SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

AND DISCLOSURE OF BUSINESS INTERESTS, FINANCIAL CONNECTIONS

AND RELATIVE/S IN THE GOVERNMENT SERVICE
As of December 31, 2023
(Required by R.A. Nos. 3019 and 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: PADERNAL HILDA O. POSITION: MIDWIFE II

(Surname) (First Name) (M.I.) AGENCY/OFFICE: RHU Sibuco
ADDRESS: Malayal, Sibuco Zamboanga del Norte OFFICE ADDRESS: Malayal, Sibuco, ZDN

 I am married  I am not married

SPOUSE: PADERNAL LITO P. POSITION: N/A

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

Unmarried children below eighteen (18) years of age living in his/her household.

NAME DATE OF BIRTH AGE

 I have no children below 18 years of age living in his/her household.

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 (Including that of declarant’s spouse and unmarried children below eighteen (18) years of age living in declarant’s household.)

A. REAL PROPERTIES/IES (use additional sheet/s, if necessary)

NATURE OF ACQUISITION ACQUISITION COST

KIND PROPERTY
(e.g. Res./ (Parapherna Land,
LOCATION ADDRESSED FAIR MARKET VALUE
Comm. / l, conjugal YEAR MODE Buildin Improvement/s
VALUE
Agri., etc.) or g,
community) Others

HOUSE & CONJUGAL Malayal ZDN Cash 2003 Php. 90,000.00 Php. 90,000.00 LAND Php. 50,000.00
LOT

TOTAL: Php.140,000.00

B. PERSONAL PROPERTIES/IES AND OTHER ASSESTS (use additional sheet/s, if necessary)

ACQUISITION ACQUISITION
TANGIBLE COST/AMOUNT
MODE YEAR

Motorcycle (XRM 125) Cash 2013 Php. 90,000.00

Cable Connection Cash 2014 Php. 3,000.00

Cellular Phone Cash 2013 Php. 5,000.00

Acer Laptop Cash 2014 Php. 15,000.00

Appliances Cash 2016 Php. 35,000.00

Clothing and Accessories Cash 2016 Php. 30,000.00

INTANGIBLE

Pre-paid Satellite Connection Load Cash 2016 Php. 4,800.00

Electric Bill Cash 2016 Php. 6,000.00

TOTAL: Php. 188,800.00

* For computation purposes, use acquisition cost. Properties of unmarried children below 18 years of age living in his/her household shall be excluded as well as the
peripheral/exclusive properties of spouse, in case of separate filing.

TOTAL ASSETS (A+B)= Php. 328,800.00

2. LIABILITIES (Including that of declarant’s spouse and unmarried children below eighteen (18) years of age living in declarant’s household.)

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN GSIS Php. 132,000.00

SALARY LOAN LANDBANK Php. 123,000 .00

SALARY LOAN PAG-IBIG Php. 63,000.00

TOTAL LIABILITIES: Php. 318,000.00

(use additional sheet/s may be used, if necessary.)

III. NET WORTH ( TOTAL ASSETS (I) LESS TOTAL LIABILITIES (II) = NET WORTH (III)

TOTAL NET WORTH: Php.196,800.00

NATURE SOURCES AMOUNT

SALARY ANNUAL SALARY Php. 358,812.00

TOTAL: Php. 358,812.00

AMOUNT OF PERSONAL AND FAMILY EXPENSES

(for the preceding calendar year)

NATURE ESTIMATED AMOUNT FAMILY EXPENSES AMOUNT

Php. 65,000.00 FOOD, PERSONAL NECESSITIES, Php. 100,000.00

FOOD AND PERSONAL NECESSITIES
MEDICINES & VITAMINS
Php. 65,000.00 Php. 100,000.00

TOTAL: Php. 165,000.00

NATURE AMOUNT

Compensation Php. 29,901.00

Business income

Other income

Php. 29,901.00

AMOUNT OF PERSONAL AND FAMILY EXPENSES

(for the preceding calendar year)

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 INTEREST DATE OF ACQUISITION OF

ENTERPRISE &/OR FINANCIAL CONNECTION INTEREST OR CONNECTION
NONE NONE NONE NONE

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

PHOEBE JOY E. OMONGIA SISTER-IN-LAW TEACHER I DepED/Malayal NHS, Malayal, Sibuco, ZDN
PRESEL G. OMONGIA BROTHER RETIRED PO2 PNP SAF

I/We hereby certify that these are my/our 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.
I/we further undertake to produce all supporting documents for each of the entries herein made when made when required.

Declarant’s Signature: ____________________________ Date: _________________________

(For Separate Filing) Spouse’s Signature: __________________________ Date: _________________________

SUBSCRIBED AND SWORN to before me this day of , 20 , affiant(s) exhibiting his/her/their tax identification number(s)
_________________________ and employee number(s) ___________________________.