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 September 2024
(Sample additional sheet/s for the exclusive properties of the declarant’s spouse and unmarried children
below eighteen (18) years of age living in declarant’s household)
NAME: FAUSTINO CRIMAR A POSITION: TEACHER 1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED LEYTE
ASSETS, LIABILITIES AND NET WORTH
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
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
N/A N/A N/A N/A N/A N/A N/A N/A
b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
Motorcycle Rusi Scooter Year 2020 54,000.00
Cellphone vivo Year 2020 8,000.00
Laptop Year 2020 25,000.00
Clothes Year 2020 15,000.00
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING
BALANCE
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
NAME OF BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE 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
Page __ of ___
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 September 2024
(Sample additional sheet/s for the declarant)
NAME: FAUSTINO CRIMAR A POSITION: TEACHER 1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED LEYTE
ASSETS, LIABILITIES AND NET WORTH
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
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
N/A N/A N/A N/A N/A N/A N/A N/A
Subtotal
:
b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
Motorcycle Rusi Scooter Year 2020 54,000.00
Cellphone vivo Year 2020 8,000.00
Laptop Year 2020 25,000.00
Clothes Year 2020 15,000.00
Subtotal : 102,000.00
TOTAL ASSETS (a+b):
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING
BALANCE
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
TOTAL LIABILITIES:
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
NAME OF BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE 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
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