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SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of _____DECEMBER 31, 2015____


(Required by R.A. 6713)

Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.

q Joint Filing

DECLARANT:

ADDRESS:

q Separate Filing

q Not Applicable

DERACO

MARIO JR.

B.

Surname

First Name

M.I.

POSITION:
AGENCY/OFFICE:

OFFICE ADDRESS:

PUROK 1, BULAON, CITY OF SAN FERNANDO (P)

SPOUSE:

DERACO

REINA

S.

Surname

First Name

M.I.

POSITION:
AGENCY/OFFICE:

OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSE
NAME

DATE OF BIRTH

JANUARY 6, 2008
SEPTEMBER 1, 2012

PRINCE JESU S. DERACO


PRINCE XIAN JIREH S. DERACO

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarants household)
1. ASSETS
a. Real Properties*
KIND

DESCRIPTION
(e.g. lot, house and lot,
condominium and
improvements)

HOUSE

LOT

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

EXACT LOCATION

ASSESSED VALUE

CURRENT FAIR
MARKET VALUE

ACQUISITION

(As found in the Tax Declaration of Real Property

YEAR

MODE

RESIDENTIAL

Purok 1, Bulaon, City of


San Fernando (P)

800,000.00

800,000.00

2009

Construction

MEMORIAL

Peter Anthony Memorial


Garden, San Rafael,
Mexico, Pampanga

30,000.00

30,000.00

2007

Installment

Subtota
b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

FURNITURE & FIXTURES

2009-2015

APPLIANCES

2008-2015

TOYOTA REVO

2014

ELECTRIC MOTORCYCLE

2015

GADGETS AND OTHER PERSONAL BELONGINGS

ACQUISIT

2007-2015
Subtotal :
TOTAL ASSETS (a+b):

Page 1 of 2

Revised as of January 2015

TH

Per CSC Resolution No. 1500088


Promulgated on Janary 23, 2015

or separately.

licable
MT-II/OIC-School Head
Dep.Ed.-Division of City of San
Fernando (P)
Sindalan, City of San Fernando,
Pampanga

Teacher II
Dep.Ed.-Division of City of San Fernando
(P)

Sindalan, City of San Fernando,


Pampanga

TS HOUSEHOLD
AGE

8
3

ION

ACQUISITION COST

MODE

nstruction

stallment

Subtotal:

800,000.00

30,000.00
830,000.00

ACQUISITION COST/AMOUNT

160,000.00
100,000.00
240,000.00
35,000.00
50,000.00

585,000.00
1,415,000.00

2.LIABILITIES*
NATURE

NAME OF CREDITORS

CONSOL LOAN
SALARY LOAN
SALARY LOAN
POLICY LOAN

GSIS
EAST WEST BANK
CITY SAVINGS BANK
GSIS
TOTAL LIABILITIES:
NET WORTH : Total Assets less Total Liabilities =

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

BUSINESS INTERESTRS AND FINANCIAL CONNECTIONS

(of Declarant / Declarant's spouse / Unmarried Children Below Eighteen (18) years of Age Living in Declarant's H

I/ We do not have any business interest or financial connection

NAME OF ENTITY / BUSINESS ENTERPRISE

BUSINESS ADDRESS

NATURE OF BUSINESS INTEREST &/OR DATE O


FINANCIAL 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

REINA S. DERACO
KIMBERLY B. CASTRO
MAVEL B. DAVID
IVAN B. CORONEL

SPOUSE
COUSIN
COUSIN
COUSIN

TEACHER II
TEACHER III
TEACHER III
TEACHER I

DEPED

DEPED

DEPED

DEPED

I hereby certify that these are true and correct statements of my assets, liabilities, net worth, business interests
including those of my spouse and unmarried children below eighteen (18) years of age living in my household, and that
the above-enumerated are names of my relatives in the government within the fourth civil degree of consanguinity or affi

I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure from
agencies, including the Bureau of Internal Revenue such documents that may show my assets, liabilities, net worth, bu
connections, to include those of my spouse and unmarried children below 18 years of age living with me in my househ
include the year I first assumed office in government.

Date:

April 1, 2016

(Signature of Declarant)

(Signature of Co-De

Government Issued ID:

PRC

Government Issued ID:

PRC

ID No.:

605144

ID No.:

508527

Date Issued:

11/4/1999

Date Issued:

11/26/

SUBCRIBED AND SWORN to before me this __4th___ day of ___April, 2016____, affiant exhibiting to me the above
identification card.

HIPOLITO C

Administrative

(Person Adminis
Page 2 of 2

OUTSTANDING BALANCE

389,000.00
140,000.00
31,000.00
40,000.00

600,000.00
815,000.00

Declarant's Household)

DATE OF ACQUISITION OF INTEREST OR


CONNECTION

and Inso)

NAME OF AGENCY/OFFICE AND ADDRESS


DEPED CITY OF SAN FERNANDO (P)
DEPED CITY OF SAN FERNANDO (P)
DEPED CITY OF SAN FERNANDO (P)
DEPED CITY OF SAN FERNANDO (P)

s interests and financial connections,


, and that to the best of my knowledge,
inity or affinity.

ecure from all appropriate government


worth, business interests and financial
my household covering previous years to

of Co-Declarant/Spouse)
PRC
508527
11/26/1998

the above-stated government issued

POLITO C. MARIN

ministrative Officer V

son Administering Oath)

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of _____DECEMBER 31, 2015____
(Required by R.A. 6713)
NAME

DERACO

MARIO JR.

B.

SURNAME

FIRST NAME

M.I.

ASSETS, LIABILITIES AND NETWORTH


1. ASSETS
a.

Real Properties*

DESCRIPTION

KIND

(e.g. lot, house and lot,


condominium and
improvements)

(e.g. residential, commercial,


industrial, agricultural and
mixed use)

HOUSE

LOT

EXACT
LOCATION

CURRENT FAIR
MARKET VALUE

ASSESSED VALUE

(As found in the Tax Declaration of Real Property

RES.

Purok 1,
Bulaon, City of
San Fernando
(P)

800,000.00

MEMORIAL

Peter Anthony,
San Rafael,
Mexico,
Pampanga

30,000.00

###

30,000.00

ACQUISITION

YEAR

2009

2007

Sub
b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

FURNITURE & FIXTURES


APPLIANCES
TOYOTA REVO
ELECTRIC
GADGETS MOTORCYCLE
AND OTHER PERSONAL
BELONGINGS

2009-2015
2008-2015
2014
2015
2007-2015
Subtotal :
TOTAL ASSETS (a+b):

2.LIABILITIES*
NATURE

NAME OF CREDITORS

CONSOL LOAN
SALARY LOAN
SALARY LOAN
POLICY LOAN

GSIS
EAST WEST BANK
CITY SAVINGS BANK
GSIS
600,000.00

TOTAL LIABILITIES:

BUSINESS INTERESTRS AND FINANCIAL CONNECTIONS


NAME OF ENTITY / BUSINESS
ENTERPRISE

BUSINESS ADDRESS

NATURE OF BUSINESS INTEREST


&/OR FINANCIAL CONNECTION

N/A
N/A
N/A
N/A

N/A
N/A
N/A
N/A

N/A
N/A
N/A
N/A

N/A

N/A

N/A

AND NET WORTH

_
POSITION

MT-II/OIC-School Head
Dep.Ed.-Division of City of San
Fernando (P)

AGENCY/OFFICE:

TH

ACQUISITION
ACQUISITION COST
MODE

N/A

Construction

N/A

Installment

Subtotal:

830,000.00

ACQUISITION COST/AMOUNT

160,000.00
100,000.00
240,000.00
35,000.00
50,000.00
Subtotal :
TOTAL ASSETS (a+b):

RS

585,000.00
1,415,000.00
OUTSTANDING BALANCE

389,000.00
140,000.00
31,000.00
40,000.00

NK
ANK

TOTAL LIABILITIES:

600,000.00

ONNECTIONS

RE OF BUSINESS INTEREST
R FINANCIAL CONNECTION

N/A
N/A
N/A
N/A

DATE OF ACQUISITION OF
INTEREST OR CONNECTION

N/A
N/A
N/A
N/A

N/A

N/A

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