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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 31, 2023
(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: VERGARA JUCEL B. POSITION: TEACHER 1


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: NAGPAYONG HIGH SCHOOL
ADDRESS: 3580 KC 1 PHASE 2 KARANGALAN OFFICE ADDRESS: NAGPAYONG, PINAGBUHATAN
VILLAGE, MANGGAHAN, PASIG CITY PASIG CITY

SPOUSE: VERGARA RUBEN P. POSITION: IN-HOUSE GUARD/STAFF


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: TRES ALEX RESORT

OFFICE ADDRESS: #4B, TURQUIOSE ST.,


GREENPARK VILLAGE,
CAINTA, RIZAL

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

NAME DATE OF BIRTH AGE


BENCEL DION B. VERGARA JULY 03, 2007 16
ESTEBAN DANIEL B. VERGARA FEBRUARY 16, 2017 6
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 EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

HOUSE AND LOT RESIDENTIAL KAIMITO ST., GREENPARK PHP 91,870.00 PHP 459,330 2017 PURCHASED PHP 800,000

VILLAGE, CAINTA RIZAL

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: PHP 800,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

APPLIANCES/FURNTURES/JEWELRIES VARIOUS YEARS PHP 135,000.00


MOTORCYCLE UNIT (YAMAHA NMAX 2020) 2020 PHP 119,000.00
CASH ON HAND VARIOUS YEARS PHP 150,000.00
CLOTHING & ACCESSORIES/GADGETS VARIOUS YEARS PHP 41,000.00
Subtotal: PHP 445,000.00

TOTAL ASSETS (a+b): PHP 1,245,000.00


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

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN CITY SAVINGS BANK PHP 68,000.00


MPL LOAN GSIS PHP 42,751.00
LAPTOP LOAN GSIS PHP 16,388.00
N/A N/A N/A
TOTAL LIABILITIES: PHP 127,139.00
NET WORTH: Total Assets less Total Liabilities = PHP 1,117,861.00
* 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 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

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: JANUARY 31, 2024

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

Government Issued ID: PRC ID Government NATIONAL ID


Issued ID:
ID No.: 1267733 ID No.: 4983 4290 6816 2780
Date Issued: 01/03/2014 Date 11/9/2022
Issued:

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

_______________________________________
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(Person Administering Oath)

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