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SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH

As of April 31, 2018


2015
(Required by R.A. No. 6713)

Note: Husband and wife who are booth public officials and employees may file the required statements jointly or separately
Joint Filing Separate Filing Not Applicable

DECLARANT: LACHICA RAMIL P. POSITION: Teacher 1


(Family Name) (First Name) (M.I.) AGENCY/OFFICE DEP.ED KALIBO II. TINIGAW ELEM
ADDRESS: CANDELARIA, NEW WASHINGTON, AKLAN OFFICE ADDRESS: Tinigaw, Kalibo, Aklan

SPOUSE: LACHICA GRACEL LYN H. POSITION: ADMINISTRATIVE AID II


(Family Name) (First Name) (M.I.) AGENCY/OFFICE DRSTMH
OFFICE ADDRESS: KALIBO, AKLAN

UNMARRIED CHILDREN BELOW EIGHTEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

NAME DATE OF BIRTH AGE


MARY KHRYZELLE THEA H. LACHICA September 8 2012 3 years & 5 mos
MARY GWYNE H. LACHICA October 4, 2015 4 Months

ASSETS, LIABILITIES AND NETWORTH


(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarant’s household)
1. ASSETS
a. Real Properties*

DESCRIPTION KIND LOCATION CURENT FAIR MARKET


ASSESED VALUE ACQUISITION ACQUISITIO
VALUE
(e.g. residential,
(e.g. lot, house and lot,
commercial, industrial,
condominium and
agricultural and mixed
improvement)
use)
(As found in the Tax Declaration of Real Property YEAR MODE

Not Applicable

b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMO

Furnitures 2009- 2015


Jewelries 2009 - 2015
clothing 2007
2011 - 2008
2015
Gadgets 2010 - 2015
Appliances 2010 - 2014
Car (second hand) 2014
Subtotal P 5
TOTAL ASSETS (a+b): P 5

2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALAN

Salary Loans GSIS 1


PAG-IBIG MPL PAG-IBIG
PERSONAL LOANS CITY SAVINGS BANK & FCB
VETERANS BANK
TOTAL LIABILITIES: P 2

NETWORTH: Total Assets less Total Liabilities= P 2


* Additional sheet/s may be used, if necessary.

Page 1 of 1

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


(of Declarant /Declarant’s spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarant’s Household)
q I/We do not have any business interest or financial connection.

NAME OF ENTITY/BUSINESS NATURE OF BUSINESS INTEREST DATE OF ACQUISITION O


BUSINESS ADDRESS
ENTERPRISE &/OR FINANCIAL CONNECTION OR CONNECTIO

NONE
RELATIVES IN THE GOVERNMENT SERVICE
(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)
q I/We do not know of any relative/s in the government service)

NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADD

NOEL P. LACHICA Brother Teacher 2 Dep Ed. Kalibo


MYRNA P. LACHICA Sister Security Agent Aklan Provincial Capitol

I hereby certify that these are true and correct statements of my assets, liabilities, net worth, business int
financial connections, including those of my spouse and unmarried children below eighteen (18) years of age liv
household, and that to the best of my knowledge, the above-enumerated are names of my relatives in the g
within the fourth civil degree of consanguinity or affinity.
  
I hereby authorize the Ombudsman or his/her duly authorized representative to obtain and secure
appropriate government agencies, including the Bureau of Internal Revenue such documents that may show
liabilities, net worth, business interests and financial connections, to include those of my spouse and unmarried
below 18 years of age living with me in my household covering previous years to include the year I first assume
government.

Date: March 9, 2016

RAMIL P. LACHICA GRACEL LYN H. LACHICA


(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID : PRC Government Issued ID : GSIS


ID No. : 75169 ID No. : 80031300707
Date Issued : Mar. 20, 2015 Date Issued :

SUBSCRIBE AND SWORN to before me this day of ,


affiant exhibiting to me the above-stated government issued identification card.

(Person Administering Oath)


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Teacher 1
DEP.ED KALIBO II. TINIGAW ELEM. SCHOOL
Tinigaw, Kalibo, Aklan

ADMINISTRATIVE AID II
DRSTMH
KALIBO, AKLAN

18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD

AGE
3 years & 5 mos.
4 Months

ACQUISITION COST

ACQUISITION COST/AMOUNT

145,000.00
44,000.00
40,000.00
40,000.00
30,000.00
250,000.00
549,000.00
549,000.00

OUTSTANDING BALANCE

113,298.80
63,396.41
50,000.00
45,302.50
271,997.71

277,002.29
DATE OF ACQUISITION OF INTEREST
OR CONNECTION

NAME OF AGENCY/OFFICE AND ADDRESS

Dep Ed. Kalibo


Aklan Provincial Capitol

t statements of my assets, liabilities, net worth, business interests and


unmarried children below eighteen (18) years of age living in my
he above-enumerated are names of my relatives in the government

is/her duly authorized representative to obtain and secure from all


u of Internal Revenue such documents that may show my assets,
nections, to include those of my spouse and unmarried children
covering previous years to include the year I first assumed office in

GRACEL LYN H. LACHICA


(Signature of Co-Declarant/Spouse)

GSIS
80031300707

2016

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