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Revised as of January 2015

Per CSC Resolution No. 1500088


Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH


As of December 31, 2015
(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
DECLARANT
:

HAMILI

NOLIE

Separate Filing

(Family Name)

(First Name)

POLICE OFFICER I

POSITION:

PHILIPPINE NATIONAL POLICE

ZONE
7-A, KALANTAS
ST.,
ZAMBOWOOD
CAMP
ABENDAN,
MERCEDES,
ADDRESS:
ZAMBOANGA
CITYCITY
ZAMBOANGA

Not Applicable

(M.I.)

AGENCY/OFFICE:
OFFICE ADDRESS:

NONE

SPOUSE:

POSITION:
(Family Name)

(First Name)

(M.I.)

AGENCY/OFFICE:
OFFICE ADDRESS:

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME

LIAN DAVE S. HAMILI


LIANNE DENICE S. HAMILI
LUKE DANIEL S. HAMILI

DATE OF BIRTH

SEPTEMBER 24, 2009


FEBRUARY 23, 2011
JULY 12, 2013

AGE

6
5
2

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

KIND

EXACT

ASSESSED

CURRENT

(e.g. lot, house and


lot, condominium and
improvements)

(e.g. residential,
commercial, industrial,
agricultural and mixed
use)

LOCATION

VALUE

FAIR

ACQUISITION
COST

MARKET
VALUE
(As found in the Tax Declaration of
Real Property)

House and Residential


Lot

ACQUISITION

Zone 7-A,
Kalantas St.,
Zambowood,
Zamboanga
City

YEAR

2012

20142015

MODE

Purchase/Improvement

Home Improvement

350,000.00

50,000.00

Subtotal: 400,000.00

b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

ACQUISITION
COST/AMOUNT

Appliances and Furniture


Cellular Phones and other Gadgets
Jewelry and Clothes
Car and Motorcycle

2008-2015
2008-2015
2008-2015
2014-2015

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Subtotal :

100,000.00
45,950.00
60,000.00
130,000.00

335,950.00

735,950.00

TOTAL ASSETS (a+b):

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

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2. LIABILITIES*
NATURE

NAME OF CREDITORS

Salary Loan
Salary Loan

OUTSTANDING BALANCE

PSSLAI
PSMBFI

120,000.00
200,000.00

TOTAL LIABILITIES:

320,000.00

NET WORTH : Total Assets less Total Liabilities =

415,950.00

* 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)

X
I/We do not have any business interest or financial connection.
NAME OF ENTITY/BUSINESS
ENTERPRISE

BUSINESS ADDRESS

NATURE OF BUSINESS
INTEREST &/OR FINANCIAL
CONNECTION

DATE OF ACQUISITION OF
INTEREST OR CONNECTION

RELATIVES IN THE GOVERNMENT SERVICE


(Within the Fourth Degree of Consanguinity or Affinity. Include also Bilas, Balae and Inso)

X
I/We do not know of any relative/s in the government service)
NAME OF RELATIVE

RELATIONSHIP

POSITION

NAME OF AGENCY/OFFICE AND ADDRESS

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 aboveenumerated 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:

March 3, 2016
______________________________
(Signature of Declarant)

Government IssuedPNP
ID: ID
ID No.:
13D230114
Date Issued:
April 23, 2013

(Signature of Co-Declarant/Spouse)
Government Issued ID:
ID No.:
Date Issued:

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SUBSCRIBED AND SWORN to before me this


government issued identification card.

day of

, affiant exhibiting to me the above-stated

_______________________________________
(Person Administering Oath)

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