Professional Documents
Culture Documents
Note: Husband and wife who are booth public officials and employees may file the required statements jointly or separately
Joint Filing Separate Filing Not Applicable
UNMARRIED CHILDREN BELOW EIGHTEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
Not Applicable
b. Personal Properties*
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALAN
Page 1 of 1
NONE
RELATIVES IN THE GOVERNMENT SERVICE
(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
q I/We do not know of any relative/s in the government service)
I hereby certify that these are true and correct statements of my assets, liabilities, net worth, business int
financial connections, including those of my spouse and unmarried children below eighteen (18) years of age liv
household, and that to the best of my knowledge, the above-enumerated are names of my relatives in the g
within the fourth civil degree of consanguinity or affinity.
I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure
appropriate government agencies, including the Bureau of Internal Revenue such documents that may show
liabilities, net worth, business interests and financial connections, to include those of my spouse and unmarried
below 18 years of age living with me in my household covering previous years to include the year I first assume
government.
ADMINISTRATIVE AID II
DRSTMH
KALIBO, AKLAN
AGE
3 years & 5 mos.
4 Months
ACQUISITION COST
ACQUISITION COST/AMOUNT
145,000.00
44,000.00
40,000.00
40,000.00
30,000.00
250,000.00
549,000.00
549,000.00
OUTSTANDING BALANCE
113,298.80
63,396.41
50,000.00
45,302.50
271,997.71
277,002.29
DATE OF ACQUISITION OF INTEREST
OR CONNECTION
GSIS
80031300707
2016