SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 31, 2015

(Required by R.A. 6713)
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
q

q Separate Filing

Joint Filing

DECLARANT: FURIGAY ,

RENANTE

(Family Name)

(First Name)

LAVADIA

# 14-A MAGUIGAD STREET , ATULAYAN SUR

ADDRESS:

AGENY/OFFICE:

SPO4 - PLATOON SERGEANT

1MC, RPSB2, PRO2,

OFFICE ADDRESS:

BARANGAY MALAPAT,

POSITION:

(M.I.)

TUGUEGARAO CITY, CAGAYAN - 3500

FURIGAY

SPOUSE:

SUSAN

(Family Name)

(First Name)

q Not Applicable

CORDON, ISABELA

MONTEREY

POSITION:

OVERSEAS FILIPINO WORKER

AGENY/OFFICE:

(M.I.)

EMRY'S AGENCY

OFFICE ADDRESS:

HONGKONG

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

DATE OF BIRTH

AGE

KATHLEEN RACHEL M. FURIGAY

March 26, 1993

23

April 25, 1994

22

KATHLEEN JOY M. FURIGAY

1. ASSETS
a. Real Properties*

ASSETS, LIABILITIES AND NETWORTH

(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarant's household)

CURRENT FAIR
MARKET VALUE

KIND

(e.g. lot, house and

(e.g. residential,

(As found in the Tax Declaration of

lot, condominium

commercial, industrial,

Real Property)

and improvements)

agricultural & mixed

use)

House & Lot

Residential

LOCATION

ASSESSED VALUE

DESCRIPTION

Tug City Cagayan P 1,200,000.00

P 1,000,000.00

ACQUISITION
YEAR

MODE

2002

Installment

Subtotal:
b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

ACQUISITION COST/AMOUNT

Tricycle
Jewelry
Furniture and Appliances
Clothings

CY-2009
CY-1992
CY - 1992
CY- 1992 TO PRESENT

P 100,000.00
50,000.00
115,000.00
120,000.00

Subtotal:
TOTAL ASSETS (a+b):
2. LIABILITIES*
NATURE

Salary Loan

NAME OF CREDITORS

AFPSLAI

OUTSTANDING BALANCE

P 175, 614.00
P 173, 697.00

TOTAL LIABILITIES:

NET WORTH : Total Assets less Total Liabilities =

separately.

ERGEANT
,

ILIPINO WORKER

Y'S AGENCY

NGKONG

HOLD

ACQUISITION COST

P 800, 000.00

1,200,000.00

N COST/AMOUNT

00,000.00
,000.00
5,000.00
0,000.00
P 385,000.00
P 1,585,000.00

DING BALANCE

5, 614.00
3, 697.00

P 349,311.00

P 1,235,689.00

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

(of Declarant/Declarant's spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarant's Household)
q

I/We do not have any business interest or financial connection.

NAME OF ENTITY/BUSINESS

BUSINESS ADDRESS

ENTERPRISE

NATURE OF BUSINESS
INTEREST AND/OR
FINANCIAL CONNECTION

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)

q I/We do not know of any relative/s in the government service)

NAME OF RELATIVE

RELATIONSHIP

POSITION

NAME OF AGENCY/OFFICE AND ADDRES

JOSE C. FURIGAY

UNCLE

SUPERVISOR/SG

BSP-TUGUEGARAO CITY CAGAYAN

JOSHUA C. FURIGAY

COUSIN

POLICE OFFICER 3

ROPD, PRO2. TUGUEGARAO CITY CAGAYAN

BONG- BONG F. LOPEZ

COUSIN

SERGEANT

MARINES, TAGUIG, METRO MANILA

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 aboveenumerated 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: March 01, 2016

(Signature of Declarant)
Government Issued ID :

(Signature of Co-Declarant/Spouse)

PNP
15B10029

ID No. :
Date Issued :

February 10, 2015

Government Issued ID :
ID No. :
Date Issued :

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

(Person Administering Oath)

TIONS
Declarant's Household)

ion.
DATE OF ACQUISITION
OF INTEREST OR
CONNECTION

N/A

and Inso)

ce)

GENCY/OFFICE AND ADDRESS

ITY CAGAYAN

GARAO CITY CAGAYAN

G, METRO MANILA

s, liabilities, net worth,

ied children below
the abovef consanguinity or

to obtain and
nue such
cial connections,
me in my
nt.

re of Co-Declarant/Spouse)

ffiant exhibiting

n Administering Oath)