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 24-Mar-25
(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: RECAZA. JEAN CLER. O. POSITION: TEACHER I
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED COTABATO DIVISION
OFFICE ADDRESS: BARANGAY AMAS, KIDAPAWAN CITY
ADDRESS: RIVERSIDE PINAMULAAN BANISILAN KIDAPAWAN NORTH COTABATO
NORTH COTABATO
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
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
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*
ASSESSED CURRENT FAIR
DESCRIPTION KIND ACQUISITION
VALUE MARKET VALUE
EXACT
ACQUISITION COST
(e.g., residential, LOCATION
(e.g. lot, house and lot,
commercial, industrial, (As found in the Tax Declaration of Real
condominium, and
agricultural and mixed Property) YEAR MODE
improvements)
used)
Home Lot Residential Riverside [Link]. 25,000.00 50,000.00 2015 Inherited 50,000.00
Subtotal: 50,000.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Laptop 2019 20,000.00
Jewelry 2019 14,000.00
Motor Vehicle 2021 97,000.00
131,000.00
TOTAL ASSETS (a+b): 181,000.00
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
TOTAL LIABILITIES: N/A
* Additional sheet/s may be used, if necessary. NET WORTH: Total Assets less Total Liabilities = N/A
Page 1 of 2
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
Page 2 of 2 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
JAMES D. OLALOY BROTHER [Link] 72th INFANTRY BATALLON
I hereby certify that these are true and correct statements of my assets, liabilities, net worth, business interests and financial
connections, including
I hereby those the
authorize of my spouse andorunmarried
Ombudsman children
his/her duly belowrepresentative
authorized eighteen (18) years of age
to obtain andliving in my
secure household,
from and that
all appropriate to the best
government
of my knowledge,
agencies, includingthe
theabove-enumerated
Bureau of Internal are namessuch
Revenue of my relatives that
documents in themay
government within the
show my assets, fourthnet
liabilities, civilworth,
degreebusiness
of consanguinity
interests or
andaffinity.
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: 24-Mar-25
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: TIN Government Issued ID: N/A
ID No: 610-531-642-000 ID No.: N/A
Date Issued: 6/14/2022 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)
Page 2 of 2
Page 2 of 2
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
(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:
ASSETS, LIABILITIES AND NETWORTH
1. ASSETS
a. Real Properties
ASSESSED CURRENT FAIR
DESCRIPTION KIND ACQUISITION
VALUE MARKET VALUE
EXACT
(e.g., residential, ACQUISITION COST
(e.g. lot, house and lot, commercial, industrial, LOCATION (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS INTEREST & DATE OF ACQUISITION OF
ENTERPRISE / OR FINANCIAL CONNECTION INTEREST OR CONNECTION
Page _____ of ______
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
(Sample additional sheet/s for the declarant)
NAME: POSITION:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE:
ASSETS, LIABILITIES AND NETWORTH
1. ASSETS
a. Real Properties
ASSESSED CURRENT FAIR
DESCRIPTION KIND ACQUISITION
VALUE MARKET VALUE
EXACT
(e.g., residential, ACQUISITION COST
(e.g. lot, house and lot, commercial, industrial, LOCATION (As found in the Tax Declaration of Real
condominium, and agricultural and mixed Property) YEAR MODE
improvements) used)
Subtotal: -
b. Personal Properties
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Subtotal: -
TOTAL ASSETS (a+b): -
2. LIABILITIES
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
TOTAL LIABILITIES: -
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS INTEREST & DATE OF ACQUISITION OF
ENTERPRISE / OR FINANCIAL CONNECTION INTEREST OR CONNECTION
Page _____ of ______
