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Note: Husband and wife are both public officials and employees may file the required statements jointly or separately.
Joint Filing / Separate Filing Not Applicable
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
ACQUITION
DESCRIPTION YEAR AQUIRED COST/AMOUNT
GADGETS/APPLIANCES VARIOUS YEARS 150,000.00
CASH ON HAND 2016 100,000.00
JEWELRIES VARIOUS YEARS 50,000.00
CLOTHING/SHOES/BAGS VARIOUS YEARS 75,000.00
Subtotal: 375,000.00
TOTAL ASSETS (a+b): 375,000.00
*Additional sheet/s may be used, if necessary.
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2. LIABILITIES*
OUTSTANDING
NATURE NAME OF CREDITORS BALANCE
EMERGENCY LOAN GSIS 19,000.00
SALARY LOAN CITY SAVINGS BANK 100,000.00
SALARY LOAN MTMAS 150,000.00
DATE OF ACQUISITION
NAME OF ENTITY/BUSINESS NATURE OF BUSINESS INTEREST
BUSINESS ADDRESS OF INTEREST OR
ENTERPRISE & / OR FINANCIAL CONNECTIONS
CONNECTION
I/We 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/We 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 coveirng previous years to include the year I first assumed office in government.
Date: 1/13/2017
SUBSCRIBED AND SWORN to before me this 13TH day of JANUARY, 2017 , affliant exhibiting to me above-
stated government issued identification card.
DANIEL C. ABAOAG
Principal IV
(Person Administering Oath)
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