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Sworn Statement of Assets, Liabilities and Net Worth: SEPTEMBER 30, 2019

This document is a sworn statement of assets, liabilities, and net worth filed by Ebero Malou P. as required by law. It details her personal assets of 155,000 PHP including appliances, a vehicle, jewelry, and gadgets. She lists liabilities of 510,000 PHP including loans. Her net worth is reported as negative 355,000 PHP. The document also discloses relatives working in government.

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Tristan
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68 views2 pages

Sworn Statement of Assets, Liabilities and Net Worth: SEPTEMBER 30, 2019

This document is a sworn statement of assets, liabilities, and net worth filed by Ebero Malou P. as required by law. It details her personal assets of 155,000 PHP including appliances, a vehicle, jewelry, and gadgets. She lists liabilities of 510,000 PHP including loans. Her net worth is reported as negative 355,000 PHP. The document also discloses relatives working in government.

Uploaded by

Tristan
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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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 SEPTEMBER 30, 2019
(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: EBERO MALOU P. POSITION: TEACHER I


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED-SAN AGUSTIN
ELEMENTARY SCHOOL
ADDRESS: SITIO MAGALANG STO. NINO SABLAYAN, OFFICE ADDRESS: SAN AGUSTIN SABLAYAN,
OCCIDENTAL MINDORO OCCIDENTAL MINDORO

SPOUSE: EBERO SANITO JR. T. POSITION: N/A


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

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
SANIE MAE P. EBERO APRIL 25, 2016 2 Y/O AND 10
MOS.
SONNY JAMES P. EBERO MARCH 19, 2019 6MOS.

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, industrial,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

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

Subtotal: P 0.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

APPLIANCES/ FURNITURES VARIOUS YEARS P 35 000.00


MOTOR VEHICLE 2014 80 000.00
JEWELRIES/ CLOTHING VARIOUS YEARS 10 000.00
GADGETS VARIOUS YEARS 30 000.00
Subtotal : P155 000.00

TOTAL ASSETS (a+b): P155 000.00


* Additional sheet/s may be used, if necessary.

Page of 1 of 2
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

CONSOL AND EMERGENCY LOAN GSIS P 60 000.00


GFAL GSIS 400 000.00
PRIVATE LOAN LILINDA BAUTISTA 50 000.00

TOTAL LIABILITIES: P 510 000.00


NET WORTH : Total Assets less Total Liabilities = (P 355 000.00)
* 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
ERNEO T. SARI UNCLE AIDE SABLAYAN MUNICIPAL OFFICE OCC.
MINDORO
HAROLD G. SARI COUSIN POLICE NAPOLCOM/ OCC. MINDORO

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: 15 OCTOBER 2019

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

Government Issued ID: PRC ID Government Issued ID: DRIVER’S LICENSE


ID No.: 0865707 ID No.: D06-12-008662
Date Issued: OCTOBER 05, 2017 Date Issued: MARCH 27, 2015

SUBSCRIBED AND SWORN to before me this 27th day of February 2019, affiant exhibiting to me the above-
stated government issued identification card.

LUZ H. ZUBIRI
Head Teacher
(Person Administering Oath)

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