As of December 2018
(Required by R.A. No. 6713)
Note: Husband and wife who are both public officials and employees may file the required statements jointly or separately.
SPOUSE:
N/A N/A N/A POSITION : N/A
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: N/A
OFFICE ADDRES: N/A
(e.g. residential,
(e.g. lot, houses
commercial,
EXACT LOCATION ACQUISITION COST
and lot, (As found in the Tax Declaration of
industrial, YEAR MODE
condominium and Real Property
agricultural and
improvements)
mixed use)
Subtotal
Subtotal ₱ 333,490.00
TOTAL ASSETS(A+B): ₱ 333,490.00
2. LIABILITIES
NATURE NATURE OF CREADITORS OUTSTANDING BALANCE
East West RB,INC. OCT 2016 - OCT 2019 East West - Catarman ₱ 320,000.00
NATURE OF BUSINESS
NAME OF ENTITY / INTEREST &/OR DATE OF ACQUISITION OR
BUSINESS ADDRESS CONNECTION
BUSINESS ENTERPRISE FINANCIAL
CONNECTIONS
N/A N/A N/A N/A
NAME OF AGENCY/OFFICE
NAME OF RELATIVE RELATIONSHIP POSITION AND ADDRESS
FLOR C. PAANO MOTHER TEACHER III DEPED - LAOANG III
FLORY C. GALLARON AUNT TEACHER III DEPED - MONDRAGON
I hereby certify that these are true statements of my assets, liabilities, net worth, business interest
and financial connections, including those of my spouse and unmarried children below 18 years of age
living in my household, and that to the best of my knowledge, the above enumerated are names of relatives
in the government within the fourth civil degree of consanguinity or affinity.
I hereby authorize the Ombudsman or his/her authorized representatives 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 the government.
Date: