Documente Academic
Documente Profesional
Documente Cultură
Joint Filing
DECLARANT
Separate Filing
Dayanan
Jeannie Bhee
C.
(Family Name)
(First Name)
(M.I.)
Purok Gemelina,
Paglaum,
Dumalinao,
(First Name)
(M.I.)
Not Applicable
Teacher I
POSITION:
:
ADDRESS:
AGENCY/OFFICE:
Dep-Ed
OFFICE ADDRESS:
POSITION:
(Family Name)
AGENCY/OFFICE:
OFFICE ADDRESS:
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME
DATE OF BIRTH
AGE
04-29-2015
10 MONTHS
Real Properties*
DESCRIPTION
KIND
EXACT
ASSESSED
CURRENT FAIR
(e.g. residential,
commercial, industrial,
agricultural and mixed
use)
LOCATION
VALUE
MARKET VALUE
N/A
Residential
Paglaum, Dumalinao,
ACQUISITION
ACQUISITION
COST
YEAR
MODE
50,000.00
2016
Subtotal:
b. Personal Properties*
DESCRIPTION
YEAR ACQUIRED
ACQUISITION
COST/AMOUNT
Jewelries
Computer
Laptop
2015
2015
2015
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20,000.00
20,000.00
25,000.00
Cellphones
2015
20,000.00
Subtotal : 85,000.00
TOTAL ASSETS (a+b):
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135,000.00
2. LIABILITIES*
NATURE
NAME OF CREDITORS
Loan
Loan
OUTSTANDING BALANCE
P 274,000.00
P 90,000.00
BUSINESS ADDRESS
NATURE OF BUSINESS
INTEREST &/OR FINANCIAL
CONNECTION
DATE OF ACQUISITION OF
INTEREST OR CONNECTION
N/A
N/A
N/A
N/A
RELATIONSHIP
POSITION
JEANNIE C. DAYANAN
MONTHER
MT-1
DEP-ED
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 aboveenumerated 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:
(Signature of Declarant)
Government Issued ID:
ID No.:
Date Issued:
GSIS
02004367613
(Signature of Co-Declarant/Spouse)
Government Issued ID:
ID No.:
Date Issued:
Page 3 of ___
SUBSCRIBED AND SWORN to before me this 15TH day of FEBRUARY, affiant exhibiting to me the abovestated government issued identification card.
_______________________________________
(Person Administering Oath)
Page 4 of ___