SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH

AS OF December 31, 2013_

(Required by R.A. No. 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

Name: ____Donasco__Celestino_____O
Position/Income:
SPO4/27,425.00______
Surname
First Name
M.I.
Office: Neg Occ Pol ProvL Ofc (NOPPO)______
Address: Brgy Fabrica, Sagay City, Neg Occ________
Address: Cp Alfredo M Montelibano
Sr________
Bacolod City 6100, Neg Occ
Spouse:
__Donasco____Prudencia
D_________
Position: None _______________
Surname

First Name

M.I.

Office:

None___________

Office Address: None

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS
HOUSEHOLD
NAME

DATE OF BIRTH

AGE

A. ASSETS, LIABILITIES AND NETWORTH

1.

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

ASSETS
a. Real Properties

DESCRIPTION

(e.g. lot,house
and lot,
condominium and
improvements)

House

KIND

LOCATIO
N

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

residential

ASSESSED
VALUE

CURRENT FAIR
MARKET
VALUE

(As found in the Tax Declaration of

Real Property)

Brgy

Php 270,000.00

ACQUISITION

YEAR

MODE

1994

Cash

ACQUISITION
COST

Php
350,000.00

Fabrica
Sagay
City
Subtotal:

P350,000.00

b. Personal Properties
DESCRIPTION

Furniture/Appliances
AFPSLAI/AMSLAI (Saving)
Lakas Tulungan (Capital Cont)
Laptap

YEAR ACQUIRED

1994

ACQUISITION
COST/AMOUNT

P 170,000.00
23,569.29
7,738.75
18,000.00
Subtotal:

219,308.29
TOTAL ASSETS (a+b):

569,308.29
2.
LIABILITIES
NATURE
Salary Loan

NAME OF CREDITORS
AFPSLAI

OUTSTANDING BALANCE
P449,582.00

Salary Loan
Salary Loan

PSMBFI
PRO6 PNP PF

50,000.00
14,407.47
TOTAL LIABILITIES:_513,989.49

NETWORTH: Total Assets Less Total Liabilities:

P 55,318.08

________
Additional sheet/s may be used, if necessary

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

(of Declarant/Declarants spouse/Unmarried Children Below Eighteen (18) years of Age Living in Declarants
Household)
I/We do not have any business interest or financial connection
NAME OF ENTITY/BUSINESS
ENTERPRISE

NATURE OF BUSINESS
INTEREST &/OR FINANCIAL
CONNECTION

BUSINESS ADDRESS

DATE OF ACQUISITION OF
INTEREST OR
CONNECTION

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

RELATIONSHIP

Segundo R Rayco

Brother inlaw

POSITION

SPO1

NAME OF AGENCY/OFFICE AND ADDRESS

Sagay City Pol Stn, Neg Occ

I hereby certify that these are true and correct statements of my assets, liabilities, net
worth, business interest 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 authorized the Ombudsman or his/her duly authorized representative to obtain
and secure from all appropriate government agencies, including to 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 April 10, 2013

(Signature of Declarant)

(Signature of Co-Declarant/Spouse)

Government Issued ID: PNP ID

ID No.:
14A140067

Government Issued ID:

ID No.:

Date Issued:

Date Issued:

January 14, 2014

SUBSCRIBED AND SWORN to before me this

10th ____
day of
2013, affiant exhibiting to me the above-stated government issued identification.

April

_______________________________________
Person Administering Oath

SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH

AS OF ____________________
(Sample additional sheet/s for the exclusive properties of the declarants spouse and unmarried
children below eighteen (18) years of age living in declarants household)
Name:

_________________________
Surname
First Name

M.I.

Position:
_____________
Agency/Office:
__________

A. ASSETS, LIABILITIES AND NETWORTH

1. ASSETS
A. Real Properties
DESCRIPTION

KIND

(e.g. lot,house
and lot,
condominium and
improvements)

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

LOCATIO
N

ASSESSED
VALUE

CURRENT FAIR
MARKET
VALUE

(As found in the Tax Declaration of

Real Property)

ACQUISITION

YEAR

ACQUISITION
COST

MODE

b. Personal Properties
DESCRIPTION

2.

YEAR ACQUIRED

ACQUISITION
COST/AMOUNT

LIABILITIES
NATURE

NAME OF CREDITORS

OUTSTANDING BALANCE

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS
ENTERPRISE

BUSINESS ADDRESS

NATURE OF BUSINESS
INTEREST &/OR FINANCIAL
CONNECTION

DATE OF ACQUISITION OF
INTEREST OR
CONNECTION

SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH

AS OF ____________________
(Sample additional sheet/s for the declarant)
Name:

_________________________
Surname
First Name

M.I.

Position:
_____________
Agency/Office:
__________

A. ASSETS, LIABILITIES AND NETWORTH

1.

ASSETS
a. Real Properties

DESCRIPTION

(e.g. lot,house
and lot,
condominium and
improvements)

KIND

LOCATIO
N

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

ASSESSED
VALUE

CURRENT FAIR
MARKET
VALUE

(As found in the Tax Declaration of

Real Property)

ACQUISITION

YEAR

ACQUISITION
COST

MODE

Subtotal:
b. Personal Properties
ACQUISITION
COST/AMOUNT

YEAR ACQUIRED

DESCRIPTION

Subtotal:
TOTAL ASSETS (a+b):
2.

LIABILITIES
NATURE

NAME OF CREDITORS

OUTSTANDING BALANCE

TOTAL LIABILITIES:

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS

BUSINESS ADDRESS

NATURE OF BUSINESS

DATE OF ACQUISITION OF

ENTERPRISE

INTEREST &/OR FINANCIAL

CONNECTION

INTEREST OR
CONNECTION