revised saln form(feb. 1, 2012) new.ppt

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THE SALN FORM

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8/14/2019 REVISED SALN FORM(Feb. 1, 2012) new.ppt

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THE SALN

FORM

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Legal Basis:

Section 8 of Republic Act 6713 orthe Code of Conduct and EthicalStandards for Public Officials and

Employees .

Section 7 of RA 3019 or the Anti-Graft and Corrupt Practices Act .

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Pursuant to R.A. Nos. 6713 and 3019, declarant isrequired to declare in the Revised SALN Form thefollowing:(1) Assets, Liabilities (R.A. 6713 and 3019);(2) Net Worth (R.A. 6713);(3) Business Interests and Financial Connections;(R.A. 6713);(4) Relatives in the Government (R.A. 6713);(5) Amount and Sources of Gross Income (R.A.

3019);(6) Amount of Personal and Family Expenses;(R.A. 3019);

and

(7) Amount of Income Taxes Paid (R.A. 3019).

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Who files the SALN form?

All public officials and employees (except those who serve in honorary

capacity, laborers and casual ortemporary workers )

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Husband and Wife who are both public officials or employees may

file the required statements jointly or separately

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Under Assets , there are two (2) parts:

(a) Real Property/ies – refer/s to those ofthe declarant and his/her spouse and

unmarried children below 18 years ofage living in his/her household.

(b) Personal Property/ies- refer/s to thoseof the declarant and his/her spouse andunmarried children below 18 years of

age living in his/her household.

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Other Assets would refer toinvestments or intangible assetssuch as stocks/shares and the like,cash on hand and in the bank,denominated in foreign currencyshall be converted into thecorresponding Philippine currencyequivalent, at the rate of exchange

prevailing as of December 31 of the preceding calendar year.

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Reminders:

(a) For computation purposes (Real andPersonal Properties), use Acquisition Cost .

(b) Properties of unmarried children below 18years of age living in his/her household shall be excluded in the computation.

(c) Paraphernal/exclusive properties of spouse,in case of separate filing , shall also beexcluded in the computation.

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TANGIBLE ACQUISITIONMODE YEAR

ACQUISITION COST*

Toyota Corolla Purchase 2004 250,000.00

INTANGIBLE

Educational Plan Purchase on installment 2006 500,000.00

Kind(Res./Comm./

Agri., etc.)

Nature ofProperty

(Paraphernal,conjugal orcommunity)

LOCATION ACQUISITION

MODE YEAR

ASSESSEDVALUE

FAIRMARKET

VALUE

ACQUISITION COST*

Land, Improvement/sBuilding,others

Residential Community Rizal Purchase 2009 1.8 M 1.9 M 1.5 M 250,000.00

Commercial Paraphernal Pampanga Donation 2006 2 M 2.4 M 2 M 100,000.00

A. REAL PROPERTY/IES (use additional sheet/s, if necessary)

B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary)

Where the declarant’s spouse is not a government official/employee,the spouse’ properties are also included in the declaration.

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TANGIBLE ACQUISITIONMODE YEAR

ACQUISITION COST*

Toyota Corolla Purchase 2004 250,000.00

INTANGIBLE

Educational Plan Purchase on installment 2006 500,000.00750,000.00

Kind(Res./Comm./

Agri., etc.)

Nature ofProperty

(Paraphernal,conjugal orcommunity)

LOCATION ACQUISITION

MODE YEAR

ASSESSEDVALUE

FAIRMARKET

VALUE

ACQUISITION COST*

Land, Improvement/sBuilding,others

Residential Community Rizal Purchase 2009 1.8 M 1.9 M 1.5 M 250,000.00

Commercial Paraphernal Pampanga Donation 2006 2 M 2.4 M 2 M 100,000.00

3.5 M 350,000.00

A. REAL PROPERTY/IES (use additional sheet/s, if necessary)

B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary)

In case of joint f i l ing , the assets of the declarant’s spouse areincluded in the computation of total assets.

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TANGIBLE ACQUISITIONMODE YEAR

ACQUISITION COST*

Toyota Corolla Inheritance 2004 250,000.00

INTANGIBLE

Educational Plan Purchase on installment 2006 500,000.00500,000.00

Kind(Res./Comm./

Agri., etc.)

Nature ofProperty

(Paraphernal,conjugal orcommunity)

LOCATION ACQUISITION

MODE YEAR

ASSESSEDVALUE

FAIRMARKET

VALUE

ACQUISITION COST*

Land, Improvement/sBuilding,others

Residential Community Rizal Purchase 2009 1.8 M 1.9 M 1.5 M 250,000.00

Commercial Paraphernal Pampanga Donation 2006 2 M 2.4 M 2 M 100,000.00

1.5M 250,000.00

A. REAL PROPERTY/IES (use additional sheet/s, if necessary)

B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary)

In case of separate f il ing , the paraphernal/exclusive properties of thedeclarant’s spouse are excluded in the computation of total assets.

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TANGIBLE ACQUISITIONMODE YEAR

ACQUISITION COST*

Toyota Corolla Inheritance 2004 250,000.00

INTANGIBLE

Educational Plan Purchase on installment 2006 500,000.00500,000.00

Kind(Res./Comm./

Agri., etc.)

Nature ofProperty

(Paraphernal,conjugal orcommunity)

LOCATION ACQUISITION

MODE YEAR

ASSESSEDVALUE

FAIRMARKET

VALUE

ACQUISITION COST*

Land, Improvement/sBuilding,others

Residential Community Rizal Purchase 2009 1.8 M 1.9 M 1.5 M 250,000.00

Commercial Paraphernal Pampanga Donation 2006 2 M 2.4 M 2 M 100,000.00

1.5M 250,000.00

A. REAL PROPERTY/IES (use additional sheet/s, if necessary)

B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary)

The assets of the declarant’s spouse ( not in government service ) areexcluded in the computation of total assets.

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In determining the Total Assets , addthe sum total (based on acquisitioncost) of both Real and PersonalProperties.

TOTAL ASSETS (A+B)=_______________

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Under Liabilities, the declarant and

his/her spouse and unmarried children below 18 years of age living in his/herhousehold shall declare the following:

(a) Nature of Liability (personal, salary,calamity loan, etc);(b) Name of Creditor/s ;(c) Outstanding Balance (principal loanincluding interests)

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TOTAL:_____________________

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In the computation of theOutstanding Balance , those of thespouse and unmarried children below18 years of age living in his/herhousehold shall be excluded except in case of joint fi l ing, in which case,the outstanding obligation of thedeclarant’s spouse shall also beincluded in the said computation.

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The declarant’s Total Net Worth ,and that of his/her spouse, in case of

joint f i l ing , shall be the difference

between the Total Assets (real and personal properties) and the TotalLiabilities.

TOTAL NET WORTH:_____________

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b) In case there are no existing businessinterests and financial connections in any

business enterprise or entity, declarant/s shalltick the box provided for.

I/We don’t have any business interestand financial connections.

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a) In case of joint f i l ing , the declarant and his/her spouse shalldisclose their relatives in the government within the 4th civildegree of r elationshi p, ei ther by consanguini ty or aff ini ty (toinclude bilas, inso, balae ). They shall also state theirrelationship with such relative, relative’s position in thegovernment as well as the office name and address.

Name ofRelative

Relationship Position Name ofOffice/Address

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a) In case of joint fi l ing , the declarant andhis/her spouse shall sign in the spaces

provided for just below the certification.

b) In case of separate f i l ing , only the declarantshall sign in the space provided for, while thedeclarant’s spouse shall sign in the space below.

Declarant’s Signature:__________ ______________ Date: _____________ Date: __________

(For Separate Filing) Spouse’s Signature:_________ Date:_________________

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* Review and Compliance Committee Pursuant to Rule VIII of the RulesImplementing the Code of Conduct andEthical Standards for Public Officialsand Employees, as amended by CSCResolution No. 06-0231 dated February 1,

2006 (re: establishment of a standard review andcompliance procedure for the review ofSALN ), a Review and Compliance Committeeis composed of a Chairman and two (2)M embers who shall evaluate the SALN Formsubmitted to determine whether it was submittedon time, accomplished completely and

proper in form .

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Remindersa) Declarant is strictly required to fill in all applicable

information.

b) Items not applicable to the declarant should bemarked N/A (Not Applicable).

c) Additional sheets may be used, if necessary .

d) Attach all supporting documents, when required .

e) No unnecessary markings shall be made on the

form.

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Thank You