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Saln Form

The document is a sworn statement of assets, liabilities, and net worth for a public official, Gaa Danah C., as of December 31, 2024, required by R.A. 6713. It details personal properties valued at Php 86,000, liabilities totaling Php 926,000, resulting in a net worth of Php -840,000. Additionally, it includes information about the declarant's family, business interests, and relatives in government service.

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Danah Gaa
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0% found this document useful (0 votes)
37 views3 pages

Saln Form

The document is a sworn statement of assets, liabilities, and net worth for a public official, Gaa Danah C., as of December 31, 2024, required by R.A. 6713. It details personal properties valued at Php 86,000, liabilities totaling Php 926,000, resulting in a net worth of Php -840,000. Additionally, it includes information about the declarant's family, business interests, and relatives in government service.

Uploaded by

Danah Gaa
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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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, 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 GAA DANAH C. POSITION: TEACHER I


:
(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DepED-Buhaynasapa Integrated
National High School
ADDRESS: BUHAYNASAPA, SAN JUAN, BATANGAS OFFICE ADDRESS: Buhaynasapa, San Juan, Batangas

SPOUSE: 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


DAHLIA VIENNE G. REJOY SEPTEMBER 25, 2022 2 YRS OLD

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*

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

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

Subtotal: 0
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION


COST/AMOUNT

MIO SPORTY MOTORCYCLE 2019 Php 52,000.00


ACER LAPTOP 2019 Php 24,000.00
REDMI NOTE CELLPHONE 2022 Php 10,000.00
*NOTHING FOLLOWS*
Subtotal : Php 86,000.00
Php 86,000.00
TOTAL ASSETS (a+b):
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* Additional sheet/s may be used, if necessary.

Page 2 of 2
2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING


BALANCE

SALARY CHINA BANK SAVINGS Php 850,000.00


SALARY BDO ONE NETWORK Php 76,000.00
*NOTHING FOLLOWS*
TOTAL LIABILITIES: Php 926,000.00
NET WORTH : Total Assets less Total Liabilities = Php -840,000.00

* 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 BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF


ENTITY/BUSINESS INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
ENTERPRISE 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
NOVO P. GAA SR. FATHER ADMINISTRATIVE LOOC ROMBLON LOCAL GOVERNMENT UNIT
AID IV
*NOTHING FOLLOWS*

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 20, 2025

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

Government Issued ID: PRC Government Issued ID:


ID No.: 1607186 ID No.:
Date Issued: 01/09/2018 Date Issued:

SUBSCRIBED AND SWORN to before me this 20th day of January , affiant exhibiting to me the above-
stated government issued identification card.

__________________________
(Person Administering Oath)

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