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 ___2024_________________
(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 MUSTAPHA ABDULKHALIL A. POSITION: Teacher 1
:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED/Arakan Elementary School
ADDRESS: Manubuan Matalam Cotabat OFFICE ADDRESS: Arakan, Matalam, Cotabato
o
SPOUSE: PANOLIMBA ROSEMIA G. POSITION: N/A
(Family Name) (First Name) (M.I.) AGENCY/OFFICE:
OFFICE ADDRESS:
UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS
HOUSEHOLD
NAME DATE OF BIRTH AGE
Zajil Raem P. Mustapha August 14, 2018 6 y/o & 5 mos.
Zabeh Raz P. Mustapha February 11, 2023 1 y/o & mos.
Zeke Rajin P. Mustapha January 10, 2025 2 Weeks
ASSETS, LIABILITIES AND NETWORTH
(Including those of the spouse and unmarried children below eighteen (18)
years of age living in declarants household)1. ASSETS
a. Real Properties*
DESCRIPTIO KIND EXACT ASSESSED CURRENT FAIR ACQUISITION ACQUISITION
N (e.g. residential, LOCATION VALUE MARKET COST
commercial,
(e.g. lot, house and industrial, agricultural VALUE
lot, condominium and mixed use) (As found in the Tax Declaration of
and improvements)
Real Property)
YEAR MODE
House Residential Purok,7 brgy. 201 Purcha 170,000
Manubuan, 9 sed
Matalam
Lot Farmlot Manubuan, 201 Purcha 600,000
Matalam, 9 sed
Kitulaan Carmen,
Subtotal: 770,000
b. Personal Properties*
DESCRIPTION YEAR ACQUIRED ACQUISITION
COST/AMOUNT
Gadgets 2019-2022 36,000
Personal belongings 2020-2023 10,000
PC unit 4pcs 2020-2023 60,000
Motorcycle 2023-2024 80,000
Subtotal : 186,000
956,000
TOTAL ASSETS (a+b):
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* Additional sheet/s may be used, if necessary.
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2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING
BALANCE
SALARY LOAN BDO NETNETORK BANK 21,000
FARM INPUTS COSUCECO 41,000
SALARY LOAN ADOFELS 50,000
TOTAL LIABILITIES: 112,000
NET WORTH : Total Assets less Total Liabilities = 844,000
* Additional sheet/s may be used, if necessary.
BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
(of Declarant /Declarants spouse/ Unmarried Children Below Eighteen (18) years of Age Living in Declarants Household)
I/We do not have any business interest or financial connection.
NAME OF BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF
ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE CONNECTION
Piso wifi/pisonet Manubuan, Matalam Internet 2020-2023
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
SABAYA M. MAMENTO NEPHEW Brgy. Kagawad BLGU BULOL PIKIT, SGA BARMM
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: ________01/21/2025___________________
(Signature of Declarant) (Signature of Co-Declarant/Spouse)
Government Issued ID: PRC Government Issued ID: PRRC
ID No.: 1402811 ID No.: 1934545
Date Issued: 12/11/2015 Date Issued: 08/22/2022
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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