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Joint Filing
MANALO
DECLARANT:
Separate Filing
(Family Name)
(First Name)
T.
Not Applicable
SECONDARY SCHOOL TEACHER I
POSITION:
(M.I.)
DEPED - QUEZON
AGENCY/OFFICE:
ADDRESS:
SAINT.PAUL ST.,
BRGY. G-GULANG
LUCENA CITY
QUEZON
(First Name)
(M.I.)
N/A
SPOUSE:
BRGY. ISABANG
OFFICE ADDRESS:
TAYABAS CITY
N/A
POSITION:
(Family Name)
AGENCY/OFFICE:
OFFICE ADDRESS:
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME
DATE OF BIRTH
AGE
N/A
Real Properties*
DESCRIPTION
KIND
EXACT
ASSESSED
CURRENT FAIR
(e.g. residential,
commercial, industrial,
agricultural and mixed use)
LOCATION
VALUE
MARKET VALUE
ACQUISITION
YEAR
ACQUISITION COST
MODE
N/A
Subtotal:
b. Personal Properties*
DESCRIPTION
YEAR ACQUIRED
ACQUISITION
COST/AMOUNT
ACER LAPTOP
ALCATEL CELLPHONE ONE TOUCH POP D5
ACER SWITCH 10
2010
2014
2015
PERSONAL BELONGINGS
2015
62,000
2.
28,000
10,000
14,000
10,000
Subtotal : 62,000
TOTAL ASSETS (a+b):
LIABILITIES*
NATURE
PERSONAL LOAN
NAME OF CREDITORS
DAHLIA T. MANALO
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* Additional sheet/s may be used, if necessary.
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OUTSTANDING BALANCE
10,000
52,000
BUSINESS ADDRESS
DATE OF ACQUISITION OF
INTEREST OR CONNECTION
N/A
RELATIONSHIP
POSITION
FATHER
MUNICIPAL
TREASURER
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:
PROFESSIONAL REGULATORY
BOARD COMMISION I.D.
1347085
DECEMBER 5, 2014
(Signature of Co-Declarant/Spouse)
Government Issued ID:
N/A
ID No.:
Date Issued:
SUBSCRIBED AND SWORN to before me this 17th day of FEBRUARY, 2016 , affiant exhibiting to me the above-stated
government issued identification card.
_______________________________________
(Person Administering Oath)
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