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2015 SALN Form 1.Docx

The document is a sworn statement of assets, liabilities, and net worth for Jessie P. Bernardo, an Administrative Aide IV at LGU Mansalay, covering the period from January 1 to December 31, 2024. The total assets amount to 285,000, with no reported liabilities, resulting in a net worth of 285,000. The declaration includes information about the declarant's spouse, children, and confirms no relatives in government service.

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10 views

2015 SALN Form 1.Docx

The document is a sworn statement of assets, liabilities, and net worth for Jessie P. Bernardo, an Administrative Aide IV at LGU Mansalay, covering the period from January 1 to December 31, 2024. The total assets amount to 285,000, with no reported liabilities, resulting in a net worth of 285,000. The declaration includes information about the declarant's spouse, children, and confirms no relatives in government service.

Uploaded by

seminianomaryrose
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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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 January 1 - 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: BERNARDO JESSIE P. POSITION: ADMINISTRATIVE AIDE IV


(Family Name) (First Name) (M.I.) AGENCY/OFFICE: LGU MANSALAY
ADDRESS: B. DEL MUNDO, MANSALAY, ORIENTAL MINDORO OFFICE ADDRESS: POBLACION, MANSALAY,
ORIENTAL MINDORO

SPOUSE: BERNARDO STEPHANIE CLAIRE V. 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
MATHEO CLYDE V. BERNARDO FEBRUARY 24, 2018 6
MATTHEW CALLIX V. BERNARDO AUGUST 23, 2022 2

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

Subtotal: N/A
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
MOTORCYCLE 2019-PRESENT 72,000
LAPTOP 2021- PRESENT 23,000
HOUSE 2022-PRESENT 150,000
MOBILE PHONE 2023-PRESENT 5,000
APPLIANCES 2024-PRESENT 35,000
Subtotal : 285,000
285,000
TOTAL ASSETS (a+b):
* Additional sheet/s may be used, if necessary.

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LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
N/A N/A N/A

TOTAL LIABILITIES: N/A


NET WORTH : Total Assets less Total Liabilities = 285,000
* 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

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 kn0owledge, 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 7, 2025_______


(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: NATIONAL ID Government Issued ID: N/A
ID No.: 5769-0675-0472-9815 ID No.: N/A
Date Issued: April 13, 2023 Date Issued: N/A

​ SUBSCRIBED AND SWORN to before me this ​ day of ​, affiant exhibiting to me the


above-stapted government issued identification card.

​ ​ ​ ​ ​ ​ ​ ​ HON. FERDINAND M. MALIWANAG


Municipal Mayor​
(Person Administering Oath)

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