Scribd
Upload
73 views

Sworn Statement of Assets, Liabilities and Net Worth

This document is a sworn statement of assets, liabilities, and net worth filed by Sarip Yasmin S., an elementary grade teacher, and her spouse Munder Alzaif T., a board member. It details their assets (valued at P560,000 including appliances, jewelry, gadgets, and furniture), liabilities (P240,000 MPL loan), net worth (negative P320,000), and relatives in government service (Sarip's mother and cousin are both teachers). The statement is required annually by law for all public officials and employees.

Uploaded by

Yasmera Sarip Pangcoga
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
73 views

Sworn Statement of Assets, Liabilities and Net Worth

This document is a sworn statement of assets, liabilities, and net worth filed by Sarip Yasmin S., an elementary grade teacher, and her spouse Munder Alzaif T., a board member. It details their assets (valued at P560,000 including appliances, jewelry, gadgets, and furniture), liabilities (P240,000 MPL loan), net worth (negative P320,000), and relatives in government service (Sarip's mother and cousin are both teachers). The statement is required annually by law for all public officials and employees.

Uploaded by

Yasmera Sarip Pangcoga
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
You are on page 1/ 2

Revised as of January 2015

Per CSC Resolution No. 1500088


Promulgated on January 23, 2016

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of December 31, 2022
(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
ELEMENTARY GRADE
DECLARANT: SARIP YASMIN S. POSITION: TEACHER 1
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: SADUC CENTRAL ELEM. SCH.
NORTHWEST DISTRICT
ADDRESS: 032 SADUC PROPER, OFFICE ADDRESS: SADUC PROPER,MARAWI CITY

MARAWI CITY CITY SCHOOLS DIVISION OF


MARAWI

SPOUSE: MUNDER ALZAIF T. POSITION: BOARD MEMBER

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: LGU LANAO/SANGGUNIANG


PANLALAWIGAN
OFFICE ADDRESS: NEW CAPITOL COMPLEX,
BUADI SACAYO, MARAWI CITY

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE


SHAHANIE S. MUNDER APRIL 25, 2013 9 YEARS OLD
SHAHANA S. MUNDER APRIL 23, 2015 7 YEARS OLD
FATINAH S. MUNDER JANUARY 06, 2019 4 YEARS OLD
FAHEEMA S. MUNDER APRIL 13, 2021 1 YEAR OLD

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 LOCATION ASSESSED CURRENT FAIR ACQUISITION ACQUISITION COST


(e.g. lot, house and (e.g. residential, VALUE MARKET VALUE
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:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

APPLIANCES (refrigerator, T.V, etc.,) VARIOUS YEARS P 150, 000.00


JEWELRIES (watches, rings, bangles, bracelets) VARIOUS YEARS P 210, 000.00
GADGETS (cellphone, laptop) VARIOUS YEARS P 45, 000.00
FURNITURES (cabinets, bed, salaset,) VARIOUS YEARS P 85, 000.00
CLOTHING (shoes, pants, dresses, etc.,) VARIOUS YEARS P 70, 000.00
Subtotal : P 560, 000.00
TOTAL ASSETS (a+b): P 560, 000.00

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

+
2. LIABILITIES*
Page 1 of ___
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

MPL LOAN GSIS P 240,000.O0


- - -
- - -
- - -
TOTAL LIABILITIES: P 240,000.00
NET WORTH : Total Assets less Total Liabilities = P -320, 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
RASMIA M. SOLAIMAN MOTHER EGT-2 DepEd BARMM, Marawi City Division
ANISAH S. SARIP MOTHER EGT-1 DepEd BARMM, Marawi City Division
ROHANIA C. SOLAIMAN 1ST COUSIN EGT-1 DepEd BARMM, Marawi City Division
JOHARA S. ALIBASHER 1 ST
COUSIN EGT-1 DepEd BARMM, Marawi City Division
- - - -

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: FEBRUARY 7, 2023

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

Government Issued ID: DEPED I.D Government Issued ID:


ID No.: 093-008-0626 ID No.:
Date Issued: 06-03-2016 Date Issued:

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 ___

You might also like

pFad - Phonifier reborn

Pfad - The Proxy pFad of © 2024 Garber Painting. All rights reserved.

Note: This service is not intended for secure transactions such as banking, social media, email, or purchasing. Use at your own risk. We assume no liability whatsoever for broken pages.


Alternative Proxies:

Alternative Proxy

pFad Proxy

pFad v3 Proxy

pFad v4 Proxy