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, 2019
(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: AYENTO CICILLE E. POSITION: Teacher III
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED
ADDRESS: PUROK 3, TALTAL OFFICE ADDRESS: TALTAL ES, MASINLOC
MASINLOC ZAMBALES ZAMBALES
SPOUSE: AYENTO JESSON S. POSITION: SECURITY OFFICER
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: EMME SECURITY GROUP, INC.
OFFICE ADDRESS: 8th FLOOR, STATE CENTER II
BUILDING, ORTIGAS AVENUE,
1550 MANDALUYONG CITY
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANT’S HOUSEHOLD
NAME DATE OF BIRTH AGE
JULIANNA CANDICE E. AYENTO OCTOBER 31, 2018 1 yr. and 3 mons.
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 TALTAL ELEMENTARY SCHOOL YEAR ACQUIRED ACQUISITION
MASINLOC, ZAMBALES COST/AMOUNT
MOBILE PHONE RECEIVED BY: 2013 P 7,000.00
FURNITURES MELINDA E. FIGUERREZ
2014 P 25, 000.00
CLOTHING School Principal I 2015 P 10,000.00
Date: February 04, 2020
JEWERLIES 2019 P 5,000.00
Subtotal : P 47, 000.00
TOTAL ASSETS (a+b): P 47,000.00
* Additional sheet/s may be used, if necessary.
Page 1 of _2__
2 . LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
SALARY LOAN EAST WEST RURAL BANK, INC. P 34, 216.82
CONSOL LOAN GSIS P 20, 198.70
TOTAL LIABILITIES: P 54, 415.52
NET WORTH : Total Assets less Total Liabilities = (P 7, 415.52)
* 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
SANDRA E. ELAD SISTER TEACHER I TALTAL NATIONAL HIGHSCHOOL-MASINLOC,
ZAMBALES
SHIELA E. ELAD SISTER ADMINISTRATIVE STA. CRUZ SOUTH DISTRICT-STA. CRUZ,
ASSISTANT III ZAMBALES
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: _FEBRUARY 04, 2020
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: PRC Government Issued ID: SSS
ID No.: 1080300 ID No.: 0625990728
Date Issued: 05-29-2019 Date Issued: 2007
SUBSCRIBED AND SWORN to before me this day of , affiant exhibiting to me the above-stated
government issued identification card.
ARNEL E. SERAFICA
Administrative Officer V
(Person Administering Oath)
Page 2 of _2__
Page 3 of _2__
