COMMISSION ON ELECTIONS FORM

5
May 13, 2019
National and Local Elections
Schedule of Unpaid Obligations SUO

NAME OF CANDIDATE: BATERNA GEORGE VILLAMORA

(SURNAME) (FIRST NAME) (MIDDLE NAME)

REMAINING
DESCRIPTION OF THE PURPOSE
DATE CONTRACT / ADDRESS OF OBLIGATION AMOUNT/VALUE OF
NAME OF CREDITOR OBLIGATION (for incurring
INCURRED LOAN NO. CREDITOR (Partial Payments OBLIGATION
(i.e. loan, etc.) obligation)
were made)

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

TOTAL UNPAID OBLIGATIONS ₱0.00

CERTIFICATION ACKNOWLEDGMENT
I hereby certify that: (1) the obligations listed above were incurred by me as a SUBSCRIBED AND SWORN TO BEFORE ME this June 13, 2013
candidate or with my authority by my duly authorized representative; (2) all entries affiant exhibiting his/her Professional Driver's License JO3-89-009094
specified above are true & correct ; (3) they are supported by contracts, issued by the LTO-PAGADIAN expiring on OCT. 20, 2023
promissory notes & other similar documents.
DATA PRIVACY ACT
The undersigned consents on the general use and sharing of information obtained in this
disclosure and its attachments for legitimate and authorized purposes.
Doc. No. ________;
Page No. ________;
GEORGE VILLAMORA BATERNA Book No. ________;
NAME AND SIGNATURE DATE SIGNED Series of ________. NOTARY PUBLIC