STATEMENT OF ASSETS, LIABILITIES AND NET WORTH AND DISCLOSURE OF BUSINESS INTERESTS, FINANCIAL CONNECTIONS AND RELATIVE/S IN THE

GOVERNMENT SERVICE As of December 31, 2011 ________ (Required by R.A. Nos. 3019 and 6713) (Note: Husband and Wife who are both public officials or employees may file the required statements jointly or separately.) Jointly filed. Separately filed. Name _______________________________________________ (Surname) (First Name) (Middle Initial) Address ____________________________________________ MAGUINDANAO 9604 ____________________________________________

DIONALDO

DANTE

Position _________________________________________ Office ORESPO _________________________________________ Office Address __________________________________ PENDATUN, PARANG, MAGUINDANAO ___________________________________________

OFFICE CLERK

BRGY. SARMIENTO, PARANG,

CAMP B/GEN SALIPADA K

I am married.

I am not married.

Spouse ___________________________________________ (Surname) (First Name) (Middle Initial)

BERGANIO

BEVERLY

Position _________________________________________ Office N/A _________________________________________ N/A Office Address __________________________________ __________________________________________

HOUSEWIFE

Unmarried Children below 18 years of age living in his/her household: (use additional sheet/s, if necessary) Name Date of Birth 1. _____________________________________________ 2. _____________________________________________ 3. _____________________________________________

SEAN DANVER BERGANIO DIONALDO

___________________________________ ___________________________________ ___________________________________

MARCH 10, 2006

I have no children below 18 years of age living in my household. ASSETS, LIABILITIES AND NET WORTH I. ASSETS (including that of declarants spouse and unmarried children below 18 years of age living in his/her household) A. REAL PROPERTY/IES (use additional sheet/s, if necessary) KIND NATURE OF LOCATION ACQUISITION ASSESSE (Res./Comm./ PROPERTY D VALUE MODE YEAR Agri., etc.) (Paraphernal, FAIR MARKET VALUE ACQUISITION COST*
Land, Building, others Improvement/s

NONE

conjugal or community)

TOTAL: ________________ B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary) TANGIBLE ACQUISITION ACQUISITION COST* MODE YEAR

HONDA XRM 125 APPLIANCES & DESKTOP COMPUTERS

INTANGIBLE

CASH CASH

2008 2009, 2010, 2011

57,500.00 247,200.00

304,700.00

TOTAL: _____________________

*For computation purposes, use acquisition cost. Properties of unmarried children below 18 years of age living in his/her household shall be excluded as well as the paraphernal/exclusive properties of spouse, in case of separate filing. 304,700.00 TOTAL ASSETS (A+B)=___________________________ II. LIABILITIES (including that of declarants spouse and unmarried children below 18 years of age living in his/her household) NATURE NAME OF CREDITOR/S *OUTSTANDING BALANCE

SALARY LOAN SALARY LOAN

PSMBFI AFSPLAI

16,444.44 160,411.00

176,855.44 TOTAL: _________________________ *In the computation of outstanding balance, properties of unmarried children below 18 years of age living in his/her household shall be excluded as well as the paraphernal/exclusive properties of spouse, in case of separate filing. III. NET WORTH (TOTAL ASSETS (I) LESS TOTAL LIABILITIES (II) = NET WORTH (III)
(use additional sheet/s, if necessary)

TOTAL NET WORTH: _____________________________ AMOUNT AND SOURCES OF GROSS INCOME (ALL amounts received from ALL sources for the preceding calendar year) NATURE SOURCES AMOUNT (salary/income, business, etc.)

127,844.56

SALARY AND BUSINESS

PNP SALARY AND INTERNET SHOP

222,664.00/yr & 108,000.00/yr

TOTAL: _______________________

(use additional sheet/s, if necessary)

330,664.00

AMOUNT OF PERSONAL AND FAMILY EXPENSES (for the preceding calendar year) PERSONAL EXPENSES ESTIMATED FAMILY EXPENSES AMOUNT FOODS, CLOTHES, & ALLOWANCES 55,000.00 FDS, CLTHS, ALLWNCS & BILLS
(use additional sheet/s, if necessary)

100,600.00

ESTIMATED AMOUNT

55,000.00 100,600.00

TOTAL : _______________ AMOUNT OF INCOME TAXES PAID (for the preceding calendar year)

TOTAL : ______________

NATURE Compensation 8,427.00 Business Income 500.00 Other Income

(use additional sheet/s, if necessary) 8,927.00

AMOUNT

TOTAL : _____________________________

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS (Declarant/Spouse/Unmarried Children below 18 years of age living in the household of declarant) (Use Additional Sheet/s, if necessary) I/We dont have any business interests and financial connections. Name of Entity/Business Business Address Nature of Business Enterprise Interest and/or Financial Connection Date of Acquisition of Interest or Connection

DANVER INTERNET CAFE

SARMIENTO, PARANG, MAG.

INTERNET SHOP

JUNE 2010

RELATIVE/S IN THE GOVERNMENT (Up to the 4th civil degree of relationship, either by consanguinity or affinity, including bilas, inso and balae) (Use Additional Sheet/s, if necessary) I/We dont know of any relative/s in Government. Name of Relative Relationship Position Name of Office/Address

CHRISTIE D BARRETTO DARWIN S DIONALDO RONALD I BARRETTO CHERYL V. DIONALDO

SISTER BROTHER BROTHER-IN-LAW SISTER-IN-LAW

POLICE OFFICER 1 POLICE OFFICER 1 POLICE OFFICER 3 JAIL OFFICER 1

RPHRDD PRO ARMM AVIATION SCRTY GRP R-XI

RPHAU dy RFSO19 PRO ARMM

BJMP R-XI

I/We hereby certify that these are my/our true and detailed assets, liabilities, net worth, amount and sources of income, personal and family expenses, amount of income taxes paid, business interests, and financial connections, including those of my spouse and my/our children below 18 years of age living in my household, and the name/s of my relative/s in the Government, as of 2011 December 31, __________, as required by and in accordance with Republic Act No. 3019 and 6713. I/We hereby authorize the Ombudsman or his duly authorized representative to obtain and secure from all appropriate agencies, including the Bureau of Internal Revenue, such documents that may show such assets, liabilities, net worth, business interests, and financial connections, including those of my spouse and my/our children below 18 years of age living in my household, covering previous years, and if possible, including the year I/we first assumed office in Government. I/We further undertake to produce all supporting documents for each of the entries herein made when required. Declarants Signature: __________________________ FEBRUARY 06, 2012 Date: ____________________________ ______________________________ Date: ____________________________

(For Separate Filing) Spouses Signature: _________________________ FEBRUARY 06, 2012 Date: ____________________________ SUBSCRIBED AND SWORN TO before me on this _______ day of ______________, 20______, affiant(s) exhibiting his/her/their tax identification number(s) _______________________________ and employee number(s) ______________________________.

______________________________ (Person Administering Oath)