Documentos de Académico
Documentos de Profesional
Documentos de Cultura
PAGUIO
(Middle Initial)
I am not married.
Office
Position _____N/A________________________________
_____N/A________________________________
Office Address ___N/A____________________________
Unmarried Children below 18 years of age living in his/her household: (use additional sheet/s, if necessary)
Name
Date of Birth
1. _______Gabriel P. Malgapo___________________
2. _____________N/A____________________________
3. _____________N/A____________________________
ASSESSED
VALUE
FAIR
MARKET
VALUE
N/A
N/A
conjugal or
community)
N/A
N/A
N/A
N/A
N/A
ACQUISITION COST*
Land,
Building,
others
Improvement/s
N/A
N/A
TOTAL: ________________
ACQUISITION COST*
P78, 000.00
P10, 000.00
P 3, 500.00
P 8, 000.00
TOTAL:
N/A
P99, 500.00
*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.
TOTAL ASSETS (A+B)=
P99, 500.00
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
N/A
N/A
N/A
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.
(use additional sheet/s, if necessary)
III. NET WORTH (TOTAL ASSETS (I) LESS TOTAL LIABILITIES (II) = NET WORTH (III)
TOTAL NET WORTH:
P99, 500.00
AMOUNT
P47,073.56
TOTAL:
PERSONAL EXPENSES
FOOD
CLOTHING ALLOWANCE
TRANSPORTATION ALLOWANCE
P47,073.56
ESTIMATED AMOUNT
(P5,000x12)P60,000.00
(P300x12mos)P3,600.00
TOTAL : P83,750.00
TOTAL : P63,600.00
AMOUNT
Compensation
Business Income
Other Income
N/A
N/A
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 Enterprise
Business Address
N/A
N/A
Date of Acquisition of
Interest or Connection
N/A
Position
N/A
Name of Office/Address
N/A
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 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: __________________________
Date: ____________________________
______________________________
Date: ____________________________