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 ________________________________
25 March 2024
(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: VICENTE JOFER D. POSITION: SANGGUNIAN BARANGAY MEMBER
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: BUYACAOAN
ADDRESS: PEGGUEYNA , BUYACAOAN, BUGUIAS, BENGUET OFFICE ADDRESS: Sitio Tagpaya, Buyacaoan, Buguias
2607 Benguet, CAR, Philippines
SPOUSE: VICENTE MARY FRENCE IMELDA A. 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
JANDALE SHANE A. VICENTE 26 August 2007 16
JM PRINCE A. VICENTE 27 February 2015 9
XANNELLE ZHEN A. VICENTE 18 February 2018 6
FLIXER HEART A. VICENTE 13 July 2020 3
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,
and improvements) agricultural and mixed (As found in the Tax Declaration of
Real Property)
YEAR MODE
use)
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
N/A N/A N/A N/A N/A N/A N/A N/A
Subtotal:
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
2 Cellphone 2021 , 2022 Php. 27,000.00
3 Motorcycles ( Installment ) 2011 , 2019 , 2023 Php. 195,000.00
Personal Effects Various Years Php. 240,000.00
Subtotal : Php. 462,000.00
TOTAL ASSETS (a+b): Php. 462,000.00
* Additional sheet/s may be used, if necessary.
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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
COOP LOAN BSU COOP ABATAN BRANCH 150,000.00
N/A N/A
N/A N/A
N/A N/A
TOTAL LIABILITIES: Php. 150,000.00
NET WORTH : Total Assets less Total Liabilities = Php. 312,000.00
* 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 ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
N/A N/A N/A N/A
N/A N/A N/A N/A
N/A N/A N/A N/A
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
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A 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.
Date: 25 March 2024
______________________________
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: TIN ID Government Issued ID: TIN ID
ID No.: 447-489-770-000 ID No.: 464-764-526-000
Date Issued: 13 February 2014 Date Issued: 24 February 2015
SUBSCRIBED AND SWORN to before me this 25 day of March , affiant exhibiting to me the above-stated
government issued identification card.
_______________________________________
HON. RUBEN L. TINDAAN, Municipal Mayor - Buguias
(Person Administering Oath)
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