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2015 Saln Form

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CHESTER CABANA
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6 views

2015 Saln Form

Uploaded by

CHESTER CABANA
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
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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 2023
(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 CABANA CHESTER L. POSITION: TEACHER II


:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEP-ED GINGOOG
ADDRESS: SAMPAGUITA B, BAL-ASON OFFICE ADDRESS: NATIONAL HIGHWAY, BRGY 22,
GINGOOG CITY MIS. OR GINGOOG CITY MIS. OR.

SPOUSE: CABANA CINDY Z. POSITION: N/A


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: N/A
OFFICE ADDRESS: N/A

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE


DYSTER LUIZ Z. CABANA JULY 6, 2017 6 YEAR OLD
LOUIECHEL Z. CABANA JULY 23, 2021 2 YEAR 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*

DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION


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

RESIDENTIAL SUNFLOWER B, BAL- 45,000 45,000 2022 P 45,000.00


LOT ASON GINGOOG CITY

Subtotal: P 45, 000.00


b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

SAMSUNG TV 2020 P 24,000.00


REFRIGATOR 2020 P 16, 000.00
15 UNIT PERSONAL COMPUTERS AND NETWORK 2020 P 320,000.00
DEVICES
PERSONAL EFFECTS 2022 P 150,000.00
Subtotal : P
510,000.00

Page 1 of ___
TOTAL ASSETS (a+b): P 555,000.00
* Additional sheet/s may be used, if necessary.

Page 2 of ___
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING


BALANCE

SALARY LOAN LANDBANK 200,000.00


SALARY LOAN PROVIDENT 6,000.00
SALARY LOAN FIRST CONSOLIDATED BANK 24,000.00
SALARY LOAN ONE NETWORK BANK 300,000.00
TOTAL LIABILITIES: P 530,000.00
NET WORTH : Total Assets less Total Liabilities = P 25,000.00
* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
N/A N/A N/A N/A

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
ANGELYN L. CABANA SISTER TEACHER 1 DEP-ED GINGOOG 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
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: _______JANUARY 22, 2024______

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

Government Issued ID: PRC ID Government Issued ID:


ID No.: 1539407 ID No.:
Date Issued: JULY 2022 Date Issued:

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

_______________________________________
Page 3 of ___
(Person Administering Oath)

Page 4 of ___

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