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: Samillano Ilyn Jinky S. POSITION: Guidance Counselor III

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED/ Antique Vocational School
ADDRESS: Progreso Street, Brgy. Ilauod Bugasong OFFICE ADDRESS: Ilaya, Bugasong. Antique
Antique

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

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: N/A
OFFICE ADDRESS: N/A
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,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

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

Subtotal:
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

CASH IN BANK (BDO, BPI) 2024 40, 000

Motorcycle 2023 80, 900
Mobile Phones 2022 29,000
Home Appliances/Furniture Various Years 220, 993
Subtotal : 370, 893
370, 893
TOTAL ASSETS (a+b):
* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Special Installment Plan BDO 35,000

Special Installment Plan BPI 7, 463.34
Aircon Installment ABENSON 23, 831.50
TV Appliance Installment DU EK SAM, INC. 34, 575
Laptop Installment MICROVALLEY -SM 23, 996.68
TOTAL LIABILITIES: 124,866.52
NET WORTH : Total Assets less Total Liabilities = 246,026.48
* 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
Ivor Jerald V. Sapalo Brother Police Master Sergeant PNP-RCSU 6
Cyndy Sol G. Rodrigo Sister-in-Law Ecosystems Management DENR-RO 6
Specialist II
Dulceña V. Tuazon Aunt Administrative Assistant I ANTIQUE HALL OF JUSTICE

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: May 23, 2024

Ilyn Jinky. S. Samillano Arjay A. Samillano

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

Government Issued ID: PRC License Government Issued ID: Driver’s License
ID No.: 004593 ID No.: N01-19-057434
Date Issued: October 20, 2023 Date Issued: November 14, 2019

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

_______________________________________
(Person Administering Oath)

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