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2015 Saln Form

This document is a sworn statement of assets, liabilities, and net worth filed by Magella D. Perral, a teacher in Surigao City. It lists her personal assets totaling 136,925 PHP, including electronics and appliances. Her total liabilities are 480,000 PHP from salary loans. Her net worth is 353,075 PHP after subtracting total liabilities from assets. She declares no business interests or financial connections. She names two relatives who are both teachers in DepEd in Surigao City and Del Sur. Perral signs to certify the accuracy of the statement and authorizes officials to access her financial records.

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147 views

2015 Saln Form

This document is a sworn statement of assets, liabilities, and net worth filed by Magella D. Perral, a teacher in Surigao City. It lists her personal assets totaling 136,925 PHP, including electronics and appliances. Her total liabilities are 480,000 PHP from salary loans. Her net worth is 353,075 PHP after subtracting total liabilities from assets. She declares no business interests or financial connections. She names two relatives who are both teachers in DepEd in Surigao City and Del Sur. Perral signs to certify the accuracy of the statement and authorizes officials to access her financial records.

Uploaded by

jess_gavino
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
You are on page 1/ 4

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 ________________________________
(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

PERRAL,

MAGELLA

Separate Filing
D.

Not Applicable

POSITION:

TEACHER I

AGENCY/OFFICE:

DEPED- SURIGAO CITY


(SURIGAO CITY CENTRAL
(SUCCES)

OFFICE ADDRESS:

DIEZ STREET
SURIGAO CITY

:
(Family Name)

ADDRESS:

(First Name)

(M.I.)

PUROK 6, HABITAT, CANLANIPA


SURIGAO CITY

SPOUSE:

E/S

POSITION:
(Family Name)

(First Name)

(M.I.)

AGENCY/OFFICE:
OFFICE ADDRESS:

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

DATE OF BIRTH
APRIL 8, 2007

CHARIZE MAE PERRAL

AGE
9

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 FAIR

(e.g. lot, house and


lot, condominium
and improvements)

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

LOCATION

VALUE

MARKET VALUE

(As found in the Tax Declaration of


Real Property)

ACQUISITION

ACQUISITION
COST

YEAR

MODE

NONE

Subtotal:

b. Personal Properties*
DESCRIPTION

YEAR ACQUIRED

ACQUISITION COST/AMOUNT

Laptop Computer (e- machine)

2011

20, 000.00

Appliances & Fixtures

2013

52, 425.00

Personal Accessories

2013

30, 000.00

Laptop Computer ( Compaq)

2014

10, 000.00

Digital Camera ( Canon & Samsung)

2015

13, 000.00

Cellphone (Flare J1 & Sonny Docomo)

2015

11, 500.00

Subtotal : Php 136, 925.00


TOTAL ASSETS

Page 1 of 2

(a+b): Php 136, 925.00


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

Page 2 of 2

2. LIABILITIES*
NATURE

NAME OF CREDITORS

Salary Loan
Salary Loan

GSIS

Salary Loan

One Network Bank

Salary Loan

Phil. Life Insurance Corp.

OUTSTANDING BALANCE
100, 000. 00

PAG- IBIG

10, 000. 00
300, 000.00
70, 000.00

TOTAL LIABILITIES: Php 480, 000. 00


NET WORTH : Total Assets less Total Liabilities = Php 353, 075. 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)

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)

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


RELATIONSHIP

POSITION

Marites P. Alzate

NAME OF RELATIVE

Sister

Principal II

DepEd- Surigao Del Sur

NAME OF AGENCY/OFFICE AND ADDRESS

Bernnie P. Canico

Sister

Teacher III

DepEd- Surigao City

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:

______________________________

(Signature of Declarant)
Government Issued ID:
ID No.:
Date Issued:

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

PRC

SUBSCRIBED AND SWORN to before me this


government issued identification card.

day of

Page 3 of 2

, affiant exhibiting to me the above-stated

_______________________________________
(Person Administering Oath)

Page 4 of 2

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