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, 2022
(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: ELCHICO MARSHA MAY G. POSITION: TEACHER I

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED-SAN FRANCISCO ES
ADDRESS: A. FERNANDEZ ST. BRGY. SAN ROQUE OFFICE ADDRESS:
PUROK I, BRGY. SAN FRANCISCO,
VICTORIA, LAGUNA 4011 VICTORIA, LAGUNA 4011

SPOUSE: ELCHICO ALEXANDER S. POSITION: TRICYCLE DRIVER

(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

XIAN BILLY G. ELCHICO SEPTEMBER 12, 2007 15
XEAN MARCO G. ELCHICO OCTOBER 8, 2020 2

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 KIND EXACT ASSESSED CURRENT ACQUISITION ACQUISITION

(e.g. lot, house and (e.g. residential, LOCATION VALUE FAIR COST
lot, condominium commercial, industrial,
and improvements) agricultural and mixed MARKET
use)
VALUE
(As found in the Tax Declaration of
Real Property)
YEAR MODE

NONE TO
REPORT

Subtotal:

b. Personal Properties*

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

CELLPHONE AND LAPTOP 2015 46,000

APPLIANCES 2014 70,000
TRICYCLE 2017 65,000
SHARE OF STOCKS 2018 60,000
PRINTER 2022 6,400

Subtotal : 247,400
TOTAL ASSETS (a+b): 247,400
* Additional sheet/s may be used, if necessary.

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2. LIABILITIES*

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

NONE TO REPORT N/A N/A

TOTAL LIABILITIES: 0
NET WORTH : Total Assets less Total Liabilities = 247,400.00

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 ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
NONE TO REPORT

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
NONE TO REPORT

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 9, 2023

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

Government Issued ID: PRC ID Government Issued ID:

ID No.: 1825667 ID No.:
Date Issued: January 2, 2020 Date Issued:

SUBSCRIBED AND SWORN to before me this _____ day of January 2023, affiant exhibiting to me the above-
stated government issued identification card.

(Person Administering Oath)

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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, 2022
(Sample additional sheet/s for the exclusive properties of the declarant’s spouse and unmarried children
below eighteen (18) years of age living in declarant’s household)

NAME: ELCHICO MARSHA MAY G. POSITION: TEACHER I

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED-SAN FRANCISCO ES

ASSETS, LIABILITIES AND NET WORTH

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)

NONE TO
REPORT

b. Personal Properties

DESCRIPTION YEAR ACQUIRED ACQUISITION

COST/AMOUNT

-NONE TO REPORT-

2. LIABILITIES

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

-NONE TO REPORT-

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION
-NONE TO REPORT-

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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, 2022
(Sample additional sheet/s for the declarant)

NAME: ELCHICO MARSHA MAY G. POSITION: TEACHER I

(Family Name) (First Name) (M.I.) AGENCY/OFFICE: DEPED-SAN FRANCISCO ES

ASSETS, LIABILITIES AND NET WORTH

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)

NONE TO REPORT

Subtotal: 0
b. Personal Properties

DESCRIPTION YEAR ACQUIRED ACQUISITION COST/AMOUNT

-NONE TO REPORT-

Subtotal : 0
TOTAL ASSETS (a+b): 0
2. LIABILITIES

NATURE NAME OF CREDITORS OUTSTANDING BALANCE

-NONE TO REPORT-

TOTAL LIABILITIES: 0

BUSINESS INTERESTS AND FINANCIAL CONNECTIONS

NAME OF ENTITY/BUSINESS BUSINESS ADDRESS NATURE OF BUSINESS DATE OF ACQUISITION OF

ENTERPRISE INTEREST &/OR FINANCIAL INTEREST OR CONNECTION
CONNECTION

-NONE TO REPORT-

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