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Note: Husband and wife who 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
NAME DATE OF BIRTH AGE
MAER FRENCY C. MAURICIO OCTOBER 2, 1998 19 Years Old
JOAN PEARL C. MAURICIO JUNE 24, 2000 17 Years Old
BRYLE ASHER C. MAURICIO JANUARY 6, 2012 6 Years Old
Lot Agricultural New Lucena , Iloilo 36,280.00 374,000.00 2009 purchased 374,000.00
Subtotal: 1,925,200.00
b. Personal Properties*
Subtotal : 925,000.00
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2. LIABILITIES*
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 above-
enumerated 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.
SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.
_______________________________________
.00(Person Administering Oath)
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Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2015
Note: Husband and wife who 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
NAME DATE OF BIRTH AGE
MAER FRENCY C. MAURICIO OCTOBER 2, 1998 20 Years Old
JOAN PEARL C. MAURICIO JUNE 24, 2000 18 Years Old
BRYLE ASHER C. MAURICIO JANUARY 6, 2012 7 Years Old
Lot Agricultural New Lucena , Iloilo 36,280.00 374,000.00 2009 purchased 374,000.00
Subtotal: 1,925,200.00
b. Personal Properties*
Subtotal : 1.025,000.00
Page 3 of ___
3. LIABILITIES*
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 above-
enumerated 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.
SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.
_______________________________________
.00(Person Administering Oath)
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