SALNRevieed a of January 2015 Per CSC Resolution No, 1300088 Promulgated on January 28,2015 SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH ‘As of DECEMBER 31, 2018 (Required ty R.A. 6713) Note: Husband and wife who are both pubic officials and employees may file the required statements jointly or separately O voint Fiting Q Separate Filing Not Applicable DECLARANT: __ SALVATIERRA VENUS. D. POSITIO} ‘TEACHER 1 ‘amily Name) ‘First Name) my AGENCY /OFFICE: DEPED - SAN FRANCISCO ee DISTRICT ADDRESS: 172 APOLINARIO MABINE OFFICE ADDRESS: POBLACION, SAN st FRANCISCO, QUEZON TOBA ‘QUEZO' aaa ‘SPOUSE: SALVATIERRA KIRBY ALDRU POSITION: (Family Name) ~~~ (First Name) wy AGENCY/OFFICE: OFFICE ADDRESS: = eee ———————— YEARS OF IVING IN DECLARANT” (OLD Name DATE OF BIRTH AGE SALVATIERRA, MARIA AMETHYST D. DECEMBER 7, 2011 7 ‘SALVATIERRA, KURT ALDEN —SULYT, 2015 3 ASSETS, LIABILITIES AND NETWORTH (Including those of the spouse and unmarried children below eighteen (18) years of age tiving in declarant’s household) et boa at | etn ee en LocaTion, vawue __| MaRKeT VALUE. ‘cost csStas | spect sees (s font ade Tx Destwton | YEAR | MODE vor ‘aod sepronert)| spall ant ae RESIDENTIAL | BRGY. ABANG LUCBAN, 2009] insrauume] 300,000,00 quezon | | ‘TOTAL ASSETS (a+b): _323,000.00 * Additional sheet/s may be used, if necessary. Page I of 22. LIABILITIES* waToRE SALARY LOAN CITY SAVING BANK 164996.63 % "TOTAL LIABILITIES: 164,996.63 NET WORTH : Total Assets less Total Liabilities = 158,003.37 * Additional sheet/s may be used, if necessary. AND CONNECTIO: (of Declarant /Decarant's spouse/. Unmarried Children Below Eighteen (18) years of Age Living in Declaant’s Household) F./We do not have any business interest or financial connection. ‘NAME OF ENTITY/BUSINESS | BUSINESS ADDRESS | ‘NATURE OF BUSINESS | DATE OF ACQUISITION OF ENTERPRISE INTEREST &/OR FINANCIAL | INTEREST OR CONNECTION JONNANOH S*TMas Albeo wi ayivis sina 90 estaby (21) vOONMmeTIONTE. mis Hostel ina a9 - N/A. = : : IN THE ICE (Within the Fourth Degree of Consanguinity oF Affinity. Include also Bilas, Balae and inso) OY We do not know of any relative/s in the government service) ‘NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS |___RUELYN A. MIRANDA. ‘cousin TEACHER 1 DEPED — SAN ANDRES DISTRICT Uhereby 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 consanguii 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. ‘Sionttur} PY Co Declarant] Spouse) Government Issued ID: __PRC Government Issued i N/A. ID Nos 1014355 ID No. is Date Issued: (02/09/2008 Date Issued: SUBSCRIBED AND SWORN to before me this 7 day of February 2019, affiant exhibiting to me the above ‘stated government issued identification card. JOCELYN N, ALLAREY fi (Person Administering Oath) Page 2 of 2