DAILY LESSON

PLAN

DAILY
LESSON
PLAN
 Per CSC Resolution
No. 1500088

Promulgated on
January 23, 2015

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of _______December 31,2019___________

(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: TRINIDAD ANNABELLE B. POSITION: TEACHER I

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPARTMENT OF

EDUCATION/UPPER TAMBLER
CENTRAL ELEM.SCHOOL

ADDRESS: BLK.2,LOT 4, PUROK TEACHER’S VILLAGE OFFICE ADDRESS: TIONGSON ST.,LAGAO,

BARANGAY FATIMA, GENERAL SANTOS CITY GENERAL SANTOS CITY

SPOUSE: TRINIDAD SAMUEL J. POSITION: NONE

(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

JAIRAH AMICELLI BOCLARAS TRINIDAD JUNE 14, 2003 15

ANGELIKA FRANSUA BOCLARAS TRINIDAD DECEMBER 20, 2004 14

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 COST

(e.g. lot, house and (e.g. residential, VALUE MARKET VALUE

lot, condominium and commercial, industrial, LOCATION
improvements) agricultural and mixed
use)
(As found in the Tax Declaration of
YEAR MODE
Real Property)

HOUSE RESIDENTIAL PUROK 25, TEACHER’S 2003 P 250,000.00

VILLAGE,
BRGY.FATIMA,
GENERAL SANTOS CITY
 Subtotal: P250,000.00

b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

TRICYCLE WITH FRANCHISE 2017 P120,000.00

GUITAR 2017 P 3,600.00

PRINTER 2017 P 5000.00

CELLPHONE AND ACCESSORIES 2019 P 9,000.00

Subtotal : P137,600.00

TOTAL ASSETS (a+b): P162,600.00

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

2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN CSB P 283,000.00

SALARY LOAN GSIS/TEACHERS COOP P 190,073.73

SALARY LOAN PRIVATE LENDING P 100,000.00

TOTAL LIABILITIES: P573073.73

NET WORTH : Total Assets less Total Liabilities = P-410473.73

* 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 INTEREST DATE OF ACQUISITION OF

ENTERPRISE &/OR FINANCIAL CONNECTION INTEREST OR CONNECTION

NONE NONE NONE NONE

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

ALONA BOCLARAS ACEBO SISTER T-I DEPARTMENT OF EDUCATION/UPPER TAMBLER

CENTRAL ELEM SCHOOL,GENERAL SANTOS CITY

CHARINA TIPAWAN GARCIA COUSIN MT-I DEPARTMENT OF EDUCATION/UPPER TAMBLER

CENTRAL ELEM SCHOOL,GENERAL SANTOS CITY

MARIA ANGELICA TIPAWAN GARCIA NIECE T-I DEPARTMENT OF EDUCATION/UPPER TAMBLER

CENTRAL ELEM SCHOOL,GENERAL SANTOS CITY

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.

Date: ________JANUARY 14,2020_____________

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

Government Issued ID: PRC Government Issued ID: DRIVER’S LICENSE

ID No.: 0473332 ID No.:

Date Issued: 4/28/2017 Date Issued:

SUBSCRIBED AND SWORN to before me this 14TH day of JANUARY , affiant exhibiting to
me the above-stated government issued identification card.

_______________________________________

(Person Administering Oath)