1 SALN 2015 - 1ocon
1 SALN 2015 - 1ocon
1 SALN 2015 - 1ocon
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
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT'S HOUSEHOLD
House & Lot Residential Muñoz West 25,000.00 25,000.00 1991 purchased 450,000.00
Subtotal: 1,000,000
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Furniture/Appliances/Jewelries 1992-2009 57,000.00
Motorcycle (Suzuki) 2009 56,000.00
Kuliglig 2011 45,000.00
Rice Threser 2012 110,000.00
Adventure 2014 360,000.00
Salary 2015 406,308.00
Subtotal: 1,034,308
TOTAL ASSETS (a+b): 2,034,308
* Additional sheet/s may be used, if necessary.
Page 2 of 2
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Consol Loan GSIS 280,000
Salary Loan PR Bank 100,000
Agricultural Loan Producers Bank 300,000
Salary Loan MATMAS 180,000
Salary Loan CitySavings 100,000
TOTAL LIABILITIES: 960,000
NET WORTH: Total Assets less Total Liabilities = 1,074,308
N/A
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.
SUBSCRIBED AND SWORN to before me this 23th day of February,2015, affiant exhibiting to me the above-stated
government issued identification card.
MADELYN L. MACALLING,Ph. D.
(Person Administering Oath)
Page 2 of 2
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of
(Sample additional sheet/s for the exclusive properties of the declarant's spouse and unmarried children
below eighteen (18) years of age living in declarant's household)
NAME: POSITION:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE:
1. ASSETS
a. Real Properties*
ASSESSED CURRENT FAIR
DESCRIPTION KIND VALUE MARKET VALUE ACQUISITION
b. Personal Properties*
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE