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    Swornstatement of Assets, Liabilities and Net Worth

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    RANDY BAOGBOG
    This document is a sworn statement of assets, liabilities, and net worth as of December 31, 2018 that is required by law to be filed by public officials and employees. It details the assets, which include personal property like electronics and a motorcycle worth $140,525 total, and liabilities of Randy P. Baogbog, a nurse, and indicates he has no business interests or relatives in government. The statement is signed and notarized.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Swornstatement of Assets, Liabilities and Net Worth

    Uploaded by

    RANDY BAOGBOG
    35 views2 pages
    This document is a sworn statement of assets, liabilities, and net worth as of December 31, 2018 that is required by law to be filed by public officials and employees. It details the assets, which include personal property like electronics and a motorcycle worth $140,525 total, and liabilities of Randy P. Baogbog, a nurse, and indicates he has no business interests or relatives in government. The statement is signed and notarized.

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    SALN-BAOGBOG2021

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    This document is a sworn statement of assets, liabilities, and net worth as of December 31, 2018 that is required by law to be filed by public officials and employees. It details the assets, which include personal property like electronics and a motorcycle worth $140,525 total, and liabilities of Randy P. Baogbog, a nurse, and indicates he has no business interests or relatives in government. The statement is signed and notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    35 views2 pages

    Swornstatement of Assets, Liabilities and Net Worth

    Uploaded by

    RANDY BAOGBOG
    This document is a sworn statement of assets, liabilities, and net worth as of December 31, 2018 that is required by law to be filed by public officials and employees. It details the assets, which include personal property like electronics and a motorcycle worth $140,525 total, and liabilities of Randy P. Baogbog, a nurse, and indicates he has no business interests or relatives in government. The statement is signed and notarized.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Revised as of January 2015

    Per CSC Resolution No. 1500088


    Promulgated on January 23, 2015

    SWORNSTATEMENT OF ASSETS, LIABILITIES AND NET WORTH


    As of December 31, 2018
    (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: BAOGBOG RANDY P. POSITION: NURSE II


    (Family Name) (First Name) (M.I.) AGENCY/OFFICE: DOH CHD WV
    ADDRESS: PUROK EAST, BARANGAY GATUSLAO, OFFICE ADDRESS: Q. ABETO ST., MANDURRIAO,
    CANDONI, NEGROS OCCIDENTAL 6110 ILOILO CITY 5000

    SPOUSE: N/A N/A N/A POSITION: N/A


    (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


    N/A N/A N/A

    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 ASSESSED CURRENT FAIR


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

    N/A N/A N/A N/A N/A N/A N/A N/A

    Subtotal: N/A
    b. Personal Properties*
    ACQUISITION
    DESCRIPTION YEAR ACQUIRED
    COST/AMOUNT

    DESKTOP DUAL MONITOR 2017 8,500.00


    NIKON D5300 DIGITAL CAMERA 2017 24,690.00
    DELL INSPIRON LAPTOP 2017 38,899.00
    HONDA RS125 MOTORCYCLE 2015 68,436.00
    Subtotal: 140,525.00
    TOTAL ASSETS (a+b): 140,525.00
    * Additional sheet/s may be used, if necessary.

    Page 1 of 2
    2. LIABILITIES*

    NATURE NAME OF CREDITORS OUTSTANDING BALANCE

    N/A N/A N/A

    TOTAL LIABILITIES: N/A


    NET WORTH: Total Assets less Total Liabilities = 140,525.00
    * 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
    N/A N/A N/A N/A

    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

    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: DECEMBER 23, 2020 9

    RANDY P. BAOGBOG N/A


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

    Government Issued ID: PROFESSIONAL ID CARD Government Issued ID: N/A


    ID No.: 0620047 ID No.: N/A
    Date Issued: DEC 5, 2018 Date Issued: N/A

    SUBSCRIBED ANDSWORN to before me this day of , affiant exhibiting to me the


    above-stated government issued identification card.

    ____________________________________
    (Person Administering Oath)

    Page 2 of 2

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