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 ________________________________
(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: POSITION: Attorney V

Gonzaga Rey Daniel N AGENCY/OFFICE: Parole and Probation
Administration
ADDRESS: 33 Neptune St., OFFICE ADDRESS: DOJ Agencies Bldg., Nia road
Brgy., San Isidro, corner East Ave., Diliman, Quezon
Taytay, Rizal City

SPOUSE: POSITION: Chief Parole Officer

Opina-Gonzaga Ronalyn M AGENCY/OFFICE: Board of Pardons and Parole
OFFICE ADDRESS: DOJ Agencies Bldg., Nia road
corner East Ave., Diliman, Quezon
City

UNMARRIED CHILDREN BELOW EIGHTEEN (18) YEARS OF AGE LIVING IN DECLARANTS HOUSEHOLD
NAME DATE OF BIRTH AGE
Ryeona Oliva O. Gonzaga December 22, 2015 1 year and 3
months

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*

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,
(As found in the Tax Declaration of
and improvements) agricultural and mixed YEAR MODE
use) Real Property)

House Residentia 33 Neptune St., 201 Sale 658,840.00

and Lot l Brgy., San 82,720. 560,870.0 4
Isidro, Taytay, 00 0
Rizal

Subtotal: 658,840.00
b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

Motor Vehicle 2014 780,000

Motorcycle 2016 48,000
Savings Account (BDO) 2013 up to present 50,000.00
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Joint Savings Account (BDO) 2017 17,000.00
Savings Account (PSBANK) 2014 5,000.00
Savings Account (Coop) 2015 up to present 37,000.00
Electronic gadgets, clothes, jewelries, shoes and 2017 70,000.00
other personal effects

Subtotal : 1,007,000.00

TOTAL ASSETS (a+b): 1,665,840.00

* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

Loan (Motor Vehicle) PSBANK 252,000.00

Loan (Personal) Landbank 212,015.99
Loan (Credit Card) BDO 14,762.00
Loan (Credit Card) Metrobank 52,877.68
TOTAL LIABILITIES: 531,655.67
NET WORTH : Total Assets less Total Liabilities = 1,134,174.33
* 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 ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
Funeraria ni Angelo 33 Neptune St., Brgy. San Consultant 2016
Isidro, Taytay, Rizal

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
Ronalyn M. Opina-Gonzaga Wife Chief Parole Department of Justice-Board of Pardons and Parole
Officer

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: April 5, 2017

Rey Daniel N. Gonzaga Ronalyn M. Opina-

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

Government Issued ID: IBP ID Government Issued ID:

ID No.: 59295 ID No.:
Date Issued: April 18, 2012 Date Issued:

SUBSCRIBED AND SWORN to before me this 5th day of April 2017, affiant exhibiting to me the above-stated
government issued identification card.

Lorna A. Yumul
Deputy Administrator, CESO III
(Person Administering Oath)

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