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Revised as of January 2015

Per CSC Resolution No. 1500088


Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: SALARDA HELEN L. POSITION: TEACHER-3
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: PUROK SIKATUNA, DUMALINAO, ZAMBO. SUR

SPOUSE: SALARDA PRIMITIVO C. POSITION: N/A


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

N/A N/A N/A


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

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
HOUSE & LOT RESIDENTIAL TICKWAS, ZDS 450,000.00 600,000.00 1994 CASH 500,000.00

Subtotal: 500,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

VARIOUS APPLIANCES 2016 18,000.00


MOTOR 2016 98,000.00

Subtotal: 116,000.00
TOTAL ASSETS (a+b): 616,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN EAST WEST BANK 300,000.00


SALARY LOAN GSIS 292,000.00
PERSONAL LOAN LENDING SHOP 150,000.00

TOTAL LIABILITIES: 742,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = (126,000.00)

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

FLORA L. PELONG NIECE T-2 DEPED, TINA, DUMALINAO, ZDS


MARISSA G. RUBIN NIECE T-3 DEPED, DUMALINAO, ZAMBOANGA DEL SUR

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 403277 ID No.:
Date Issued: 20-Jul-98 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: DECIERDO CORAZON B. POSITION: TEACHER-1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: PUROK SIKATUNA, DUMALINAO, ZAMBO. SUR

SPOUSE: DECIERDO DIONISIO P. POSITION: N/A


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

AGNES B. DECIERDO 17-Aug-98 18


PRESCIOUS JADE B. DECIERDO 27-Oct-09 7

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
HOUSE & LOT RESIDENTIAL TICKWAS, ZDS 350,000.00 500,000.00 1988 CASH 400,000.00

Subtotal: 400,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

VARIOUS APPLIANCES VARIOUS YEARS 28,000.00


CELPHONE 2017 5,000.00
ACER LAPTOP 2017 14,000.00

Subtotal: 47,000.00
TOTAL ASSETS (a+b): 447,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN EAST WEST BANK 450,000.00


SALARY LOAN GSIS 286,000.00
PERSONAL LOAN LENDING SHOP 117,000.00

TOTAL LIABILITIES: 853,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = (406,000.00)

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

ERNILYN E. LIGAN COUSIN PRINCIPAL-1 DEPED, TICKWAS, DUMALINAO, ZDS


CRISTINO D. BATINGAL NEPHEW CLERK DEPED, ZAMBOANGA DEL SUR

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 543203 ID No.:
Date Issued: 4/37/1999 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: APAO RICHARD L. POSITION: TEACHER-1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: TUBOPAIT, DUMALINAO, ZAMBO. SUR

SPOUSE: N/A POSITION: N/A


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

N/A N/A N/A


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

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
HOUSE RESIDENTIAL TUBOPAIT, ZDS 500,000.00 500,000.00 2016 CASH 500,000.00

Subtotal: 500,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

HP LAPTOP 2015 16,200.00


CELPHONE 2016 5,000.00

Subtotal: 21,200.00
TOTAL ASSETS (a+b): 521,200.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN CITY SAVING 450,000.00


PERSONAL LOAN LIL'S LENDING SHOP 150,000.00

TOTAL LIABILITIES: 600,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = (78,800.00)

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

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


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

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 1183940 ID No.:
Date Issued: 31-Aug-12 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: ANGAS REBECCA P. POSITION: TEACHER-3
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: SEBUCAO, DUMALINAO, ZAMBO. SUR

SPOUSE: ANGAS ENRIQUE M. POSITION: RET. PNP


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

N/A N/A N/A


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

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
LAND AREA AGRICULTURAL SEBUCAO, DUM. 50,000.00 200,000.00 2006 INHERIT
HOUSE RESIDENTIAL DUMALINAO 150,000.00 300,000.00 2003 CASH 280,000.00
LOT RESIDENTIAL 50,000.00 100,000.00 1989 CASH 40,000.00

Subtotal: 320,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

FURNITURE various years 50,000.00


JEWELRIES various years 50,000.00
APPLIANCES various years 130,000.00
GADGETS various years 15,000.00
Subtotal: 245,000.00
TOTAL ASSETS (a+b): 565,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary loan EAST WEST BANK 300,000.00


Salary loan GSIS 200,000.00
Salary loan GL LENDING 50,000.00

TOTAL LIABILITIES: 550,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = 15,000.00

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

LIEZYL L. GAJETE NEICE T-2 DEPED, DUMALINAO, ZAMBO. SUR


WILMA M. VIVAS COUSIN T-1 DEPED, GUIPOS, ZAMBO. SUR

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 4123099 ID No.:
Date Issued: 15-Oct-05 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: LLIDO AILYN M. POSITION: TEACHER-2
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: BLCK 10, LOT 19 NJK SUBDNSN, DAO
PAGADIAN CITY

SPOUSE: LLIDO JACINTO S. POSITION: CIVIL SUPERVISOR ENGINEER


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE: PETROFAC LTD CO.
OFFICE ADDRESS: UNITED KINGDOM

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE
JADE M. LLIDO 22-Mar-00 16
JAY M. LLIDO 26-Jul-09 12
JACINTO M. LLIDO JR. 06-Sep-05 11
JULIANA CASANDRA M. LLIDO 14-Oct-06 10
JUSTIN M. LLIDO 09-Feb-11 5

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
HOUSE & LOT RESIDENTIAL DAO, PAG. CITY 500,000.00 2006 480,000.00

Subtotal: 480,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

APPLIANCES various years 120,000.00


JEWELRIES various years 150,000.00

Subtotal: 270,000.00
TOTAL ASSETS (a+b): 750,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary loan EAST WEST BANK 350,000.00


Salary loan GSIS 160,000.00
Salary loan LENDING 90,000.00

TOTAL LIABILITIES: 600,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = 150,000.00

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

TEODORA E. JAIM AUNT T-2 DEPED


FLORENCIA E. BAGUIA AUNT T-3 DEPED

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 725575 ID No.:
Date Issued: 03-Sep-05 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: ETOM CHARLYN P. POSITION: MASTER TEACHER-1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Tickwas, Dumalinao, Zambo. Sur
ADDRESS: PUROK MADANIHON, BALANGASAN DISTRICT,
PAGADIAN CITY

SPOUSE: ETOM CHRISANTO B. POSITION: TEACHER-3


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE: DepEd Dumalinao, Zamboanga del Sur
OFFICE ADDRESS: Rebokon, Dumalinao, Zambo. Sur

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

CRISTEL LYNN P. ETOM 23-Sep-02 14


CHRISTIAN JHONES P. ETOM 20-Dec-97 6

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
Subtotal: -
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

FURNITURE various years 25,500.00


TELEVISION 2012 12,000.00
REFRIGERATOR 2012 13,500.00
BED 2012 15,000.00
Subtotal: 66,000.00
TOTAL ASSETS (a+b): 66,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Personal loan BWP LENDING 125,000.00


Salary loan GSIS 350,000.00
Salary loan ONE NETWORK BANK 317,000.00
Salary loan EAST WEST BANK 300,000.00
TOTAL LIABILITIES: 1,092,000.00
* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = (1,026,000.00)

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or 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


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

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

CECILIA E. BABAYSON COUSIN TM-1 DEPED, COMMONWEALTH, AURORA, ZDS

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 23-Jan-17

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID:


ID No: 403274 ID No.:
Date Issued: 20-Jul-98 Date Issued:

SUBSCRIBED AND SWORN to before me this __24TH__ day of JANUARY,2017_ , affiant exhibiting to me the above-stated government issued identification
card.

TORNITO M. GUMINTAD
(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMEBER 31, 2021
(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT: SITON AIDA MARIA C. POSITION: TEACHER III
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED DUMALINAO, ZAMBOANGA DEL SUR
OFFICE ADDRESS: CAMANGA, DUMALINAO, ZAMBOANGA DEL SUR
ADDRESS: PUROK HINIUSA LUMBIA DISTRICT
PAGADIAN CITY

SPOUSE: SITON CRESTITO B(DECEASED) POSITION: Not Applicable


(Family Name ) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
NAME DATE OF BIRTH AGE

CRESSAN C. SITON 09-Jan-06 16 YRS OLD

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 ASSESSED CURRENT FAIR ACQUISITION


VALUE MARKET VALUE
EXACT ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot, commercial, industrial, (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
LOT RESIDENTIAL PAGADIAN CITY 21,000.00 100,000.00 1995 INSTALLMENT 79,000.00
HOUSE RESIDENTIAL PAGADIAN CITY 12,000.00 50,000.00 1995 LOAN 70,000.00

Subtotal: 149,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

VARIOUS APPLIANCES VARIOUS YEARS 70,000.00


CELLPHONES VARIOUS YEARS 30,000.00
ASSORTED JEWELRIES VARIOUS YEARS 50,000.00

Subtotal: 150,000.00
TOTAL ASSETS (a+b): 299,000.00
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN EAST WEST BANK 190,000.00


SALARY LOAN GSIS 136,000.00
SALARY LOAN BDO 178,000.00

TOTAL LIABILITIES: 504,000.00


* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = 205,000.00

Page 2 of 2
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant/Declarant's Spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
I/We do not have any business interest or financial connection.

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTERPRISE INTEREST & / OR FINANCIAL INTEREST OR CONNECTION
CONNECTION

Not Applicable Not Applicable Not Applicable Not Applicable

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity, Include also Bilas, Balae and Inso)
I/We do not know of any relative/s in the government service

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS

JESSA KRISTNA MARIE C. SITON DAUGHTER T1 DEP.ED,PAGADIAN CITY


NELIZA C. BESIN NIECE T1 DEP.ED,CAPIZ
JOSEPH P. CAYETANO NEPHEW T1 DEP.ED/MIS.OCCIDENTAL

I hereby certify that these are true and correct statements of my assets, liabilities, 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 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.

Date: 17-Jan-22

Not Applicable
(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: PRC Government Issued ID: Not Applicable


ID No: 401611 ID No.: Not Applicable
Date Issued: 7/17/1998 Date Issued: Not Applicable

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

(Person Administering Oath)

Page 2 of 2
Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of DECEMBER, 2016
(Sample additional sheet/s for the exclusive properties of the declarant's spouse and unmarried children
below eighteen (18) years of age living in declarant's household)

NAME: LIGAN ERNILYN E. POSITION: Principal - 1


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: Deped, Zamboanga del Sur

ASSETS, LIABILITIES AND NETWORTH

1. ASSETS
a. Real Properties
ASSESSED CURRENT FAIR
DESCRIPTION KIND ACQUISITION
VALUE MARKET VALUE
EXACT
(e.g. lot, house and lot, (e.g., residential,
LOCATION ACQUISITION COST
commercial, industrial, (As found in the Tax Declaration of Real
condominium, and
agricultural and mixed Property) YEAR MODE
improvements)
used)

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


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

b. Personal Properties

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

JEWELRIES VARIOUS YEARS

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS INTEREST & DATE OF ACQUISITION OF
ENTERPRISE / OR FINANCIAL CONNECTION INTEREST OR CONNECTION

Page _____ of ______


Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of
(Sample additional sheet/s for the declarant)

NAME: POSITION:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE:

ASSETS, LIABILITIES AND NETWORTH

1. ASSETS

a. Real Properties
ASSESSED CURRENT FAIR
DESCRIPTION KIND VALUE MARKET VALUE ACQUISITION
EXACT
(e.g., residential, ACQUISITION COST
(e.g. lot, house and lot,
commercial, industrial, LOCATION (As found in the Tax Declaration of Real
condominium, and
agricultural and mixed Property) YEAR MODE
improvements)
used)

Subtotal: -
b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

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

TOTAL LIABILITIES: -

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS INTEREST & DATE OF ACQUISITION OF
ENTERPRISE / OR FINANCIAL CONNECTION INTEREST OR CONNECTION

Page _____ of ______

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