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    Robert Saln 2023 1

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    abiolrobertkane

    Copyright:

    © All Rights Reserved
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    Robert Saln 2023 1

    Uploaded by

    abiolrobertkane
    1 views2 pages

    Original Title

    ROBERT-SALN-2023-1

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    © © All Rights Reserved

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    1 views2 pages

    Robert Saln 2023 1

    Uploaded by

    abiolrobertkane

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    You are on page 1of 2

    Revised as of January 2015

    Per CSC Resolution No. 1500088


    Promulgated on January 23, 2015

    SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


    As of JULY 26, 2024
    (Required by R.A. 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
    DECLARANT: ABIOL ROBERT KANE O. POSITION: SUBSTITUTE TEACHER I
    (Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF EDUCATION
    ADDRESS: ZONE TAURUS SUAREZ OFFICE ADDRESS: GEN. AGUINALDO ST.
    ILIGAN CITY 9200 POBLACION, ILIGAN CITY

    SPOUSE: N/A N/A N/A POSITION: N/A


    (Family Name) (First Name) (M.I.) AGENCY/OFFICE: N/A
    OFFICE ADDRESS: N/A

    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 NETWORTH


    (Including those of the spouse and unmarried children below eighteen (18)
    years of age living in declarant’s household)
    1. ASSETS
    a. Real Properties*

    DESCRIPTION KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


    (e.g. lot, house and (e.g. residential, LOCATION VALUE MARKET VALUE COST
    lot, condominium commercial,
    and industrial, (As found in the Tax Declaration of YEAR MODE
    improvements) agricultural and Real Property)
    mixed use)

    N/A N/A N/A N/A N/A N/A N/A N/A

    Subtotal:
    b. Personal Properties*

    DESCRIPTION YEAR ACQUIRED ACQUISITION


    COST/AMOUNT

    PERSONAL THINGS (DRESS,BAGS,SHOES,ETC…) 2023 15,000.00


    FOODS 2023 15,000.00

    30,000.00

    30,000.00
    TOTAL ASSETS (a+b):
    * Additional sheet/s may be used, if necessary.

    Page 1 of 2
    2. LIABILITIES*

    NATURE NAME OF CREDITORS OUTSTANDING BALANCE

    N/A N/A N/A

    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)

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

    NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


    ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
    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 RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE 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 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: JULY 26, 2024

    N/A
    (Signature of Declarant) (Signature of Co-Declarant/Spouse)

    Government Issued ID: PRC Government Issued ID: N/A


    ID No.: 1377592 ID No.: N/A
    Date Issued: 03/29/2015 Date Issued: N/A

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

    _______________________________________
    (Person Administering Oath)

    Page 2 of 2

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