SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH

DISCLOSURE OF BUSINESS AND FINANCIAL CONNECTIONS AND

IDENTIFICATION OF RELATIVES IN THE GOVERNMENT
As of December 31, 2010
(Requried by R.A. 6713)

NAME: PORTO RUEL/IMELDA T/C Position/Income: H.T. - II / T-I Ph

(Surname) (M.I.)
(First Name) Office: Department of Educa
Address: Brgy. Calimpac, Guinayangan, Quezon Office Address: Guinayangan,
Spouse Name: Cruz Imelda S. Position: Elementary Grades
(Surname) (First Name) (M.I.) Office: Department of Educa

Unmarried Children below 18 years of age

Name Date of Birth
Andre Alfer C. Porto 11/28/2003
Claire Joseff C. Porto 5/20/2006
Ashlee James C. Porto 11/21/2009

A. ASSETS, LIABILITIES AND NETWORTH

I. ASSETS
a. Real Properties
Year Mode of Assesed Current Fair
Kind Location Nature of Property
Acquired Acquisition Value Market Value
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 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 N/A N/A

Total: Php. _________N/A___

b. Personal and other Properties
Kind Year Acquired Acquisition Cost
TELEVISION SET 2010 Php.30,000
Laptop Comp. 2010 Php. 24,900
Cellphone 2010 Php. 7,800
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A
N/A N/A N/A

Total: Php. 62, 700.00

II. LIABILITIES(Loans, Morgages, etc)

Nature Name of Creditors Amount
Consol Loan GSIS Php. 182,920
Salary Loan Manila Teachers Php. 90,000
 Salary Loan UCPB Php. 40,00
Salary Loan South Luzon Teachers Php. 30,000

Total: ____Php. 372,920.

III. NETWORTH ( Total Assets (la + lb) less total Liabilities(III) ) Total: Php. -310,2
ND NETWORTH B. BUSINESS INTERESTS AND FINANCIAL CONNEC
NECTIONS AND
ERNMENT Do youi have any business interest anfd other financial connections including
unmaried children below 18 years of age living with you in your household?
/ / Yes / × / No

/Income: H.T. - II / T-I Php. 570,570.00 Name of Bus

Department of Education Name Name of Firm Address Interest an
Address: Guinayangan, Quezon Financial Conn
n: Elementary Grades Teacher I N/A N/A N/A N/A
Department of Education N/A N/A N/A N/A
N/A N/A N/A N/A
ge N/A N/A N/A N/A
Date of Birth
11/28/2003
5/20/2006 C. IDENTIFICATION OF RELATIVES IN THE GOVERNMEN
11/21/2009
To the best of your knowledge, are you related within the fourth degree of co
anyone working in the government? / / Yes / × / No

RTH
Name Position Relationship
N/A N/A N/A
N/A N/A N/A
Acquisition N/A N/A N/A
Land Bldg/Improvement N/A N/A N/A
N/A
N/A I hereby certify to the best of my knowledge and information, that t
N/A assets, liabilities, networth, business interest and connections, including those
N/A children below 18 years of age and names of my relatives in the government
N/A as required by and in accordance with Republic Act 6713.
N/A
I hereby authorize the Ombudsman or his duly authorized represen
tal: Php. _________N/A___________
from all appropriate government agencies, including the Bureau of Internal Re
show my assets, liabilities, networth, business interest and financial connecti
Acquisition Cost and unmarried children below 18 years of age living with me in my household
Php.30,000 assumed office in government.
Php. 24,900
Php. 7,800
N/A Date: ____________________________ 2011.
N/A
N/A
N/A
__________________________________ _________________
tal: Php. 62, 700.00 Signature of Spouse Sign

TIN : 930-005-205 TIN:

Amount Comm. Tax Cert. No.: 32884250 Comm. Tax Cert.
Php. 182,920 Issued at: : Guinayangan, Quezon Issued at:
Php. 90,000 Issued On : January 4, 2011 Issued in:
 Php. 40,00
Php. 30,000

SUBSCRIBED AND SWORN to before me this _____ day of ________

his/her Residence Tax Certificate as indicated above.

tal: ____Php. 372,920.00

ANGEL T. ARD
I) ) Total: Php. -310,220 Municip
RESTS AND FINANCIAL CONNECTIONS

her financial connections including those of your spouse and

ving with you in your household?
If yes give particular

Name of Business Date of Acquisition

Interest and/or or Connections
Financial Connections
N/A N/A
N/A N/A
N/A N/A
N/A N/A

RELATIVES IN THE GOVERNMENT SERVICE

ated within the fourth degree of consanguinity of affinity to

If yes give particular

Relationship Name/Address
N/A N/A
N/A N/A
N/A N/A
N/A N/A

knowledge and information, that there true statement of our

st and connections, including those of my spouse and unmarried
of my relatives in the government as of December 31, 2010,

an or his duly authorized representatives to obtain and secure

including the Bureau of Internal Revenue such documents tha may
ness interest and financial connections, to include of my spouse
age living with me in my household covering previous year I first

__________________________________
Signature

930-001-782
Comm. Tax Cert. No.: 18092467
: Guinayangan, Quezon
: Febuary 28 , 2011
before me this _____ day of _______________ ,2011 affiant exhibiting

ANGEL T. ARDIENTE, JR. M.D.

Municipal Mayor