· address: 3a camia st., br,'. san gabriel, cabarroguts, quinno region 02 tuguegarao city,...

2
ed cit,on January 'se Per R" SWORN STATEMENT OF ASSETS, LIABILITIES AND NET RTH %\ As of December 31, 2017 (Required by R.A. 6713) 1 ' Note Husband and wife who are both public officials and employees may file the reqwred statements jointly se ar U Joint Filing U Separate Filing U Not Applicable DECLARANT: LABUTONG BELINDA A POSITION: Provincial Dlrector,/. (Family Name) (First Name) (Ml.) AGENCY/OFFICE: TESDA Qt1QPmvmCl)Uk€ OFFICE ADDRESS: Brgy. San tiarcos ADDRESS: 3A Camia St., Br,'. San Gabriel, Cabarroguts, Quinno Region 02 Tuguegarao City, Cagayan SPOUSE: N/A POSITION: (Family Name) (First Name) (Ml.) AGENCY/OFFICE: OFFICE ADDRESS: UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD NAME DATE OF nmm 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 (eg. residential, LOCATION VALUE MARKET COST lot, condominium commercial, and improvement.) industrial, agricultural VALUE and mixed use) Ax Found in the 'Fax Declaration of YEAR - MODE Real Property) Lot Residential Brgy. Pengue, Php Php 1996 Purchased Php Tuguegarao City 5,400.00 30,000.00 120,000.00 Lot Residential Brgy. Ugac Sur, Php Php Pag-Ibig Php Tuguegarao City 9,720.00 54,000.00 Loan 240,000.00 Lot Residential Brgy. San Gabriel, Php Php Tuguegarao City 9,000.00 50,000.00 2002 Donation -0- House Residential Brgy. San Gabriel, Php Php Php Tuguegarao City 71,400.00 475,970.00 2002 Construction 1,500,000.00 b. Personal Properties* Subtotal: pl,SSo.oOo.oO DESCRIPTION YEtjip ACQUI&rIoff cor/AMouwr TESDA Provident Fund Savings I HDMF/Pag-Ibig Savings As of December 31, 2017 Php 17,600.00 Cash in Bank,Dollar Account As of December 31, 2017 Php 535,403.68 Php 24,291.03 Cash in Bank (LBP and BPI) Asof December 3l 2017 & Fixtures As of December 31, 2017 Php 44,485.64 As of December 31 2017 Php 750,000,00 * Additional sheet/s may be used, tj' necessary. TOTAL ASSETS (a+b):Php 3,231,780.30 USD to Php exchange rate of as of Dec. 31, 2017 Page 1 of 2

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Page 1:  · ADDRESS: 3A Camia St., Br,'. San Gabriel, Cabarroguts, Quinno Region 02 Tuguegarao City, Cagayan SPOUSE: N/A POSITION: (Family Name) (First Name) (Ml.) AGENCY/OFFICE: OFFICE ADDRESS:

ed

cit,on January

'se

Per

R"SWORN STATEMENT OF ASSETS, LIABILITIES AND NET RTH %\ As of December 31, 2017

(Required by R.A. 6713) 1 '

Note Husband and wife who are both public officials and employees may file the reqwred statements jointly se ar

U Joint Filing U Separate Filing U Not Applicable

DECLARANT: LABUTONG BELINDA A POSITION: Provincial Dlrector,/.

(Family Name) (First Name) (Ml.) AGENCY/OFFICE: TESDA Qt1QPmvmCl)Uk€

OFFICE ADDRESS: Brgy. San tiarcos

ADDRESS: 3A Camia St., Br,'. San Gabriel, Cabarroguts, Quinno Region 02

Tuguegarao City, Cagayan

SPOUSE: N/A POSITION:

(Family Name) (First Name) (Ml.) AGENCY/OFFICE: OFFICE ADDRESS:

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

NAME DATE OF nmm 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 (eg. residential, LOCATION VALUE MARKET COST lot, condominium commercial,

and improvement.) industrial, agricultural VALUE and mixed use)

Ax Found in the 'Fax Declaration of YEAR -

MODE Real Property)

Lot Residential Brgy. Pengue, Php Php

1996 Purchased Php

Tuguegarao City 5,400.00 30,000.00 120,000.00

Lot Residential Brgy. Ugac Sur, Php Php Pag-Ibig Php Tuguegarao City 9,720.00 54,000.00 Loan 240,000.00

Lot Residential Brgy. San Gabriel, Php Php Tuguegarao City 9,000.00 50,000.00

2002 Donation -0-

House Residential Brgy. San Gabriel, Php Php Php Tuguegarao City 71,400.00 475,970.00

2002 Construction 1,500,000.00

b. Personal Properties* Subtotal: pl,SSo.oOo.oO

DESCRIPTION YEtjip ACQUI&rIoff

cor/AMouwr

TESDA Provident Fund Savings I

HDMF/Pag-Ibig Savings As of December 31, 2017 Php 17,600.00

Cash in Bank,Dollar Account— As of December 31, 2017 Php 535,403.68

Php 24,291.03 Cash in Bank (LBP and BPI) Asof December 3l 2017

& Fixtures As of December 31, 2017 Php 44,485.64 As of December 31 2017 Php 750,000,00

* Additional sheet/s may be used, tj' necessary. TOTAL ASSETS (a+b):Php 3,231,780.30

USD to Php exchange rate of as of Dec. 31, 2017

Page 1 of 2

Page 2:  · ADDRESS: 3A Camia St., Br,'. San Gabriel, Cabarroguts, Quinno Region 02 Tuguegarao City, Cagayan SPOUSE: N/A POSITION: (Family Name) (First Name) (Ml.) AGENCY/OFFICE: OFFICE ADDRESS:

2. tIBILITIES*

- NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Loan (Lot Purchase) HI3MF/Pag-Ibig Fund Pup 13,497 70

Regular policy Loan Go!vernment Service Insurance System ((ISIS) Php 127,47 .27

Emergency Loan ' Go'vernment Service Insurance System (GSIS) Php 6,39$ ..25

Enhanced Salary Loan Gc&emment Service Insurance System (GSIS) Php 38,94-1.20

Optional Policy Loans Gcvernment Service Insurance System (GSIS) Php 44,899.14

Credit Card Bnco de Oro (BDO) Php 39,17(.60

Bdnlc of the Philippine Island (BPI) Php 20,69(.31

Personal TPF —TESDA Psmpanga PhD 12,37 .00

I 0T

NET WOTH Total Assets less Total Liabilities

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

(of Declarant /Declarant's spouse! Unmarried (hildren Below Eighteen (18) years of Age Living in Decl

I/ We do not have a-iy business interest orfinancial connection.

NAME OF ENTITY/BUSINESS ENTERPRISE

BUSINESS ADDRESS NATURE OF BUSINESS -

INTEREST &JOR FINANCIAL CONNECTION

DATE OFACQUIS INTEREST OR COD

TION OF NECTION

N/A

RELATIVES L THE GOVERNMENT SERVICE (Within the Fourth Degree of (:4r&sanguinity or Affinity. Include also Bites, Babe and Inso)

0 I/We do not know if any relative/s in the government service)

NAME OF RELATIVE RELATIONSUIP POSITION NAME OF AGENCY/OFFICE AND AB)RESS

Alistaire A. Laggui Cousin Admin Aide IV City Government of Tuguegare

I hereby certify that these are t4le and correct statements of my assets, liabilities, net

business interests and financial connections, including those of -my spouse and unmarried children

eighteen (18) years of age living in my household, and that to the best of my knowledge, the above-enuni

are names of my relatives in the goverruneni within the fourth civil degree of consanguinity or affinity.

I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and ecure

from all appropriate government agencies, i4icluding the Bureau of Internal Revenue such document that

may show my assets, liabilities, net worth, usiness interests and financial connections, to include those of my spouse and unmarried children below 48 years of age living with me in my household covering pr vious years to include the year I first assumed oflce in government.

Date: January 10, 2018

(Signature of Co-Declarant/Spouse)

Government Issued ID: TESDA ID

ID No.: 1998-653 Date Issued: 1991t

SUBSCRIBED AND SWORN to before me the above-stated government issued ide:

Government Issued ID: ID No.: Date Issued:

this 10th day of January 20 18 , affiant lation card. -

(4ral VALENTINA A. DAMIL

Administrative Officer V

to

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