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SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH DISCLOSURE OF BUSINESS INTEREST AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES

IN THE GOVERNMENT SERVICE As of 31 December 2011 (Required by R.A. 6713) Name _______DEL MAR, RACHEL MARGUERITE_____B.__ Position/Income _Representative / P1,000,121 per annum_
(Surname) (Firstname) (M.I.)

Unit/Office

__Hon.

Rachel

Marguerite B. Del Mar________ Address _____No. 7 Canyon Road, Beverly Hills_________ RVM Bldg., House of Representatives_ _______Cebu City___________________________________ City___________ Office Address Rm 423,

____________Constitutional Hills, Quezon Position

Spouse Name ______________N/A___________________ ___________N/A__________________________


(Surname) (Firstname) (M.I.) Office _____________N/A__________________________

Unmarried Children below 18 years of age Name Date of Birth Name Date of Birth

N/A

A. ASSETS, LIABILITIES AND NETWORTH 1.


Kind

ASSETS A. Real Properties


Location Year
Mode of

Assessed Value

Current Fair Market Value

Acquisition cost Land Bldg., etc. Improvements

Acquired Acquisiti on

Lots

Busay, Cebu City

1991

Sale

P115,660.00

P5,782,800.00

P1,120,000.00

Lots

Lahug, Cebu City Ayala Heights, Cebu City

1995

Sale

P59,560.00

P5,956,000.00

P1,191,200.00

Lot

2001

Sale

P738,920.00

P4,725,000.00

P3,500,000.00

Condo Unit

Makati City

2002

Sale

P1,410,950.00 P21,875,000.00 P16,000,000.00

Total real properties:

P21,811,200.00

b.
Kind

Personal and other properties


Year Acquired Acquisition Cost Kind Year Acquired Acquisition Cost

Investment in

Various Shares of stocks Cash/Jewelrie s 1989 1987 P2,000,000,00 P6,200,000.00

Total personal properties:

P8,200,000.00

Total assets (real +

personal):

P30,011,200.00

2.

LIABILITIES (Loans, Mortgages, etc.)


Nature Amount Nature Amount

Total Liabilities:

00.00

NETWORTH (Total assets liabilities):

P30,011,200.00

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


Do you have any business interest and other financial connections including those of your spouse and unmarried children below 18 years of age living with your household?

Yes

No

If yes, give particulars

Name of Firm/ Name Company Address

Nature of Business Interest and /or Financing Connection

Date of Acquisition Or Connection

NONE

IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE


To the best of your knowledge, are you related with the fourth degree of consanguinity or of affinity to anyone in the government?
Yes

x No

If yes, give particulars.

Name

Position

Relationship

Name/Address of Office

NONE

I hereby certify to the best of my knowledge and information, that these are true statements of my 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 31 December 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 interest and financial connection, 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 the government.

(Date) 30 April 2012

________________________________ _________________ Signature of Spouse Employee

_______________

Signature of

TIN

: _______________________________________

TIN

: _____105-548Com. Tax Cert.

167_____________________ Com. Tax Cert. No. :


At On

_______________________________________ No. : ____000684488__________________________ Issued : _______________________________________ : _____08 January 2012 Issued At : _____Cebu

City_______________________ Issued On

: _______________________________________ ____________

Issued

SUBSCRIBED AND SWORN TO before me this _______ day of _____________________, 2012 affiant exhibiting her Community Tax Certificate as indicated above.

____________ _________________________ (Person Administering Oath)

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