SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
Joint filing Separate filing Not Applicable
DECLARANT: ALICANTE JANICE B. Position: TEACHER - I
(Family Name) (First Name) M.I. Agency/Office: DEP/ED, STA. JOSEFA

Address: P-6 POBLACION, STA. JOSEFA , AGUSAN DEL SUR Office Address: STA. JOSEFA, ADS

Spouse: ALICANTE ALBERT L. Position: FARMING

(Family Name) (First Name) M.I. Agency/Office: SELF-EMPLOYED
Office Address:

Unmarried Children below Eighteen (18) years of age living in Declarant's Household
Name Date of Birth Age
QUEEN ALJANN B. ALICANTE 8/8/2017 17 MONTHS

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)

Subtotal: -
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

GADGETS 2013-2018 72,000.00

CLOTHINGS 2013-2018 46,000.00

APPLIANCES 2013-2018 86,000.00

Subtotal: 204,000.00
TOTAL ASSETS (a+b): 204,000.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN TAGUM COOP 361,379.04

ATM LOAN TAGUM COOP 97,373.97

TOTAL LIABILITIES: 458,753.01

NET WORTH: Total Assets less Total Liabilities = (254,753.01)

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
/ I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date: JANUARY 25 ,2018

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: PHILHEALTH

ID No.: 18-000057016-6
Date Issued: Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)

 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
Joint filing Separate filing Not Applicable
DECLARANT: DAPAT MARIA FE S Position: TEACHER I
(Family Name) (First Name) M.I. Agency/Office: DEPED
Address: PUROK 3, LIBERTAD, BUNAWAN, AGUSAN DEL SUR Office Address: STA. JOSEFA

Spouse: NONE Position:

(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
CYRIEL KATE DAPAT 12/5/2011 7

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)

Subtotal: -
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

motorcyle 2014-2018 100,000.00

Gadgets 2014-2018 82,000.00

jewelries 2014-2018 50,000.00

clothing 2014-2018 25,000.00

Subtotal: 257,000.00
TOTAL ASSETS (a+b): 257,000.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan Eastwest 40, 500.00

TOTAL LIABILITIES: 40,500.00

NET WORTH: Total Assets less Total Liabilities = 216,500.00

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

JOSEFA B. DAPAT SISTER-IN-LAW T-1 DEPED

VIRGIL D. REYES SISTER T-1 DEPED

CELSO S. DAPAT BROTHER PRINCIPAL-1 DEPED

REXIE T. REYES BROTHER-IN-LAW ARMED FORCES

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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date: 1/25/2019

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: BIR

ID No.: 466-362-101
Date Issued: 3/25/2015 Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

S
(Person Administering Oath)
 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
/ Joint filing Separate filing Not Applicable
DECLARANT: BOJOS LUZVIMINDA M Position: MASTER TEACHER I
(Family Name) (First Name) M.I. Agency/Office: DEPED/STA. JOSEFA
Address: P-9,POBLACION, STA. JOSEFA, AGUSAN DEL SUR Office Address: STA. JOSEFA,ADS

Spouse: BOJOS JONATHAN M Position: PROCESS SERVER

(Family Name) (First Name) M.I. Agency/Office: LGU/VERUELA
Office Address: VERUELA,ADS

Unmarried Children below Eighteen (18) years of age living in Declarant's Household
Name Date of Birth Age
VON LOUIE JOE M. BOJOS 11/15/2005 13

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)
P-9,POB.,STA.
LOT RESIDENTIAL JOSEFA,AGUSAN 29,563.00 591,260.00 2002 PURCHASED 591,260.00
DEL SUR

LOT AGRICULTURAL SAN FRANCISCO,ADS 100,000.00 2009 INHERITED 100,000,00

LOT AGRICULTURAL VERUELA,ADS 75,000.00 2013 INHERITED 75,000.00

P-9,POB.,STA.
HOUSE RESIDENTIAL JOSEFA,AGUSAN
125,42.00 501,690.00 2002 PURCHASED
501,690.00
DEL SUR
Subtotal: 1,167,950.00
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

TOYOTA VIOS 2018 150,000.00

FURNITURES/APPLIANCES 2018 70,000.00

JEWELRIES/CLOTHING/GADGETS 2018 50,000.00

MOTORCYLE XRM 2018 40,000.00

Subtotal: 310,000.00
TOTAL ASSETS (a+b): 1,477,950.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOYOTA VIOS TOYOTA FINANCIAL SERVICES 600,000.00

PERSONAL LOANS SJNHSTEMPCO/TAGUM COOPERATIVES 100,000.00

BANK LOANS EASTWEST 300,000.00

GSIS LOANS GSIS 350,000.00

TOTAL LIABILITIES: 1,350,000.00

NET WORTH: Total Assets less Total Liabilities = 127,950.00

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

JOEL C. MARTIL BROTHER LGU-SAN FRANCISCO,ADS

MARITESS C. MARTIL SISTER-IN-LAW TEACHER I DEPED-WEST CENTRAL ELEM.SCH.

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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date:

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: UMID ID Government Issued ID: PHILHEALTH

ID No.: 006-0091-5054-4 ID No.: 18-0000-26660-2
Date Issued: Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)

 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
Joint filing Separate filing Not Applicable
DECLARANT: VELARDE MARSIE E Position: TEACHER I
(Family Name) (First Name) M.I. Agency/Office: DEPED
Address: PUROK 9, POBLACION, STA. JOSEFA AGUSAN DEL SUR Office Address: STA. JOSEFA

Spouse: VELARDE XYRWIN S Position:

(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
N/A N/A N/A

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)
P-9, Poblacion, Sta.
LOT (20 X 20) RESIDENTIAL Josefa, Agusan del Sur 70,000.00

House RESIDENTIAL P-9, Poblacion, Sta. Jo 159,420.00 637,670.00 800,000.00

Subtotal: 870,000.00
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

motorcyle 2018 75,000.00

netbook and cellphone 2018 35,000.00

jewelries 2018 40,000.00

furnitures/kitchen wares 2018 25,000.00

Subtotal: 175,000.00
TOTAL ASSETS (a+b): 1,045,000.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan and Emergency Loan Eastwest 422,000.00

Bonus loan Triple Diamond 10,000.00

Consol Loan GSIS 115,000.00

TOTAL LIABILITIES: 547,000.00

NET WORTH: Total Assets less Total Liabilities = 498,000.00

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

N/A N/A N/A 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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date:

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: BIR

ID No.: 412-653-389
Date Issued: 9/5/2011 Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)

 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
Joint filing Separate filing Not Applicable
DECLARANT: LARIOSA RECHELY R. Position: TEACHER I
(Family Name) (First Name) M.I. Agency/Office: DEPED
Address: PUROK 6, AURORA, STA. JOSEFA AGUSAN DEL SUR Office Address: STA. JOSEFA

Spouse: LARIOSA HARLEY S. Position: CAREGIVER

(Family Name) (First Name) M.I. Agency/Office:
Office Address: MANILA

Unmarried Children below Eighteen (18) years of age living in Declarant's Household
Name Date of Birth Age
KYLE ASHLEY R. LARIOSA AUGUST 17,2016 2

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)
P-6, AURORA, STA.
JOSEFA AGUSAN 2015 90,000.00
House RESIDENTIAL DEL SUR CONSTRUCTED

Subtotal: 90,000.00
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

3 motorcyle ( XRM/TMX/REMODELED) 2016-2018 110,000.00

netbook , cellphones/gadgets 2013/2018 40,000.00

jewelries 2014-2018 15,000.00

furnitures/appliances 2014-2018 50,000.00

water fitcher and agricultural support 2015-2018 100,000.00

Subtotal: 315,000.00
TOTAL ASSETS (a+b): 405,000.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan ONE NETWORK BANK 280,000.00

Consol Loan GSIS 65,000.00

TOTAL LIABILITIES: 345,000.00

NET WORTH: Total Assets less Total Liabilities = 60,000.00

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

ROBELYN HIPONIA SISTER TEACHER I AGUSAN HIGH/ DEPED

CHEREL MASALTA SISTER TEACHER I TAPAZ INTEGRATED

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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date: JANUARY 25,2019

RECHELY R. LARIOSA HARLEY S. LARIOSA

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: TIN

ID No.: 438-417-210-00
Date Issued: 8/13/2013 Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 2019___, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)

 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
Joint filing Separate filing Not Applicable
DECLARANT: S Position:
(Family Name) (First Name) M.I. Agency/Office:
Address: Office Address:

Spouse: Position:
(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 NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)

Subtotal: -
B. PERSONAL PROPERTIES

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

Subtotal: -
TOTAL ASSETS (a+b): -

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOTAL LIABILITIES: -

NET WORTH: Total Assets less Total Liabilities = -

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date:

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID:

ID No.:
Date Issued: Date Issued:

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)

 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of _DECEMBER 2018
(Required by R.A. Nos. 3019 and 6713)
(Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.)
/ Joint filing Separate filing Not Applicable
DECLARANT: HILARIO JUDHON P. Position: TEACHER 1
(Family Name) (First Name) M.I. Agency/Office: DEPED, Sta. Josefa Na
Address: PUROK 18, Angas, Sta. Josefa, Agusan del Sur Office Address: ta.Josefa,Agusan de

Spouse: Hilario, Sharon C. Position: Teacher 1

(Family Name) (First Name) M.I. Agency/Office: DEPED, Sta. School
Office Address: Sta.Josefa,Agusan d

Unmarried Children below Eighteen (18) years of age living in Declarant's Household
Name Date of Birth Age
Jude Sean C. Hilario 11/2/2010 9
Shawn Vincent C.Hilario 11/13/2018 1

ASSETS, LIABILITIES AND NET WORTH

(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarant's household.)
1. ASSETS
A. REAL PROPERTIES
KIND CURRENT FAIR
DESCRIPTION (e.g. ASSESSED
MARKET ACQUISITION
(e.g. lot, house residential, VALUE
VALUE ACQUISITION
and lot, commercial, EXACT LOCATION
COST
condominium and industrial, (As found in the Tax Declaration of
improvements) agricultural and YEAR MODE
Real Property)
mixed used.)

Subtotal: -
B. PERSONAL PROPERTIES
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

GADGETS 2014-2016 80,500.00

XRM MOTORCYCLE, TMX MOTORCYCLE 2016-2018 140,OOO.00

CLOTHING 2018 20,000.00

JEWELRIES 2018 20,000.00

Subtotal: 260,000.00
TOTAL ASSETS (a+b): 260,000.00

2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

TOTAL LIABILITIES: -

NET WORTH: Total Assets less Total Liabilities = 260,000.00

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

Name of Entity/Business/ Nature of Business Interest and/or Date of Acquisition of

Business Address
Enterprise Financial Connection Interest or Connection

N/A 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)
I/ We do not know of any relative/s in the government service.

Name of Agency/Office
Name of Relative Relationship Position
and Address

JOJETTE H. FRONDOZA SISTER TEACHER 111 DEPED, Sta. Josefa Central Elementary School

JESRYL H. CAOILE SISTER TEACHER 1 DEPED, Aurora National High School

LADY MAE P. HILARIO SISTER TEACHER 1 DEPED, Sayon 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 including those of my spouse and unmarried children below eighteen (18) years of age living with me in my

household, covering previous years to include the year I first assumed office in Government.

Date: 1/15/2020

JUDHON P. HILARIO SHARON C. HILARIO

(Signature of Declarant) (Signature of Co-declarant/Spouse)

Government Issued ID: PRC

ID No.: 1658932 Philhealth
Date Issued: 7/24/2018 Date Issued: 02-050111376-0

SUBSCRIBED AND SWORN to before me on this _____________ day of ________________________, 20_____, affiant
exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)