In what appears to be a result of excesses of the past administration, some civil servants are up in arms about the revised Statement of Assets and Liabilities and Net Worth (SALN) form which they are required to submit to the Civil Service Commission. They believe it is an invasion of privacy as well as plain silly!
Anyway, especially for the benefit of those not in the civil service, I am posting what a typical SALN form of a civil servant really looks like! Enjoy. Judge for yourself. As the Roman adage goes "The more corrupt the Republic the more are the forms..." ooops I meant the laws!
Anyway, especially for the benefit of those not in the civil service, I am posting what a typical SALN form of a civil servant really looks like! Enjoy. Judge for yourself. As the Roman adage goes "The more corrupt the Republic the more are the forms..." ooops I meant the laws!
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 DELA CRUZ JUAN BIKTIMA Position: TAXPAYER
(Surname) (First Name) (Middle Initial) Office BUREAU OF UNDERPAID GOVERNMENT EMPLOYEES
Address ≈ NA 123 Bahaybahayan Street Office Address MANILA
_________________
Spouse _DELA CRUZ_MARIA ASA PA Position MAYBAHAY
(Surname) (First Name) (Middle Initial) Office: DE LA CRUZ CONDOMINIUMS INC
Office Address _ NA 123 BAHAYBAHAYAN STREET _________________________________
Unmarried Children below 18 years of age living in his/her household: (use additional sheet/s, if necessary)
Name Date of Birth
1. JUNIOR 1 JAN 2007
2. INENG 1 JAN 2009
3 GLORYA MAKAPAL ARRRREO 5 APRIL ….
I have no children below 18 years of age living in my household.
ASSETS, LIABILITIES AND NET WORTH
I. ASSETS (including that of declarant’s 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 (Res./Comm./ Agri., etc.) | NATURE OF PROPERTY (Paraphernal, conjugal or community) | LOCATION | ACQUISITION | ASSESSED VALUE | FAIR MARKET VALUE | ACQUISITION COST* | ||
MODE | YEAR | Land, Building, others | Improvement/s | |||||
RESIDENCE | CONJUGAL | SA BUKID | PURCHASE | 2005 | 1.00 | 0.50 | 2.00 | WALA NO! |
TOTAL: 0.50
B. PERSONAL PROPERTY/IES AND OTHER ASSETS (use additional sheet/s, if necessary)
TANGIBLE | ACQUISITION | ACQUISITION COST* | |
MODE | YEAR | ||
CELLPHONE | PURCHASE | 2010 | 2000.00 |
INTANGIBLE | |||
ANGKING TALINO AT KAGWAPUHAN | INHERITANCE | 1968 | 0.00 |
SEX APPEAL | PURCHASE | 2009 | 1.00 |
TOTAL: 2001
*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)=_2006.50
II. LIABILITIES (including that of declarant’s spouse and unmarried children below 18 years of age living in his/her household)
NATURE | NAME OF CREDITOR/S | *OUTSTANDING BALANCE |
KALULUWANG NAKASANGLA | SATANAS PAWNSHOP/ IMF/WB | 1,000,000,000,000,000.00 |
(use additional sheet/s, if necessary) TOTAL: 1,000,000,000,000,000.00
*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)
TOTAL NET WORTH: -999999997998.00
AMOUNT AND SOURCES OF GROSS INCOME
(ALL amounts received from ALL sources for the preceding calendar year)
NATURE (salary/income, business, etc.) | SOURCES | AMOUNT |
SALARY INCOME | EMPLOYMENT | 200,000.00 |
(use additional sheet/s, if necessary)
TOTAL: _200,000.00_
AMOUNT OF PERSONAL AND FAMILY EXPENSES
(for the preceding calendar year)
PERSONAL EXPENSES | ESTIMATED AMOUNT | FAMILY EXPENSES | ESTIMATED AMOUNT |
PANG-TSIKS AT GIMIK | 2,000,000.00 | PARA KAY MISIS | 1.00 |
(use additional sheet/s, if necessary)
TOTAL : 2,000.000.00 TOTAL : 1.00
AMOUNT OF INCOME TAXES PAID
(for the preceding calendar year)
NATURE | AMOUNT |
Compensation | 25,000.00 |
Business Income | 1.0 |
Other Income | 0 |
(use additional sheet/s, if necessary)
TOTAL : 25,001.00
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 don’t have any business interests and financial connections.
Name of Entity/Business Enterprise | Business Address | Nature of Business Interest and/or Financial Connection | Date of Acquisition of Interest or Connection |
RONALD NILAMAS Pirated DVD | Stall 007, Pasillo 1 | STOCKHOLDER | 1 Jan 2005 |
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)
Name of Relative | Relationship | Position | Name of Office/Address |
NOYNOY AQUINO | ITINAKWIL KO NA! | PENOY NG PILIPINAS | MALACANANG |
RENATO CORONA | ITINAKWIL KO NA RIN! | TSIP JUSTIISIN ANG IMPITSMENT | SUPREME VICTORIA COURT |
MANNY PACQUIAO | NINONG | BOKSINGERO/CONGRESSMAN | GEN SAN CITY |
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, 2011 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: ____________________________
(For Separate Filing) Spouse’s Signature: _________________________
Date: ____________________________
SUBSCRIBED AND SW ORN 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)
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