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, 2021
(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

DECLARA BACCAY RONALD G. POSITION: PATROLMAN

NT:
(Family (First Name) (M.I.) AGENCY/ SANTIAGO CITY POLICE
Name) OFFICE: OFFICE
ADDRESS BLOCK 3 LOT 17 OFFICE Camacam St., Victory Norte,
: PLARIDEL ADDRESS: Santiago City
SANTIAGO

SPOUSE: BACCAY MARICEL T. POSITION: PRIVATE TEACHER

(Family (First Name) (M.I.) AGENCY/ NONE

Name) OFFICE:
OFFICE NONE

ADDRESS:
ISABELA

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD

NAME DATE OF BIRTH AGE

MARK STEPHEN T. BACCAY MARCH 08,2006 15

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 YEAR MODE
Real Property)
use)

LOT RESIDENTIAL PLARIDEL, SANTIAGO P300,00.00 P400,00.00 2020 INSTAL P300,00.00

CITY LLMEN
T
HOUSE RESIDENTIAL PLARIDEL, SANTIAGO P1,000,00. P1,200,000.00 2020 CASH P1,300,000.00
CITY 00

Subtotal: P1,600,000.00
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT

FURNITURE 2020 P45,000.00

CAR/MOTORCYCLE 2018, , 2019 P 450,000.00
SAVINGS ON BANK 2019, 2020 P 460,000.00

Subtotal : P955,000.00

2,555.00
TOTAL ASSETS
(a+b):
* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE

SALARY LOAN AFPSLAI P 253,728.00

SALARY LOAN(MPL) AFPSSLAI P 449,370

TOTAL LIABILITIES: P 703,098

NET WORTH : Total Assets less Total Liabilities = P 700,543
* 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 3, 2022__________________

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

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

ID No.: 21D2900501 ID No.: B06-14-003101
Date Issued: 04/2/2021 Date Issued: 01/12/2018

SUBSCRIBED AND SWORN to before me this 3RD day of January, 2022, affiant exhibiting to me the above-
stated government issued identification card.

_______________________________________
(Person Administering Oath)

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