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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)
Name
Assessed Value
Acquisition
Land Bldg etc.
Total : Php b. Personal and other Properties Year Acquired Acquisition Cost
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
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.
_________________________
Signature of Spouse
_________________________ Signature
: : :
: : :
SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.
and
(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)
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
John Clark D. Reyes Kate Crystel D. Reyes Khim Patrick Vency D. Reyes
Year Acquired
Assessed Value
Acquisition
Land Bldg etc.
House
Kawasaki Motorcycle 7535 DS
2006-2010
Conjugal
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
Php 400 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00
Total : Php
III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )
Total : Php
(REVISED , 1994)
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
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
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.
_________________________
Signature of Spouse
_________________________ Signature
: : :
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.
and
(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)
Reyes,
( First Name)
Norma
D.
(M.I)
Name
John Clark D. Reyes Kate Crystel D. Reyes Khim Patrick Vency D. Reyes
Year Acquired
Assessed Value
Acquisition
Land Bldg etc.
House
Kawasaki Motorcycle 7535 DS
2006-2010
Conjugal
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
Php 500 344. 62 Php 50, 000. 00 Php 153, 070. 00 Php 10, 000. 00
Php 62, 000. 00
Total : Php
III. NETWORTH (Total Assets (Ia + Ib) less Total Liabilities (II) )
Total : Php
(REVISED , 1994)
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
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
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.
_________________________
Signature of Spouse
_________________________ Signature
: : :
198-857-226 24821297
Naujan Oriental Mindoro
6-Jan-11
: : :
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.
and
916-345-526 24823432
Naujan Oriental Mindoro
6-Jan-11
(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)
T-1 Php
Garca,
( First Name)
Rony
T.
(M.I)
Dep Ed Naujan West Barcenaga Naujan Oriental Mindoro Policeman Camp Crame Quezon Cty
Name
Rhona Lhyn Rose F. Garcia John Ronald Ross F. Garcia Aizel Marie Joy F. Garcia
Yna Estella Mae F. Garcia
Year Acquired
Assessed 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
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
75,300.00
Amount
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
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.
_________________________
Signature of Spouse
_________________________ Signature
TIN
24823603
6-Jan-12
SUBSCRIBED AND SWORN TO before me this _____ day of ______________, 2011 affiant exhibiting his/her Residence Tax Certificate as indicated above.
and