Revised as of January 2015

Per CSC Resolution No. 1500088

Promulgated on January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

DECEMBER 31, 2018
As of ________________________________
(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: BAID RICHARD S. POSITION: TEACHER - III

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARMENT OF EDUCATION
ADDRESS: Salvador, Gutalac, Zamboanga Del Norte OFFICE ADDRESS: GUTALAC CENTRAL SCHOOL

SPOUSE: BAID ALMA E. POSITION: NONE

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: NONE
OFFICE ADDRESS: NONE

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
1. JOSHUA E. BAID 2/19/10 9 Years old
2. AARON CARL E. BAID 4/4/2014 3 year old
3. NEAL DIETHRICH E. BAID 2/26/2018 10 Months old

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 ACQUISITION ACQUISITION

(e.g. lot, house and (e.g. residential, LOCATION VALUE FAIR COST
lot, condominium commercial, industrial,
and improvements) agricultural and mixed MARKET
use)
VALUE
(As found in the Tax Declaration of
Real Property)
YEAR MODE

House Residential Salvador,Gutalac,Z.N 75,000 70,000 2014 cash 75,000

Lot Residential Salvador,Gutalac,Z.N 63,000 100,000 2014 cash 63,000

San Isidro,Gut.,Z.N
Lot Commercial 80,000 100,000 2014 cash 80,000

Subtotal: 218,000
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT

Motorcycle 2014 80,000

Wrist Watch 2017 7,000

Subtotal : 87,000

TOTAL ASSETS (a+b): 305,000

* Additional sheet/s may be used, if necessary.

Page 1 of ___
2 . LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Consolidated Loan GSIS 74,000

Consolidated Loan GSIS 73,000
East West Bank Bank Loan 1,000,000

TOTAL LIABILITIES: 1,147,000

NET WORTH : Total Assets less Total Liabilities = -842,000
* 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
BAID’S DRYGOODS SALVADOR, GUTALAC Dry goods selling 4/11/2011
STORE ,Z.N.
BAKESHOP AND SALVADOR, GUTALAC 7/18/2016
EATERY ,Z.N.

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
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

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.
March 4, 2019
Date: ______________________________

(Signature of Declarant) (Signature of Co-Declarant/Spouse)

Government Issued ID: Professional Identification Card Government Issued NONE

PRC ID:
ID No.: 18-1046365 ID No.: NONE
Date Issued: 08/08/2018 Date Issued: NOE

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 ___