Revised as January 2015

Per CSC Resolution No. 1500088

Promulgation on January 23, 2015

SWORN STATEMENT OF ASSETS,LIABILITIES AND NET WORTH

As of December 31, 2018
(Required by R.A. 6713)
Note: Husband and wife who are both public officials and employees may file the required statement jointly or separately.
Joint Filing Separate Filing Not Applicable

DECLARANT: REYES ROLANDO J POSITON: Patrol Officer

(Family Name) (First Name) (M.I.)
AGENCY/OFFICE : PCP 3 Tarlac City Police Station

ADDRESS : So. Lavista Brgy San Rafael Tarlac City OFFICE ADDRESS: Rizal St. Ext. Brgy Cut-Cut 1st Tarlac City

SPOUSE : _ _____________________________________ POSITON: _ ___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

_______________ __RAFFY REINIER REYES _____ ____________ _____ 12-20-98 _________ ____________20 _____________

_____IRISH KATHLEEN REYES / IVY KRISTINE REYES__________ _12-14-99 / 09-01-02 ___ ___ _19 / 16___ ___

__JHAYMER TRISTAN REYES / JHAEMERI HANICA REYES___ _06-20-09 / 06-29-10 _ __________9 / 8____________

_____________________________________________________________________________________________________________________________________________________________________________________

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 KINDS LOCATION ASSESSED VALUE CURRENT FAIR ACQUISITION ACQUISITION

(e.g.Lot,house,and (e.g. Residential, MARKET COST
Lot,Condominium and Commercial,industrial,agricu
improvement) ltural,and mixed use)
(As found in the Tax Declaration of Real YEAR MODE
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

REFRIGERATOR; COMPUTER SET ; TELEVISION; 1998; 1998; 2012; P42,700.00
KITCHEN UTENCILS 1998 P 7,000.00
WATCH; BRACELET; CELL PHONES; COLLEGE RING 2010; 2008; 2018; 2011 P85,000.00
MOTORCYCLES (SNIPER RUSI/CB110 HONDA) 2010/2015 P32,000 / P69,000

Subtotal: _P235,700.00_
TOTAL ASSETS (a+b) : ____________
2. LIABILITIES*
NATURE NAME OF CREDITORS OUTSTANDING BALANCE
P300,000.00; P150,000.00;
AFPSLAI SALARY LOAN; PSMBFI SALARY LOAN; AFFORDALOAN
P60,000
PSSLAI SALARY LOAN; AMWSLAI SALARY LOAN P150,000.00; P130,000.00

TOTAL LIABILITIES: _P790,000.00__

 NETWORTH:Total Assets less Total Liabilities = _- P555,000.00_

*Additional sheet/s may be used if necessary

SWORN STATEMENT OF ASSETS, LIABILITIES AND NET WORTH

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

(of Declarants/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

(of Declarants/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 RELATIVE RELATIONSHIP POSITION NAME OF AGENCY/OFFICE 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,networth 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 the government.

Date: February 4, 2019

_____________________________________________________ _______________________________________________________________

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

Government Issued ID: PNP ID Government Issued ID: ___________________________________________

ID No.: 16D200036 ID No.: __________________________________________

Date Issued: 04/20/2016 Date Issued: __________________________________________

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

PSUPT JOEL L MENDOZA

Chief Of Police