Saln 2012 Form
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Transcript of Saln 2012 Form
Assets & Liabilities053.xls
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH As of DECEMBER 31, 2014(Required by R.A. 6713)Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
( Joint Filing ( Separate Filing( Not ApplicableDECLARANT:EDERRODELIOD.POSITION:TEACHER III
(Family Name)(First Name)(M.I.)AGENCY/OFFICE:DEP.ED LAOAG CITY/BALATONG INTEGRATED SCHOOL
ADDRESS:#40, BALATONG LAOAG CITYOFFICE ADDRESS:#40 BALATONG LAOAG CITY
SPOUSE:EDERMITCHELLC.POSITION:N/A
(Family Name)(First Name)(M.I.)AGENCY/OFFICE:
OFFICE ADDRESS:
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAMEDATE OF BIRTHAGE
KRISTIAN C. EDERApril 28,200014
RODESSA VAN MICAH C. EDERAugust 28,200212
ASSETS, LIABILITIES AND NETWORTH(Including those of the spouse and unmarried children below eighteen (18) years of age living in declarants household)1. ASSETS
a.Real Properties*DESCRIPTION
(e.g. lot, house and lot, condominium and improvements)KIND
(e.g. residential, commercial, industrial, agricultural and mixed use)LOCATIONASSESSED VALUECURRENT FAIR MARKET VALUE ACQUISITIONACQUISITION COST
(As found in the Tax Declaration of
Real Property)YEARMODE
HOUSE AND LOTRESIDENTIAL#40, LAOAG CITY450,000950,0002005LOT-INHERITED, HOUSE-CONSTRUCTED950,000.00
Subtotal:
b. Personal Properties*DESCRIPTIONYEAR ACQUIREDACQUISITION COST/AMOUNT
JEWELRIESVarious years7,000.00
APPLIANCESVarious years20,000.00
TRICYCLE-PRIVATE201088,000.00
ELECTRIC BIKE201426,000.00
LAPTOP201435,000.00
LADIES BIKE20145,000.00
LADIES BIKE20145,000.00
BAKERY EQUIPMENT2014300,000.00
Subtotal :486,000.00
TOTAL ASSETS (a+b):1,436,000.00
2. LIABILITIES* NATURENAME OF CREDITORSOUTSTANDING BALANCE
SALARY LOANCITY SAVINGS BANK300,000.00
TOTAL LIABILITIES:300,000.00
NET WORTH : Total Assets less Total Liabilities =1,136,000.00
* Additional sheet/s may be used, if necessary.BUSINESS INTERESTS AND FINANCIAL CONNECTIONS(of Declarant /Declarants spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarants Household)( I/We do not have any business interest or financial connection.
NAME OF ENTITY/BUSINESS ENTERPRISEBUSINESS ADDRESSNATURE OF BUSINESS INTEREST &/OR FINANCIAL CONNECTIONDATE OF ACQUISITION OF INTEREST OR CONNECTION
SIBBIT BAKESHOPBALATONG LAOAG CITYBAKESHOPJUNE, 2014
RELATIVES IN THE GOVERNMENT SERVICE(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
( I/We do not know of any relative/s in the government service)
NAME OF RELATIVERELATIONSHIPPOSITIONNAME OF AGENCY/OFFICE AND ADDRESS
N/AN/AN/A
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.
Date:FEBRUARY 02, 2015
(Signature of Declarant)(Signature of Co-Declarant/Spouse)
Government Issued ID: PRC ID Government Issued ID:N/A
ID No.:0161459ID No.:
Date Issued: OCTOBER 02, 1997Date Issued:
SUBSCRIBED AND SWORN to before me this 8th day of April,2015, affiant exhibiting to me the above-stated government issued identification card.
_______________________________________(Person Administering Oath)Page 2 of ___