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(REVISED , 1994)

SWORN STATEMENTS OF ASSETS, LIABILITIES, AND NETWORTH DISCLOSURE OF BUSINESS AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE As of December 31, 2011 (Required by R.A. 6713) NAME
(Surname) ( First Name) (M.I)

Address Spouse Name


(Surname) ( First Name) (M.I)

Position/Income Office Office Address Oriental Mindoro Position Office

Name

Unmarried Children below 18 yrs of age Date of Birth

A. ASSETS, LIABILITIES AND NETWORTH I. ASSETS


a. Real Properties Kind Location Year Acquired
Nature of Property Mode of Acquisition (Paraphernal, conjugal or Consanguinity)

Assessed Value

Current Fair Market Value

Acquisition
Land Bldg etc.

Total : Php b. Personal and other Properties Year Acquired Acquisition Cost

Total : Php II. LIABILITIES (Loans, Mortgages, etc.) Nature

Name of Creditors

Amount

Total : Php

III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )

Total : Php

(REVISED , 1994)

ntal Mindoro

irth

Acquisition Improvement

sition Cost

Amount

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS Do you have any business interests and other financial connections including those of your spouse unmarried children below 18 years of age living with you in your household? / / Yes / / No If yes, give particulars: Address Nature of Business interests and /or Financial Connection Date of Acquisition of Connection and

Name

Name of firm/ Company

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to anyone working in the government? ? / / Yes / / No If yes, give particulars: Name Position Relationship Name/Address of Office

I hereby certify to the best of my knowledge and information, that these are true statement of assets, liabilities, networth, business interests and financial connections, including those of my spouse and unmarried children below 18 years of age and names of my relatives in the government as of December 31, 2011, as required by and in accordance with Republic Act 6713. I hereby authorize the Ombudsman or his 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, networth, 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 ______________________, 2011

_________________________

Signature of Spouse

_________________________ Signature

TIN Issued At Issued On

: : :

TIN Issued At Issued On

: : :

Comm. Tax Cert. No.:

Comm. Tax Cert. No.:

SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.

MARIA ANGELES CARANZO-CASUBUAN


Municipal Mayor
(Person Administering Oath)

er financial connections including those of your spouse

and

ted within the fourth degree of consaguinity or affinity to anyone

wledge and information, that these are true statement of assets,

me this _____ day of ______________, 2011 affiant exhibiting

MARIA ANGELES CARANZO-CASUBUAN

(REVISED , 1994)

SWORN STATEMENTS OF ASSETS, LIABILITIES, AND NETWORTH DISCLOSURE OF BUSINESS AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE As of December 31, 2011 (Required by R.A. 6713) NAME Address Spouse Name
(Surname)

Reyes ,
(Surname)

Norma

D.

and Husband
(M.I)

( First Name)

Estrella , Naujan, Oriental Mindoro

Position/Income Office Office Address Position Office

MT 1 / Php 670, 291. 00

Reyes,
( First Name)

Jojit

N.
(M.I)

Dep Ed Naujan West Barcenaga Naujan Oriental Mindoro Sec. School Teacher 1 Dep Ed - Naujan Municipal High School

Name

Unmarried Children below 18 yrs of age Date of Birth

John Clark D. Reyes Kate Crystel D. Reyes Khim Patrick Vency D. Reyes

26-Nov-98 8-Dec-00 25-Apr-08

A. ASSETS, LIABILITIES AND NETWORTH I. ASSETS


a. Real Properties Kind Location
Estrella, Naujan, Or Mdo. 60358386/ Calapan City LTO

Year Acquired

Nature of Property Mode of Acquisition (Paraphernal, conjugal or Consanguinity)

Assessed Value

Current Fair Market Value

Acquisition
Land Bldg etc.

House
Kawasaki Motorcycle 7535 DS

2006-2010

Built Mortgage Purchase

Conjugal

500, 000 110 000 7, 500 130 000

1 Mem, Lawn Plot


Owner type jeep DTT 708

San Gelaco Victoria


60358386/ Calapan City LTO

1998 2003
2010

Conjugal Conjugal
Conjugal

Purchase

Total : Php b. Personal and other Properties Furnitures Appliances Laptop, Computer Set w/ printer Cellphone Jewelries Year Acquired 2003/2009 1998/2010 2010/2011 2010/2011 2010/2011 Total : Php II. LIABILITIES (Loans, Mortgages, etc.) Nature Console Loan/Policy Loan/E-Card (Spouses)

747, 500. 00
Acquisition Cost 28, 250 20, 000 39, 000 30, 000 5, 000

122,250

Name of Creditors

Amount

Multipurpose Loan Housing Loan (Spouses) Loan (Spouses)


Multipurpose Loan

GSIS Phil-Am Asian Life/First Console Bank Private Person


MTMAS

Php 400 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00

Total : Php

665, 414. 62 204, 335. 00

III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )

Total : Php

(REVISED , 1994)

T 1 / Php 670, 291. 00

Dep Ed Naujan West Barcenaga Naujan Oriental Mindoro ec. School Teacher 1 Municipal High School

irth

98 0 08

Acquisition Improvement

747, 500. 00

sition Cost 28, 250 20, 000 39, 000 30, 000 5, 000

122,250

Amount

Php 400 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00

665, 414. 62 204, 335. 00

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS Do you have any business interests and other financial connections including those of your spouse unmarried children below 18 years of age living with you in your household? / / Yes / / No If yes, give particulars: Address Nature of Business interests and /or Financial Connection Date of Acquisition of Connection and

Name

Name of firm/ Company

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to anyone working in the government? ? / / Yes / / No If yes, give particulars: Name
Pantaleon Y. Dechosa Edna L. Dechosa Celo L. Dechosa Christian L. Dechosa Cristobel L. Dechosa

Position
Master Teacher II Master Teacher II Head Teacher 1

Relationship
Brother Sister-in -law Niece Nephew Nece

Name/Address of Office
DepEd Victoria, Or. Mdo DepEd Victoria, Or. Mdo DepEd Victoria, Or. Mdo DepEd Victoria, Or. Mdo DepEd Victoria, Or. Mdo

Teacher III
Teacher III

I hereby certify to the best of my knowledge and information, that these are true statement of assets, liabilities, networth, business interests and financial connections, including those of my spouse and unmarried children below 18 years of age and names of my relatives in the government as of December 31, 2011, as required by and in accordance with Republic Act 6713. I hereby authorize the Ombudsman or his 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, networth, 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 ______________________, 2011

_________________________

Signature of Spouse

_________________________ Signature

TIN Issued At Issued On

: : :

Comm. Tax Cert. No.:

916-345-526 24823432
Naujan Oriental Mindoro
6-Jan-11

TIN Issued At Issued On

: : :

Comm. Tax Cert. No.:

198-857-226 24821297 Naujan Oriental Mindoro


6-Jan-11

SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.

MARIA ANGELES CARANZO-CASUBUAN


Municipal Mayor
(Person Administering Oath)

er financial connections including those of your spouse

and

ted within the fourth degree of consaguinity or affinity to anyone

wledge and information, that these are true statement of assets,

198-857-226 24821297 Naujan Oriental Mindoro


6-Jan-11

me this _____ day of ______________, 2011 affiant exhibiting

MARIA ANGELES CARANZO-CASUBUAN

(REVISED , 1994)

SWORN STATEMENTS OF ASSETS, LIABILITIES, AND NETWORTH DISCLOSURE OF BUSINESS AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE As of December 31, 2011 (Required by R.A. 6713) NAME Address Spouse Name
(Surname)

Reyes ,
(Surname)

Jojit
( First Name)

N.

and Wife
(M.I)

Estrella , Naujan, Oriental Mindoro

Position/Income Office Office Address Position Office

SST 1 / Php 670, 291. 00

Naujan Mucipal High School


Andres Ylagan Naujan Or. Mdo.

Reyes,
( First Name)

Norma

D.
(M.I)

Oriental Mindoro Master Teacher 1 Dep Ed - Naujan West District

Name

Unmarried Children below 18 yrs of age Date of Birth

John Clark D. Reyes Kate Crystel D. Reyes Khim Patrick Vency D. Reyes

26-Nov-98 8-Dec-00 25-Apr-08

A. ASSETS, LIABILITIES AND NETWORTH I. ASSETS


a. Real Properties Kind Location
Estrella, Naujan, Or Mdo. 60358386/ Calapan City LTO

Year Acquired

Nature of Property Mode of Acquisition (Paraphernal, conjugal or Consanguinity)

Assessed Value

Current Fair Market Value

Acquisition
Land Bldg etc.

House
Kawasaki Motorcycle 7535 DS

2006-2010

Built Mortgage Purchase

Conjugal

500, 000 110 000 7, 500 130 000

1 Mem, Lawn Plot


Owner type jeep DTT 708

San Gelaco Victoria


60358386/ Calapan City LTO

1998 2003
2010

Conjugal Conjugal
Conjugal

Purchase

Total : Php b. Personal and other Properties Furnitures Appliances Laptop, Computer Set w/ printer Cellphone Jewelries Year Acquired 2003/2009 1998/2010 2010/2011 2010/2011 2010/2011 Total : Php II. LIABILITIES (Loans, Mortgages, etc.) Nature Console Loan/Policy Loan/E-Card (Spouses)

747, 500. 00
Acquisition Cost 28, 250 20, 000 39, 000 30, 000 5, 000

122,250

Name of Creditors

Amount

Multipurpose Loan Housing Loan (Spouses) Loan (Spouses)


Multipurpose Loan

GSIS Phil-Am Asian Life/First Console Bank Private Person


MTMAS

Php 500 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00

Total : Php

775, 414. 62 94, 335. 38

III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )

Total : Php

(REVISED , 1994)

T 1 / Php 670, 291. 00

jan Mucipal High School

dres Ylagan Naujan Or. Mdo.

Oriental Mindoro Master Teacher 1 ujan West District

irth

98 0 08

Acquisition Improvement

747, 500. 00

sition Cost 28, 250 20, 000 39, 000 30, 000 5, 000

122,250

Amount

Php 500 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00

775, 414. 62 94, 335. 38

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS Do you have any business interests and other financial connections including those of your spouse unmarried children below 18 years of age living with you in your household? / / Yes / / No If yes, give particulars: Address Nature of Business interests and /or Financial Connection Date of Acquisition of Connection and

Name

Name of firm/ Company

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to anyone working in the government? ? / / Yes / / No If yes, give particulars: Name
Judy R. Mendoza Teresita R. Virgo

Position
Sr. Specialist II

Relationship
Sister Auntie

Name/Address of Office
DepEd (ALS) - Central Office DepEd(Health) - Central Office

I hereby certify to the best of my knowledge and information, that these are true statement of assets, liabilities, networth, business interests and financial connections, including those of my spouse and unmarried children below 18 years of age and names of my relatives in the government as of December 31, 2011, as required by and in accordance with Republic Act 6713. I hereby authorize the Ombudsman or his 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, networth, 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 ______________________, 2011

_________________________

Signature of Spouse

_________________________ Signature

TIN Issued At Issued On

: : :

Comm. Tax Cert. No.:

198-857-226 24821297
Naujan Oriental Mindoro
6-Jan-11

TIN Issued At Issued On

: : :

Comm. Tax Cert. No.:

916-345-526 24823432
Naujan Oriental Mindoro
6-Jan-11

SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.

MARIA ANGELES CARANZO-CASUBUAN


Municipal Mayor
(Person Administering Oath)

er financial connections including those of your spouse

and

ted within the fourth degree of consaguinity or affinity to anyone

wledge and information, that these are true statement of assets,

916-345-526 24823432
Naujan Oriental Mindoro
6-Jan-11

me this _____ day of ______________, 2011 affiant exhibiting

MARIA ANGELES CARANZO-CASUBUAN

(REVISED , 1994)

SWORN STATEMENTS OF ASSETS, LIABILITIES, AND NETWORTH DISCLOSURE OF BUSINESS AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE As of December 31, 2011 (Required by R.A. 6713) NAME Address Spouse Name
(Surname)

Garcia ,
(Surname)

Rosechel

F.
(M.I)

( First Name)

Barcenaga , Naujan, Oriental Mindoro

Position/Income Office Office Address Position Office

T-1 Php

Garca,
( First Name)

Rony

T.
(M.I)

Dep Ed Naujan West Barcenaga Naujan Oriental Mindoro Policeman Camp Crame Quezon Cty

Name

Unmarried Children below 18 yrs of age Date of Birth

Rhona Lhyn Rose F. Garcia John Ronald Ross F. Garcia Aizel Marie Joy F. Garcia
Yna Estella Mae F. Garcia

30-Mar-06 25-Feb-08 9-Apr-09


1-Mar-10

A. ASSETS, LIABILITIES AND NETWORTH I. ASSETS


a. Real Properties Kind Location
Calapan Cty

Year Acquired

Nature of Property Mode of Acquisition (Paraphernal, conjugal or Consanguinity)

Assessed Value

Current Fair Market Value

Acquisition
Land Bldg etc.

Honda Motorcycle

2011

Mortgage

Conjugal

121,920

Total : Php b. Personal and other Properties Appliances Furnitures Books Cellphone Year Acquired 2010/2011 2010-2011 2010/2011 2010/2011

121,920.00
Acquisition Cost 6,000 60,000 2,000 7, 300

Total : Php II. LIABILITIES (Loans, Mortgages, etc.) Nature Multipurpose Loan

75,300.00

Name of Creditors

Amount

Multipurpose Loan Mortgage

First Consolidated Bank Asian Life Honda

Php 61, 000 Php 21, 546.08 Php96,600

Total : Php

179,146.08 18,073.93

III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )

Total : Php

(REVISED , 1994)

T-1 Php

Dep Ed Naujan West Barcenaga Naujan Oriental Mindoro Policeman me Quezon Cty

irth

06 08 9

Acquisition Improvement

121,920.00

sition Cost 6,000 60,000 2,000 7, 300

75,300.00

Amount

Php 61, 000 Php 21, 546.08 Php96,600

179,146.08 18,073.93

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS Do you have any business interests and other financial connections including those of your spouse unmarried children below 18 years of age living with you in your household? / / Yes / / No If yes, give particulars: Address Nature of Business interests and /or Financial Connection Date of Acquisition of Connection and

Name

Name of firm/ Company

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to anyone working in the government? ? / / Yes / / No If yes, give particulars: Name
Rosemar F. Masangkay Nestor T. Garcia Judith M. Teryompo

Position
Teacher 1 Chief/HPG Teacher 1

Relationship
cousin Brother in Law cousin

Name/Address of Office
DepEd Naujan West Or. Mdo High Way Patrol Group Or. Mindoro DepEd Naujan West Or. Mdo

I hereby certify to the best of my knowledge and information, that these are true statement of assets, liabilities, networth, business interests and financial connections, including those of my spouse and unmarried children below 18 years of age and names of my relatives in the government as of December 31, 2011, as required by and in accordance with Republic Act 6713. I hereby authorize the Ombudsman or his 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, networth, 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 ______________________, 2011

_________________________

Signature of Spouse

_________________________ Signature

TIN Issued At Issued On

TIN

Comm. Tax Cert. No.: :

24823603
6-Jan-12

Comm. Tax Cert. No.: Issued At Issued On :

Pinagsabangan I, Naujan Or. Mindoro :

259-916-094-000 24821300 Pinagsabangan I, Naujan Or. Mindo :


6-Jan-12

SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.

MARIA ANGELES CARANZO-CASUBUAN


Municipal Mayor
(Person Administering Oath)

er financial connections including those of your spouse

and

ted within the fourth degree of consaguinity or affinity to anyone

wledge and information, that these are true statement of assets,

259-916-094-000 24821300 Pinagsabangan I, Naujan Or. Mindoro


6-Jan-12

me this _____ day of ______________, 2011 affiant exhibiting

MARIA ANGELES CARANZO-CASUBUAN

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