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SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 31, 2013


(Required by R.A. 6713)
Note: Husband and wife who are both public ofcials and employees may fle the required statements jointly or separately.
Joint Filing Separate Filing Not Applicable
DECLARANT
:
BOLILIA AMADO CARLOS, IV ALZOLA POSITION: BOARD MEMBER
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: Sangguniang Panlalawigan
ADDRESS: 18 Nazareth St., Multinational Village OFFICE ADDRESS: SP Bldg., Capitol Compound
Paranaque City Batangas City
SPOUSE: BOLILIA LIANDA BRUCAL POSITION: EXECUTIVE ASSISTANT V
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: Ofce of the Governor
OFFICE ADDRESS: SP Bldg., Capitol Compound
Batangas City
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME DATE OF BIRTH AGE
Karen Louise B. Bolilia 12/01/1990 23
Justin Carlo B. Bolilia 12/11/1993 20
ASSETS, LIABILITIES AND NETWORTH
(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarants household)
1. ASSETS
a. Real Properties*
DESCRIPTION
(e.g. lot, house and
lot, condominium
and improvements)
KIND
(e.g. residential,
commercial,
industrial,
agricultural and
mixed use)
LOCATION ASSESSED
VALUE
CURRENT FAIR
MARKET VALUE
ACQUISITION ACQUISITION COST
(As found in the Tax Declaration of
Real Property)
YEAR MODE
Lot Residential Batangas 400,000 500,000 1994 Purchased 400,000.00
House & Lot Residential Batangas 500,000 600,000 2002 Pag-ibig 500,000.00
House & Lot Commercial Pasay City 850,000 2,000,000 2007 Purchased 850,000.00
Lot Residential Lipa City 3,000,000 4,000,000 2008 Bank Loan 2,000,000.00
Condo Unit Residential Pasay City 4,000,000 5,000,000 2010 Bank Loan 4,200,000.00
Condo Unit Residential Pasay City 480,000 600,000 2012 Pag-ibig 480,000.00
House & Lot Residential Paranaque 16,000,000 16,000,000 2012 Bank Loan 16,000,000.00
Subtotal: 24,430,000.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT
Toyota corolla 1996 1994 200,000.00
Honda City 2013 750,000.00
Pieces of Jewelry
1998-2013 1,100,000.00
Furniture & Antiques
1998-2013 750,000.00
Cash in Bank
2013 5,800,000.00
Account Receivables
2013 4,250,000.00
Other Investment
2013 6,000,000.00
Subtotal : 18,850,000.00
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TOTAL ASSETS (a+b): 43,280,000.00
2.LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Bank Loan Banco De Oro 10,000,000.00
Personal Loan Joseph Dilay 4,000,000.00
Housing Loan Pag-ibig 980,000.00
TOTAL LIABILITIES: 14,980,000.00
NET WORTH : Total Assets less Total Liabilities = 28,300,000.00
* Additional sheet/s may be used, if necessary.
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant /Declarants spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarants Household)
I/We do not have any business interest or fnancial connection.
NAME OF ENTITY/BUSINESS
ENTERPRISE
BUSINESS ADDRESS NATURE OF BUSINESS
INTEREST &/OR FINANCIAL
CONNECTION
DATE OF ACQUISITION OF
INTEREST OR CONNECTION
ACB Meat Supply &
Gen. Mdse.
Merville AccessRoad, pasay
City
Hogs & Meat Supply 1994-2008
Segen Pharmaceutical,
Inc.
Brgy, Moonwalk,
Paranaque City
Pharmaceutical
Distribution
2011 - date
RELATIVES IN THE GOVERNMENT SERVICE
(Within the Fourth Degree of Consanguinity or Afnity. 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
Lianda B. Bolilia Wife Exec. Assistant V Ofce of the Provincial Government
Marife B. Calansayan Sister Teacher Recto National High School, Tiaong, quezon
Krizia H. Brucal Niece Nursing Attendant Lipa City District Hospital
I hereby certify that these are true and correct statements of my assets, liabilities, net worth,
business interests and fnancial 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
afnity.
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 fnancial 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 frst assumed ofce in government.
Date: March 12, 2014
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: GSIS Government Issued ID: GSIS
ID No.: 66110306116 ID No.: 4404527778561106
Date Issued: Date Issued:
SUBSCRIBED AND SWORN to before me this day of , afant exhibiting to me the above-
stated government issued identifcation card.
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BENJAMIN DJ. NEPALES
(Person Administering Oath)
Provincial Board Secretary
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