Revised as of January 2015
Per CSC Resolution No. 1500088
Promulgated on January 23, 2017
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH
As of December 2022
(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 LAURENTE LORAINE SHEEN M. POSITION/RANK: TEACHER I
:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF EDUCATION
ADDRESS: BRINGAS COMP. DE GUZMAN ST. TORIL OFFICE ADDRESS: E. QUIRINO AVE. D.C.
DAVAO CITY DAVAO DEL SUR 8000
SPOUSE: N/A N/A N/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
N/A N/A N/A
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 COST
lot, condominium commercial,
and improvements) industrial, agricultural VALUE
and mixed use)
(As found in the Tax Declaration of
Real Property)
YEAR MODE
N/A N/A N/A N/A N/A N/A N/A N/A
Subtotal 0
:
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
HUAWEI MATEPAD 10.4 2022 2022 18,000
PORCELAIN/CERAMIC TILES 2022 36,000
ASTRON BUILT-IN DOUBLE BURNER GAS STOVE 2022 3,127
SHOWER SET WITH FAUCET 4 IN 1 2022 3,844
LAVATORY FAUCET 2022 2,195
ULTRA-THIN LED CEILING PIN LIGHT 2022 1,996
Subtotal: 65,162
TOTAL ASSETS (a+b): 65,162
* Additional sheet/s may be used, if necessary.
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING
BALANCE
N/A N/A N/A
TOTAL LIABILITIES: 0
NET WORTH: Total Assets less Total Liabilities = 65,162
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* 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
DELIA M. LAURENTE MOTHER TEACHER DEPED
LAVINIA M. LAURENTE SIBLING TEACHER DEPED
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: April 25, 2023
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: PRC Government Issued ID: N/A
ID No.: 1441268 ID No.: N/A
Date Issued: 02-19-2016 Date Issued: N/A
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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