2015 Saln Form

Revised as of January 2015
Per CSC Resolution No. 1500088

Promulgated on January 23, 2015
SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

As of December 31, 2023
(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: Fabellorin Jordan C POSITION: Patrolman

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: PS1-PPCPO
ADDRESS: Kamalay HOA Masikap II San Jose OFFICE ADDRESS: Barangay Model,
Puerto Princesa City Puerto Princesa City Palawan
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 EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

(e.g. lot, house and (e.g. residential, LOCATION VALUE MARKET VALUE COST
lot, condominium commercial, industrial,
and improvements) agricultural and mixed (As found in the Tax Declaration of
Real Property)
YEAR MODE
use)
N/A N/A N/A N/A N/A N/A N/A N/A
Subtotal: N/A
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT
Cash on Bank/Cash on Hand 2024 Php 43,000.00

Cellphone (Redmi Note 10 - 2019) (Vivo V29 - 2023) 2019/2023 Php 39,000.00
Laptop ASUS 2022 Php 25,000.00
N/A N/A N/A
Subtotal : Php 107,000.00
TOTAL ASSETS (a+b): Php 107,000.00

* Additional sheet/s may be used, if necessary.
Page 1 of 2
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
Salary Loan PSSLAI Php 715,195.85

Calamity Loan PSMBFI Php 48,109.00
Salary Loan Php 352,879.00
N/A N/A N/A
TOTAL LIABILITIES: Php 1,116,183.85
NET WORTH : Total Assets less Total Liabilities = -Php 1,009,183.85
* 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: January 31, 2024
N/A
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: PNP ID Government Issued ID: N/A

ID No.: 22K1400060 ID No.: N/A
Date Issued: November 14, 2022 Date Issued: N/A
SUBSCRIBED AND SWORN to before me this 2ndday of February 2024, affiant exhibiting to me the above-
stated government issued identification card.
PMAJ PEAL MANYLL L MARZO

Station Commander, PS1
(Person Administering Oath)
Page 2 of 2

2015 Saln Form

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2015 Saln Form

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Revised as of January 2015

Per CSC Resolution No. 1500088

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

DECLARANT: Fabellorin Jordan C POSITION: Patrolman

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

NAME DATE OF BIRTH AGE

ASSETS, LIABILITIES AND NETWORTH

DESCRIPTION KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION

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

DESCRIPTION YEAR ACQUIRED ACQUISITION

Cash on Bank/Cash on Hand 2024 Php 43,000.00

TOTAL ASSETS (a+b): Php 107,000.00

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Salary Loan PSSLAI Php 715,195.85

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

RELATIVES IN THE GOVERNMENT SERVICE

Date: January 31, 2024

Government Issued ID: PNP ID Government Issued ID: N/A

PMAJ PEAL MANYLL L MARZO

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