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(Form 1) 1994

SWORN STATEMENT OF ASSETS, LIABILITIES AND NETWORTH DISCLOSURE OF BUSINESS INTERESTS AND FINANCIAL CONNECTIONS AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE As of December 31, 2011 (Required by R.A. No. 6713)
Name: LABRADO, (Surname)
JOEL ARNOLD P.

Position/Income: ELECTRICIAN I /P113,496.11/A Office: Office Address:


CITY ENGINEERING OFFICE BRGY. 10, LAOAG CITY HALL

(First Name)

(M.I.)

Address: BRGY. 7-A, H.T. CID STREET


2900 LAOAG CITY, ILOCOS NORTE

SPOUSE NAME: LABRADO, EVELYN (Surname) (First Name)

MATEO (Middle Name)

POSITION: OFFICE:

ADMINISTRATIVE AIDE I CITY GENERAL SERVICES OFFICE

UNMARRIED CHILDREN BELOW 18 YEARS OF AGE

NAME JAY-VEE RICHARD M. LABRADO JOEL ARNOLD M. LABRADO, JR.


FRANCINE DALLE M. LABRADO

DATE OF BIRTH September 18, 1993 October 19, 1996


November 30, 2004

A. ASSETS, LIABILITIES AND NETWORTH 1. ASSETS a. Real Properties


Year Acquired Mode of Acquisition Nature or Property (Paraphernal, conjugal or community) Acquisition Cost Assessed Value Current Fair Market Value Land, Building, etc. Improvement

Kind

Location

N/A

Total Php b. Personal and Other Properties Kind /s JEWELRIES FURNITURE/FIXTURES OTHERS (Clothing, Appliances & cellphone) INVESTMENT Car Mitsubishi Lancer Motorcycle (Yamaha/XRM) 2. LIABILITIES (Loans, Mortgages, etc) Nature CONSO LOAN APL /G-Card Name of Creditors GLEDCO GLEDCO Amount 250,353.00 102,319.00 Year Acquired VARIOUS YEARS VARIOUS YEARS VARIOUS YEARS 2003 2003 Various years Acquisition Cost 20,000.00 10,000.00 30,000.00 88,000.00 150,000.00 75,000.00 Total Php 373,000.00

Total Php 352,672.00 NETWORTH (Total Assets (1a + 1b) less Total Liabilities (2)) TOTAL PHP 20,328.00

(Note: Please use additional forms/sheets of necessary.

Also please reproduce this form back to back.) B. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS Do you have any business interests and other financial connections including those of your spouse and unmarried children below 18 years of age living with you in your household? [ x ] YES [ ] NO If yes, give particulars. Name Name of Firm / Company Address Nature of Business Interests and / or Financial Connection Date of Acquisition or Connection

GLEDCO

Laoag City

Multi-purpose Cooperative

2003

C. IDENTIFICATION OF RELATIVE IN THE GOVERNMENT SERVICE In the best of your knowledge, are you related within the fourth degree of consanguinity or of affinity to anyone working in the government? [X] YES [ ] NO If yes, give particulars. Name
Evelyn M. Labrado JV Archie M. Labrado

Position
Administrative Aide I Administrative Aide II

Relationship
Husband Son

Name/Address of Office
City Gen. Services Office CMO-DPS

Dr. Imelda Tamayo Liberty A. Albano Marsha Lourdes Albano Ofelia Ll. Labrado

Rural Health Physician Project Devt Officer I Revenue Collection Clerk I RCC-I

Cousin Niece Niece Sister-in-law

CHO CPDO CTO-Market, Laoag City CTO-Market, Laoag City

I hereby to the best of my knowledge and information, that these are true statements of my assets, liabilities, net worth, business interests and financial connections, including those of my spouse and unmarried children below 18 years of age and names of my relatives in the government as of December 31, 2011, as required by and in accordance with Republic Act 6713.

I hereby authorize the Ombudsman or his 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 the government.

DATE:

MARCH 28, 2012

Signature of Spouse

Signature of Employee

TIN Com. Tax Cert. No. Issued at Date Issue

: 146-495-117_______ : 29659202 : Laoag City : January 17, 2012

TIN Com. Tax Cert. No. Issued at Date Issue

: : : :

168-016-281 29659201 Laoag City January 17, 2012

SUBSCRIBED AND SWORN TO before me this 28th his/her RESIDENCE TAX CERTIFICATE as indicated above.

day of

March

, 2012, affiant exhibiting

ATTY. MARLON WAYNE D.MANUEL (Person Administering Oath)

City Legal Officer

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