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, 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: BAUTISTA RENALYN G. POSITION: TEACHER II
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED SAN JUAN WEST SUB-OFFICE/PAARALANG ELEMENTARYA NG
ESCRIBANO
ADDRESS: ESCRIBANO SAN JUAN BATANGAS OFFICE ADDRESS: ESCRIBANO, SAN JUAN, BATANGAS
SPOUSE: BAUTISTA RUZZEL HARWYN L. 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
HARWYN LYRAINE G. BAUTISTA MARCH 1, 2021 3
HAIZEN LEEIAN G. BAUTISTA JANUARY 21, 2023 1
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 VALUE CURRENT FAIR MARKET ACQUISITION ACQUISITION COST
(e.g. lot, house and lot, (e.g. residential, commercial, LOCATION VALUE
condominium and improvements) industrial, agricultural and mixed use) (As found in the Tax Declaration of
Real Property)
YEAR MODE
ESCRIBANO, SAN JUAN,
HOUSE RESIDENTIAL N/A N/A 2024 CONSTRUCTED Php 1,500,000.00
BATANGAS
Subtotal: Php 1,500,000.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
GADGETS VARIOUS YEARS Php 102,000.00
YAMAHA MIO MOTORCYCLE 2020 Php 162,000.00
HONDA ACCORD 2020 Php 70,000.00
APPLIANCES VARIOUS YEARS Php 158,000.00
Subtotal : Php 492,000.00
TOTAL ASSETS (a+b): Php 1,992,000.00
* Additional sheet/s may be used, if necessary.
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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
CONSOLIDATED LOAN GSIS Php 394,004.32
SALARY LOAN MANILA TEACHERS’ MUTUAL AID SYSTEM Php 229,035.79
SALARY LOAN CITY SAVINGS BANK Php 342,552.00
SALARY LOAN ONE NETWORK BANK, INC. Php 266,384.62
TOTAL LIABILITIES: Php 1,231,976.73
NET WORTH : Total Assets less Total Liabilities = Php 760,023.27
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 ENTERPRISE BUSINESS ADDRESS NATURE OF BUSINESS INTEREST &/OR FINANCIAL DATE OF ACQUISITION OF INTEREST OR
CONNECTION 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
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: _January 24, 2025
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: TAXPAYER’S IDENTIFICATION NUMBER Government Issued ID: DRIVER’S LICENSE
ID No.: 929-522-608 ID No.: D09-004695
Date Issued: 03-19-2003 Date Issued: 07-07-2020
SUBSCRIBED AND SWORN to before me this ___ day of affiant exhibiting to me the above-stated government issued identification card.
(Person Administering Oath)
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