8/2/2019 Assets Form (Version 1)

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(RE

NAME Position/Income

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

Address Office Address

Oriental Mind

Spouse Name Position

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

I. ASSETS

a. Real Properties

Year Mode of Assessed Current Fair

Acquired Acquisition Value Market Value

Total : Php

b. Personal and other Properties

Total : Php

II. LIABILITIES (Loans, Mortgages, etc.)

Total : Php

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

Nature Name of Creditors A

Year Acquired Acquisition C

A. ASSETS, LIABILITIES AND NETWORTH

Kind Location

Nature of Property

(Paraphernal, conjugal

or Consanguinity)

Acq

Land Bldg etc.

(Required by R.A. 6713)

Unmarried Children below 18 yrs of age

Name Date of Birth

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

8/2/2019 Assets Form (Version 1)

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ISED , 1994)

ro

ount

st

uisition

Improvement

8/2/2019 Assets Form (Version 1)

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Do you have any business interests and other financial connections including those of your spouse a

unmarried children below 18 years of age living with you in your household?

/ / Yes / / No If yes, give particulars:

Name of firm/

Company

To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to a

working in the government? ? / / Yes / / No If yes, give particulars:

I hereby certify to the best of my knowledge and information, that these are true statement of asset

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 : TIN :

Comm. Tax Cert. No.: Comm. Tax Cert. No.:

Issued At : Issued At :

Issued On : Issued On :

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

MARIA ANGELES CARANZO-CASUBUAN

Municipal Mayor

(Person Administering Oath)

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

Nature of Business

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

interests and /orFinancial Connection

Date of Acquisition

of Connection

Name/Address of OfficeRelationshipPositionName

Name

Address

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(RE

NAME Position/Income

(Surname) ( First Name) (M.I) OfficeAddress Office Address

Spouse Name Position

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

I. ASSETS

a. Real Properties

Year Mode of Assessed Current Fair

Acquired Acquisition Value Market Value

HouseEstrella, Naujan, Or

Mdo. 2006-2010 Built Conjugal 500, 000Kawasaki Motorcycle DS

7535

60358386/

Calapan City LTO 1998 Mortgage Conjugal 110 000

1 Mem, Lawn Plot San Gelaco Victoria 2003 Purchase Conjugal 7, 500Owner type jeep

DTT 708

60358386/

Calapan City LTO 2010 Purchase Conjugal 130 000

Total : Php

b. Personal and other Properties

Total : Php

II. LIABILITIES (Loans, Mortgages, etc.)

Total : Php

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

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)

Unmarried Children below 18 yrs of age

Sec. Scho

Dep Ed - Naujan Municip

Orient

Reyes, Jojit N.

Name Date of Birth

John Clark D. Reyes 26-Nov-98

Kate Crystel D. Reyes 8-Dec-00

Khim Patrick Vency D. Reyes 25-Apr-08

A. ASSETS, LIABILITIES AND NETWORTH

Kind Location

Nature of Property

(Paraphernal, conjugal

or Consanguinity)

Acq

Land Bldg etc.

Year Acquired Acquisition CFurnitures 2003/2009 28, 250

Appliances 1998/2010 20, 000

Laptop, Computer Set w/ printer 2010/2011 39, 000

Php 40

Cellphone 2010/2011 30, 000

Jewelries 2010/2011 5, 000

1

Php 5

Housing Loan (Spouses) Asian Life/First Console Bank Php 15

Nature Name of Creditors A

Console Loan/Policy Loan/E-Card (Spouses) GSIS

Loan (Spouses) Private Person Php 10,Multipurpose Loan MTMAS Php 6

204,

Reyes , Norma D. and Husband

Estrella , Naujan, Oriental Mindoro

MT 1 / Php

Dep EdBarcen

665,

Multipurpose Loan Phil-Am

747,

8/2/2019 Assets Form (Version 1)

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ISED , 1994)

ol Teacher 1

l High School

l Mindoro

uisition

Improvement

st

0 344. 62

22,250

, 000. 00

3, 070. 00

ount

000. 00, 000. 00

335. 00

670, 291. 00

aujan Westga Naujan

414. 62

500. 00

8/2/2019 Assets Form (Version 1)

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Do you have any business interests and other financial connections including those of your spouse a

unmarried children below 18 years of age living with you in your household?

/ / Yes / / No If

Name of firm/

Company

To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to a

working in the government? ? / / Yes / / No If yes, give particulars:

I hereby certify to the best of my knowledge and information, that these are true statement of asset

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 : TIN :

Comm. Tax Cert. No.: Comm. Tax Cert. No.:

Issued At : Issued At :

Issued On : Issued On :

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

MARIA ANGELES CARANZO-CASUBUAN

Municipal Mayor

(Person Administering Oath)

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

Address Nature of Business Date of Acquisition

Name interests and /or of ConnectionFinancial Connection

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

Name Position Relationship Name/Address of Office

Nephew DepEd Victoria, Or. Mdo

Pantaleon Y. Dechosa Master Teacher II Brother DepEd Victoria, Or. Mdo

Edna L. Dechosa Master Teacher II Sister-in -law DepEd Victoria, Or. Mdo

Cristobel L. Dechosa Teacher III Nece DepEd Victoria, Or. Mdo

Teacher III

Celo L. Dechosa Head Teacher 1 Niece DepEd Victoria, Or. Mdo

Christian L. Dechosa

Naujan Oriental

6-Jan-1

Naujan Oriental Mindoro

6-Jan-11

248212

198-857-916-345-526

24823432

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1

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(RE

NAME Position/Income

(Surname) ( First Name) (M.I) OfficeAddress Office Address

Spouse Name Position

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

I. ASSETS

a. Real Properties

Year Mode of Assessed Current Fair

Acquired Acquisition Value Market Value

HouseEstrella, Naujan, Or

Mdo. 2006-2010 Built Conjugal 500, 000Kawasaki Motorcycle DS

7535

60358386/

Calapan City LTO 1998 Mortgage Conjugal 110 000

1 Mem, Lawn Plot San Gelaco Victoria 2003 Purchase Conjugal 7, 500Owner type jeep

DTT 708

60358386/

Calapan City LTO 2010 Purchase Conjugal 130 000

Total : Php

b. Personal and other Properties

Total : Php

II. LIABILITIES (Loans, Mortgages, etc.)

Total : Php

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

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)

Reyes , Jojit N. and Wife SST 1 / Ph

Naujan MuciEstrella , Naujan, Oriental Mindoro Andres Ylaga

Orient

Reyes, Norma D. MasterDep Ed - Naujan We

Unmarried Children below 18 yrs of age

Name Date of Birth

John Clark D. Reyes 26-Nov-98

Kate Crystel D. Reyes 8-Dec-00

Khim Patrick Vency D. Reyes 25-Apr-08

A. ASSETS, LIABILITIES AND NETWORTH

Kind Location

Nature of Property

(Paraphernal, conjugal

or Consanguinity)

Acq

Land Bldg etc.

747,

Year Acquired Acquisition CFurnitures 2003/2009 28, 250

Appliances 1998/2010 20, 000

Laptop, Computer Set w/ printer 2010/2011 39, 000

Cellphone 2010/2011 30, 000

Jewelries 2010/2011 5, 000

1

Nature Name of Creditors A

Console Loan/Policy Loan/E-Card (Spouses) GSIS Php 50

Php 6

Multipurpose Loan Phil-Am Php 5

Housing Loan (Spouses) Asian Life/First Console Bank Php 15

775,

94,

Loan (Spouses) Private Person Php 10,Multipurpose Loan MTMAS

8/2/2019 Assets Form (Version 1)

10/16

ISED , 1994)

670, 291. 00

pal High SchoolNaujan Or. Mdo.

l Mindoro

Teacher 1

st District

uisition

Improvement

500. 00

st

22,250

ount

0 344. 62

, 000. 00

, 000. 00

3, 070. 00

414. 62

35. 38

000. 00

8/2/2019 Assets Form (Version 1)

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Do you have any business interests and other financial connections including those of your spouse a

unmarried children below 18 years of age living with you in your household?

/ / Yes / / No If

Name of firm/

Company

To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to a

working in the government? ? / / Yes / / No If yes, give particulars:

I hereby certify to the best of my knowledge and information, that these are true statement of asset

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 : TIN :

Comm. Tax Cert. No.: Comm. Tax Cert. No.:

Issued At : Issued At :

Issued On : Issued On :

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

MARIA ANGELES CARANZO-CASUBUAN

Municipal Mayor

(Person Administering Oath)

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

Address Nature of Business Date of Acquisition

Name interests and /or of ConnectionFinancial Connection

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

Name Position Relationship Name/Address of Office

Judy R. Mendoza Sr. Specialist II Sister DepEd (ALS) - Central Office

Teresita R. Virgo Auntie DepEd(Health) - Central Office

6-Jan-16-Jan-11

916-345-198-857-226

24823424821297

Naujan OrientalNaujan Oriental Mindoro

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2

Mindoro

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(RE

NAME Position/Income

(Surname) ( First Name) (M.I) OfficeAddress Office Address

Spouse Name Position

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

I. ASSETS

a. Real Properties

Year Mode of Assessed Current Fair

Acquired Acquisition Value Market Value

Honda Motorcycle Calapan Cty 2011 Mortgage Conjugal 121,920

Total : Php

b. Personal and other Properties

Total : Php

II. LIABILITIES (Loans, Mortgages, etc.)

Total : Php

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

179,

18,

Multipurpose Loan Asian Life Php 2Mortgage Honda Php

75,

Nature Name of Creditors A

Multipurpose Loan First Consolidated Bank Php

Cellphone 2010/2011 7, 300

Furnitures 2010-2011 60,000

Books 2010/2011 2,000

121,

Year Acquired Acquisition CAppliances 2010/2011 6,000

A. ASSETS, LIABILITIES AND NETWORTH

Kind Location

Nature of Property

(Paraphernal, conjugal

or Consanguinity)

Acq

Land Bldg etc.

John Ronald Ross F. Garcia 25-Feb-08

Aizel Marie Joy F. Garcia 9-Apr-09Yna Estella Mae F. Garcia 1-Mar-10

Camp Crame Que

Unmarried Children below 18 yrs of age

Name Date of Birth

Rhona Lhyn Rose F. Garcia 30-Mar-06

Dep EdBarcenaga , Naujan, Oriental Mindoro Barcen

Orient

Garca, Rony T. Poli

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)

Garcia , Rosechel F. T-

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ISED , 1994)

146.08

73.93

, 546.086,600

00.00

ount

61, 000

Improvement

920.00

st

uisition

on Cty

aujan Westga Naujan

l Mindoro

eman

Php

8/2/2019 Assets Form (Version 1)

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Do you have any business interests and other financial connections including those of your spouse a

unmarried children below 18 years of age living with you in your household?

/ / Yes / / No If

Name of firm/

Company

To the best of your knowledge, are you related within the fourth degree of consaguinity or affinity to a

working in the government? ? / / Yes / / No If yes, give particulars:

I hereby certify to the best of my knowledge and information, that these are true statement of asset

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 : TIN :

Comm. Tax Cert. No.: Comm. Tax Cert. No.:

Issued At : Issued At :

Issued On : Issued On :

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

MARIA ANGELES CARANZO-CASUBUAN

Municipal Mayor

(Person Administering Oath)

B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

Address Nature of Business Date of Acquisition

Name interests and /or of ConnectionFinancial Connection

N/A

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

Name Position Relationship Name/Address of Office

Rosemar F. Masangkay Teacher 1 cousin DepEd Naujan West Or. Mdo

Nestor T. Garcia Chief/HPG Brother in Law High Way Patrol Group Or. Mindoro

Judith M. Teryompo Teacher 1 cousin DepEd Naujan West Or. Mdo

6-Jan-12 6-Jan-1

259-916-09

24823603 248213

sabangan I, Naujan Or. Min sabangan I, Nauj

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