Statement of Assets, Liabilities and Net Worth Form
This document is a required statement of assets, liabilities, net worth, and disclosure of business interests and financial connections as mandated by R.A. Nos. 3019 and 6713. It includes sections for reporting applicable information if both spouses are public officials or employees and can be filed jointly or separately. The form captures comprehensive financial data and requires detailed verification and certification.
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How do I fill this out?
To fill out this form, gather all necessary personal and financial information beforehand. Ensure you have details about your assets, liabilities, net worth, business interests, and any involved relatives in government service. Follow the instructions carefully and provide accurate data as required by the form.
How to fill out the Statement of Assets, Liabilities and Net Worth Form?
1
Gather all necessary personal and financial information.
2
Provide details about assets, liabilities, and net worth.
3
Include business interests and financial connections.
4
List any relatives in government service.
5
Verify information and certify the form by signing and dating.
Who needs the Statement of Assets, Liabilities and Net Worth Form?
1
Public officials required by law to declare their assets, liabilities, and net worth.
2
Government employees who need to disclose their financial information.
3
Spouses of public officials who must file their statements jointly or separately.
4
Individuals who need to report on business interests and financial connections.
5
Those who have relatives in government service and must list them in the disclosure.
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What are the instructions for submitting this form?
To submit this form, complete all required sections and gather supporting documents. Email the filled-out form to the designated government office address or submit via an online submission portal if available. You can also mail the completed form to the physical office address provided. Contact the specific government office for further details on submission requirements and deadlines to ensure compliance.
What are the important dates for this form in 2024 and 2025?
Important dates for this form include the annual deadline of December 31, 2024, and December 31, 2025, for submission as per legal requirements.
What is the purpose of this form?
The purpose of this form is to ensure transparency and accountability among public officials and employees by systematically declaring assets, liabilities, net worth, and financial connections. This declaration is mandated by Republic Act Nos. 3019 and 6713, emphasizing integrity in public service and helping identify potential conflicts of interest. Accurate and comprehensive disclosure promotes public trust and upholds ethical standards within government operations.
Tell me about this form and its components and fields line-by-line.
- 1. Name: Enter your full legal name, including surname, first name, and middle initial.
- 2. Position: Specify your current government position or title.
- 3. Office Address: Provide the complete address of your place of work.
- 4. Spouse Information: Enter details of your spouse's full name, position, and office address if applicable.
- 5. Unmarried Children: List children below 18 years living with you, along with their names and birthdates.
- 6. Real Property: Disclose details about real property such as land and buildings, including acquisition information and assessed/fair market values.
- 7. Personal Property: Provide information on personal assets, including tangible and intangible properties.
- 8. Liabilities: Declare any outstanding liabilities, including the nature and balance due.
- 9. Gross Income: State comprehensive information about all sources of income for the preceding calendar year.
- 10. Business Interests: Detail any business interests and financial connections, including the entities involved and dates of acquisition.
- 11. Relatives in Government: List any relatives within the government service up to the 4th civil degree of relationship.
- 12. Certification and Signature: Certify the accuracy of provided information and affix signatures for verification.
What happens if I fail to submit this form?
Failing to submit this form can result in legal consequences and administrative penalties. Ensuring timely and accurate submission is critical.
- Legal Penalties: Non-submission may lead to legal actions under applicable laws.
- Administrative Sanctions: You may face suspension or disciplinary actions from your government position.
How do I know when to use this form?
- 1. Annual Submission: Submit this form annually to comply with legal requirements.
- 2. Changes in Financial Status: Use this form to update any significant changes in your financial status during the year.
- 3. Incoming Public Officials: Provide declarations upon initial assumption of public office.
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