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 31________, 2022
(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: Rosales-Teves Giness Marie Geronimo POSITION: Securities Counsel II
(Family Name) (First Name) (Middle Name) AGENCY/OFFICE: Securities & Exchange Commission
ADDRESS: 25 Greyhound Subdivision, Kinasang-an Pardo, Cebu OFFICE ADDRESS: V. Rama Avenue, Englis
City 6000 Guadalupe, Cebu City 6000

SPOUSE: Teves Ralph Emilido POSITION: Associate Manager

(Family Name) (First Name) (Middle Name) AGENCY/OFFICE: Accenture, Inc.
OFFICE ADDRESS: eBloc2 Tower, Cebu IT Park
Apas, Cebu City 6000

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE

Sarith Anushka R. Teves September 15, 2019 3 years 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 EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

N/A

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

Cash in bank 2016 to present P400,150.58

Toyota Wigo - Black 2016 650,160.00
Yamaha R3 v4 Motorcyle - Blue 2022 278,000.00

Subtotal : P1,328,310.58

TOTAL ASSETS (a+b): P1,328,310.58

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

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOTAL LIABILITIES: P0.00

NET WORTH : Total Assets less Total Liabilities = P1,328,310.58
* Additional sheet/s may be used, if necessary.

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

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

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: _____February 22, 2023________________

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

Government Issued ID: PRC ID Government Issued ID: Passport

ID No.: 0132379 ID No.: P0709214B
Date Issued: October 8, 2021 Date Issued: February 18, 2019

SUBSCRIBED AND SWORN to before me this 22nd day of February, 2023, affiant exhibiting to me the above-
stated government issued identification card.

_______________________________________
(Person Administering Oath)

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