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Sworn Statement of Assets 2024

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0% found this document useful (0 votes)
91 views6 pages

Sworn Statement of Assets 2024

Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

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 JANUARY 2024
(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: TUMBAGAHAN MERCIE V. POSITION: BARANGAY SECRETARY


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: SANGGUNIANG BRGY. APLAYA
ADDRESS: SITIO PITONG BARANGAY APLAYA OFFICE ADDRESS: BARANGAY APLAYA
GATANG
PILA LAGUNA PILA LAGUNA

SPOUSE: TUMBAGAHAN ANGELO A. POSITION: HOUSEWIFE


(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


MIKAELA ROSS V. ORDAN 05-07-2012 11
ANGELA V. TUMBAGAHAN 11-19-2021 2

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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

HOUSE(90SQ. RESIDENTIAL SITIO PITONG GATANG 2020 150,000.00


METER) APLAYA BRGY. APLAYA
PILA LAGUNA

Subtotal : 150,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

APPLIANCES 2018-2023 50,000.00


GADGET 2021-2023 25,000.00

Subtotal : 75,000.00

TOTAL ASSETS (a+b): 225,000.00


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

Page 1 of 2
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN LANDBANK OF THE PHILLIPPINES 109,000.00

TOTAL LIABILITIES: 109,000,00


NET WORTH : Total Assets less Total Liabilities = 116,000.00
* 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

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
ROGELIO D. VILLEGAS BROTHER SB STAFF MUNICIPALITY OF PILA
WENDELL A. TUMBAGAHAN BROTHER IN LAW TEACHER DON MANUEL NATIONAL HIGH SCHOOL

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: ______________________________
SUBSCRIBED AND SWORN to before me this 7TH day of FEBRUARY 2024 affiant exhibiting to me the above-stated
MERCIE V. TUMBAGAHAN ANGELO A. TUMBAGAHAN
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: Government Issued ID:
ID No.: ID No.:
Date Issued: Date Issued:

government issued identification card.

HON. EDGARDO A. RAMOS


Municipal Mayor
(Person Administering Oath)

Revised as of January 2015

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

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of JANUARY 2024
(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: Castañeda Carry P. POSITION: BARANGAY TREASURER


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: SANGGUNIANG BRGY. APLAYA
ADDRESS: SILANGAN BARANGAY APLAYA OFFICE ADDRESS: BARANGAY APLAYA
PILA LAGUNA PILA LAGUNA

SPOUSE: Castañeda Charlie POSITION: DELIVERY RIDER


(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


Charles Anthony P. Castañeda 08/29/2015 8

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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

HOUSE AND POOK PILA LAGUNA 2019 250,000.00


LOT - 100SQM RESIDENTIAL

Subtotal : 250,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

APPLIANCES 2018-2024 56,000.00


GADGET 2018-2024 43,000.00
TRICYCLE 2018-2024 100,000.00
MX- MOTORCYCLE 2018-2024 82,000.00
AEROX MOTOR CYCLE 2023-2024 145,725.00
Subtotal : 426,725.00

TOTAL ASSETS (a+b): 676,725.00


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

Page 3 of 2
3. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN LANDBANK OF THE PHILLIPPINES 109,000.00


SMALL BUSINESS CORP. DEPARTMENT OF TRADE INDUSTRY 39,500.00

TOTAL LIABILITIES: 148,500,00


NET WORTH : Total Assets less Total Liabilities = 528,225.00
* 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

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: ______________________________
SUBSCRIBED AND SWORN to before me this 2ND day of FEBRUARY 2022 affiant exhibiting to me the above-state
Carry P. Castañeda Charlie Castañeda
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: Government Issued ID:
ID No.: ID No.:
Date Issued: Date Issued:

government issued identification card.

HON. EDGARDO A. RAMOS


Municipal Mayor
(Person Administering Oath)

Revised as of January 2015


Per CSC Resolution No. 1500088
Page 4 of 2
Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of JANUARY 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: DEL ROSARIO HONORIO F. POSITION: BARANGAY CAPTAIN


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: SANGGUNIANG BRGY. APLAYA
ADDRESS: KANLURAN BARANGAY APLAYA OFFICE ADDRESS: BARANGAY APLAYA
PILA LAGUNA PILA LAGUNA

SPOUSE: DEL ROSARIO ARSENIA D. POSITION: HOUSEWIFE


(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

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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

HOUSE - KANLURAN BRGY. 2015 PER 1,000,000.00


60SQM RESIDENTIAL APLAYA PILA LAGUNA

Subtotal : 1,000,000.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

APPLIANCES 2018-2021 50,000.00


MIO MOTOR 2018-2021 100,000.00

Subtotal : 150,000.00

TOTAL ASSETS (a+b): 250,000.00


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

Page 5 of 2
4. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN LANDBANK OF THE PHILLIPPINES 85,000.00

TOTAL LIABILITIES: 85,000,00


NET WORTH : Total Assets less Total Liabilities = 165,000.00
* 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

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: ______________________________
SUBSCRIBED AND SWORN to before me this 2ND day of FEBRUARY 2022 affiant exhibiting to me the above-state
SALVADOR C. MENDOZA PABLITA MENDOZA
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: Government Issued ID:
ID No.: ID No.:
Date Issued: Date Issued:

government issued identification card.

HON. EDGARDO A. RAMOS


Municipal Mayor
(Person Administering Oath)

Page 6 of 2

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