 2019
Sworn Statement of Assets 2019
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
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.
SUBSCRIBED AND SWORN TO before me this ____________ day of _________________, affiant exhibiting his/
her Residence Certificate was indicated.
___________________________________________
Personal Administering Oath