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SALN-2022

The document is a sworn statement of assets, liabilities, and net worth for a public official, specifically a teacher, as of December 2024. It details the declarant's assets totaling Php 150,000 and liabilities amounting to Php 650,000, resulting in a net worth of -Php 500,000. Additionally, it includes information about relatives in government service and authorizes the Ombudsman to verify the provided information.

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Bai Noriene
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0% found this document useful (0 votes)
5 views3 pages

SALN-2022

The document is a sworn statement of assets, liabilities, and net worth for a public official, specifically a teacher, as of December 2024. It details the declarant's assets totaling Php 150,000 and liabilities amounting to Php 650,000, resulting in a net worth of -Php 500,000. Additionally, it includes information about relatives in government service and authorizes the Ombudsman to verify the provided information.

Uploaded by

Bai Noriene
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, 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 DECEMBER 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 LU BAI NORIENE B. POSITION: TEACHER 1


:
(Family Name) (First Name) (M.I. AGENCY/OFFICE: DEPED COTABATO DIV.
)
ADDRESS: #26 Apitong Street San Pablo Village RH 1 OFFICE ADDRESS: ND VILLAGE, COTABATO CITY
Cotabato City
Maguindanao

SPOUSE: N/A POSITION:


(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


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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

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

CELLPHONE 2024 Php 80,000.


JEWELRIES 2024 Php 40,000
APPLIANCES 2023 Php 30,000

Subtotal: Php
150,000.00

TOTAL ASSETS (a+b): Php


150,000.00

Page 1 of ___
* Additional sheet/s may be used, if necessary.

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING


BALANCE

Console Loan GSIS Php 150,000.


Salary Loan LANDBANK Php 500,000

TOTAL LIABILITIES: Php 650,000


NET WORTH: Total Assets less Total Liabilities = -Php 500,000.00

* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
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
NORODIN DANIEL B. LU BROTHER LIBRARIAN OFFICE OF THE CHIEF MINISTER/BARMM

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: JANUARY 31, 2025

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

Government Issued ID: PRC Government Issued ID:


ID No.: 1035198 ID No.:
Date Issued: 2009 Date Issued:

Page 2 of ___
SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.
_______________________________________
(Person Administering Oath)

Page 3 of ___

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