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SWORN STATEMENT OF ASSETS, LIABILITIES, NET WORTH,

DISCLOSURE OF BUSINESS INTERESTS AND FINANCIAL CONNECTIONS,

AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

as of December 31, 2010

(Required by R. A. No.6713)

Name FERRO, ALEXIS T. Posn./GrossIncome Pit Supervisor/394,547.06PHP

Surname FirstName

M.I.

Office

Phili ppine Am usem ent & Gam ing Corporat ion

Address LOT1,UNIT10 PAGCOR VILLAS FEMA ROAD, Office Address

BAHAY TORO, QUEZON CITY

Spouse F E R R O, C A R I N A R .Position

1330 Ro x as Boule vard, Er m it a , Manil a

Surname FirstName

M.I. Office

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Kind LocationYear

Acquired

Mode of

Acquisition

Nature of

Property

(paraphernal

conjugal or

Assessed

Value

Current Fair

Market Value

Acquisition Cost

Land,

Bldg. Etc.Improvements

RES. LOT DAVAO 1989 LOAN 1Mphp TOWNHOUSE QUEZON 1990 LOAN 950T

Unmarried children below 18 years of age

Name

Date ofBirth

NOT APPLICABLE

1. ASSETS

a. Real Properties

A. ASSETS, LIABILITIES AND NET WORTH

community)

b. Personal and Other Properties

TOTAL 1,950,000PHP

Kind Year Acquired Acquisition Cost

BOOKS 2009 20,000PHPAPPLIANCES 2009 30,000PHPJEWELRIES 2009 10,000PHPCASH-ON-HAND 2010 10,000PHP

2. LIABILITIES (Loans, Mortgage, etc. )

TOTAL 70,000PHP

Nature Amount

PAGCOR PROVIDENT LOAN 500,000PHPCREDIT CARDS 300,000PHP

NET WORTH ( Total Assets {1a + 1b} Less Total Liabilities {2} )

*Note: Instruction at the Back. Please use additional forms ifnecessary

TOTAL 800,000PHP

= 1,220,000PHP

PAGCOR HOUSE 1330 Roxas Boulevard Ermita Metro Manila ZIP Code 1000 Telephone (632) 521-1542 Connecting All Departments FAX (632) 522-2969

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B. BUSINESS INTEREST AND FINANCIAL CONNECTIONS

Do you have any business interest and other financial connections including those of your spouse and unmarried children below 1

years of age living in your household ? ( ) yes ( XX ) no If yes give particulars;

NameName of Firm /

CompanyAddress

Nature of Business Interest

and/or Financial Connection

Date of Acquisition or

Connection

C. IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE

To the best of your knowledge, are you related within the fourth degree of consanguinity or of affinity to anyone working in th

government ? ( ) yes ( XX ) no If yes, give particulars;

Name Position Relationship Name and Address ofOffice

I hereby certify to the best of my knowledge and information that these are true statements of my assets ,liabilities, net worth

business interest and financial connections, including those of my spouse and unmarried children below 18 years of age and names o

my relatives in the government as of , , as required by and in accordance with Republic Act 6713.

I hereby authorized the Ombudsman or his duly authorized representative to obtain and secure from all appropriat

government agencies, including the Bureau of Internal Revenue, such documents that may show my assets, liabil ities, net worth

business interest and financial connections, to include those of my spouse and unmarried children below 18 years of age living wit

me in my household covering previous years to include the year I first assumed office in the government.

Date : MARCH 31, 2011

ALEXIS T. FERRO

Spouse's Signature over Printed Name Employee's Signature over Printed Name

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T.I.N. : T.I.N. :

Res. Cert. No. A :

Issued At :

Date Issued :

Res. Cert. No. B :

Issued At :

Date Issued :

SUBSCRIBED AND SWORN TO before me this

Residence Tax Certificate as indicated above.day of ,20 _, affiant exhibiting his

(Person Administering Oath)

/hrd

02/2010