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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, 2017
(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  Separate Filing  Not Applicable

DECLARANT: MAURICIO ANA C. POSITION: Administrative Aide VI


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF EDUCATION-
REGIONAL OFFICE VI
ADDRESS: Brgy. Pasil, New Lucena, Iloilo OFFICE ADDRESS: DURAN ST., ILOILO CITY

SPOUSE: MAURICIO BACILIO G. POSITION: Fitter /Welder


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: Phil. Transmarine Carriers, Inc.
OFFICE ADDRESS: First Maritime Place
7458 Bagtikan St.
Makati 1203 ,Metro Manila

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
MAER FRENCY C. MAURICIO OCTOBER 2, 1998 19 Years Old
JOAN PEARL C. MAURICIO JUNE 24, 2000 17 Years Old
BRYLE ASHER C. MAURICIO JANUARY 6, 2012 6 Years Old

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 EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


(e.g. lot, house and (e.g. residential, LOCATION VALUE MARKET VALUE COST
lot, condominium commercial, industrial,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

House & Lot Residential 189,940.00 500,000.00 2006 constructed 1,551,200.00


Pasil Pasil, New Lucena,
Iloilo

Lot Agricultural New Lucena , Iloilo 36,280.00 374,000.00 2009 purchased 374,000.00

Subtotal: 1,925,200.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

Appliance, Gadgets &Mini Sound System 2006-2017 180,000.00


Passenger Jeep 2009 150,000.00
Hyundai Starex Van 2009 350,000.00
DepedRO6 COOP FUND Various Dates 245,000.00

Subtotal : 925,000.00

TOTAL ASSETS (a+b): P 2,850,200.00


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

Page 1 of ___
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan (Consoloan) G.S.I.S. 60,000.00


Calamity Loan DepEd RO6 MPC 50,000.00

TOTAL LIABILITIES: 110,000.00


NET WORTH : Total Assets less Total Liabilities = P 2,740,200.00
* Additional sheet/s may be used, if necessary.

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


(of Declarant /Declarant’s spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarant’s Household)

 I/We do not have any business interest or financial connection .

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
None None None None

RELATIVES IN THE GOVERNMENT SERVICE


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

 I/We do not know of any relative/s in the government service)


NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
AIDA C. ALDAMAR Sister ADAS II Jayobo NHS/Lambunao Iloilo
LENI A. CARBAJAL Sister Teacher I Las Pinas East NHS
CECILE S. SINDOL Cousin Teacher I Pasil-Jelicuon E.S./New Lucena, Iloilo

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: February 21, 2018

ANA C. MAURICIO On Board (vessel)


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

Government Issued ID: G.S.I.S. UMID CARD Government Issued ID:

ID No.: 006-0054-7001-1 ID No.:


Date Issued: Date Issued:

SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.

_______________________________________
.00(Person Administering Oath)

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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, 2018
(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  Separate Filing  Not Applicable

DECLARANT: MAURICIO ANA C. POSITION: Administrative Aide VI


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF EDUCATION-
REGIONAL OFFICE VI
ADDRESS: Brgy. Pasil, New Lucena, Iloilo OFFICE ADDRESS: DURAN ST., ILOILO CITY

SPOUSE: MAURICIO BACILIO G. POSITION: Fitter /Welder


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: Phil. Transmarine Carriers, Inc.
OFFICE ADDRESS: First Maritime Place
7458 Bagtikan St.
Makati 1203 ,Metro Manila

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
MAER FRENCY C. MAURICIO OCTOBER 2, 1998 20 Years Old
JOAN PEARL C. MAURICIO JUNE 24, 2000 18 Years Old
BRYLE ASHER C. MAURICIO JANUARY 6, 2012 7 Years Old

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 EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


(e.g. lot, house and (e.g. residential, LOCATION VALUE MARKET VALUE COST
lot, condominium commercial, industrial,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

House & Lot Residential 189,940.00 500,000.00 2006 constructed 1,551,200.00


Pasil Pasil, New Lucena,
Iloilo

Lot Agricultural New Lucena , Iloilo 36,280.00 374,000.00 2009 purchased 374,000.00

Subtotal: 1,925,200.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

Appliance, Gadgets &Mini Sound System 2006-2018 180,000.00


Passenger Jeep 2009 150,000.00
Hyundai Starex Van 2009 350,000.00
DepedRO6 COOP FUND Various Dates 345,000.00

Subtotal : 1.025,000.00

TOTAL ASSETS (a+b): P 2,950,200.00


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

Page 3 of ___
3. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan (Consoloan) G.S.I.S. 30,000.00


Calamity Loan DepEd RO6 MPC 50,000.00

TOTAL LIABILITIES: 80,000.00


NET WORTH : Total Assets less Total Liabilities = P 2,870,200.00
* Additional sheet/s may be used, if necessary.

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS


(of Declarant /Declarant’s spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarant’s Household)

 I/We do not have any business interest or financial connection .

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
None None None None

RELATIVES IN THE GOVERNMENT SERVICE


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

 I/We do not know of any relative/s in the government service)


NAME OF RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE AND ADDRESS
AIDA C. ALDAMAR Sister ADAS II Jayobo NHS/Lambunao Iloilo
LENI A. CARBAJAL Sister Teacher I Las Pinas East NHS
CECILE S. SINDOL Cousin Teacher I Pasil-Jelicuon E.S./New Lucena, Iloilo

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: February 28, 2019

ANA C. MAURICIO On Board (vessel)


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

Government Issued ID: G.S.I.S. UMID CARD Government Issued ID:

ID No.: 006-0054-7001-1 ID No.:


Date Issued: Date Issued:

SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.

_______________________________________
.00(Person Administering Oath)

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