STATEMENT OF ASSETS, LIABILITIES, AND NET WORTH v1.

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I. ABOUT THE SALN
The SALN contains information about ownership of assets as well as ones liabilities. Every government employee, from the
President to every rank-and-file employee, is required by law to submit this form. The governing law is Republic Act No. 6713,
otherwise known as the Code of Conduct and Ethical Standards for Public Officials and Employees. The law is based on the
Constitutional provision that A public officer or employee shall, upon assumption of office and as often thereafter as may be
required by law, submit a declaration under oath of his assets, liabilities and net worth.

Liabilities and Penalties
You may note that you are not required to attach any documents to vouch or substantiate the information disclosed. However,
the SALN is made under oath. Falsification of information or failure to file or report information required to be reported may
subject you to disciplinary/criminal action. Knowing and willful falsification of information required to be reported may also
subject you to criminal prosecution.

Penalties under RA 6713 may be any of the following:
Imprisonment = five years or less
Fine = P5,000 or less
Dismissal from the service

Assistance in Filling Out the SALN
If you need assistance in completing the SALN form, contact the Integrated Records Management Office (IRMO) of the CSC at
telephone numbers 931-7981, 931-7987, 932-2293, and 951-4628, or email queries to salninfo@csc.gov.ph.

II. ABOUT THE BASELINE DECLARATION (BD)
This form is accomplished only once and should contain a comprehensive listing of the declarants Assets, Liabilities, Net
Worth, Business Interests, Financial Connections, and Relatives in Government.

Who Must File
All public officials
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and employees, whether regular or under temporary status, are required to file the SALN.

Who do not need to file
Public officials serving in an honorary capacity, without credit or pay;
Temporary laborers; and,
Casual or temporary (not in the regular plantilla of agency) and contractual workers.
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Under Section 2 (b) of Republic Act No. 3019, the term public officer includes elective and appointive officials and
employees, permanent or temporary, whether in the classified or unclassified or exempt service, receiving compensation, even
if nominal, from the government. Under Section 3 (b) of Republic Act No. 6713, the term public officials includes elective and
appointive officials and employees, permanent or temporary, whether in the career or non-career service, including military and
police personnel, whether or not they receive compensation, regardless of the amount.

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As implemented by Section 1.a. Rule VIII of the Rules Implementing the Code of Conduct and Ethical Standards for Public
Officials and Employees, as amended by CSC Resolution No. 06-0232 dated 1 February 2006.

When to File
New entrants must submit the BD within 30 days after assumption into office, to contain information as of the first day of
Government service. For incumbents, the BD must be submitted on or before April 30, 2008, to reflect information as of
December 31, 2007.

Where to File
Accomplish the forms in triplicate and submit the same to your Human Resource Management Office (HRMO), Personnel
Office, or Administration Office.

Further, under CSC Resolution No. 06-0231 dated February 1, 2006, the Chief/Head of the Personnel/Administrative Division
or Unit/HRMO shall transmit all original copies of the SALNs received, on or before June 30 of every year, to the concerned
offices, as indicated in the table of SALN Repository Agencies in the manual.

offices, as indicated in the table of SALN Repository Agencies in the manual.

Must all the forms in triplicate be originally signed?
Since your SALN will be submitted to various repository agencies, it is best to submit the accomplished SALN forms in
triplicate originals, that is, originally signed and originally subscribed on all three originals. Be sure to retain a copy of your
SALN and have the same received as proof of your SALN submission.

III. ABOUT USING THIS ELECTRONIC VERSION OF THE SALN (eSALN)
The eSALN is a Microsoft Excel version of the SALN which facilitates filling out and printing of the form. Make sure that Macros
are enabled to run when you open the eSALN template.

With Excel 2003, you can do this by first selecting your macro security level.
1. On the Tools menu, point to Macro, and then click Security.
2. On the Security Level tab, select Medium or Low. With the Medium setting, you'll be given an option to enable macros
when you open eSALN.

You also need to allow unsigned macros to run, the Trust all installed add-ins and templates check box must be selected on
the Trusted Publishers tab of the Security dialog box. This option is selected by default. If it is not selected (recommended),
Excel allows you to run only macros that have trusted digital signatures.

1. On the Tools menu, point to Macro, and then click Security.
2. On the Trusted Publishers tab, select the Trust all installed add-ins and templates check box.

With Excel 2007, when the Security Warning appears that Macros have been disabled, just click Options... and select Enable
this content.

The eSALN has three (3) worksheets or tabs: Instructions, BD, and BD Details. The Instructions sheet provides the guide to
the SALN and eSALN. The BD sheet contains the Baseline Declaration where Declarants should enter their basic information.
Information requiring computation should be placed in the BD Details sheet wherein they are automatically computed. For
example, when the Declarant clicks on the box besides Stocks under B.2.1., then a table is automatically added to BD Details
where the Declarant can type in the details.

SOME IMPORTANT TIPS:
Pop-up comments are situated throughout the form whenever there is a small red triangle. Simply hover your mouse on it to
see the comment.
You can quickly move from one field to the next by pressing TAB.
For entries which can be split into two lines, e.g. Address, press Alt-Enter to create a new line.

To download the latest version of the eSALN, go to http://www.csc.gov.ph/cscweb/saln.html
As of (Baseline Declaration)
*For Joint Filing , make 2 entries for Name, Position, Declarant's Annual Gross Salary, Name of Agency, and Office Address
* Annual Gross Salary refers to ALL amounts received by declarant from Government service
Name: Position: Company:
Year Cost (Php)
Total (Php) 0
Location of Real Property/
Cert. No. and Place of
Reg of Vehicle
Acquisition
(Not applicable to vehicles)
Assessed
Value (Php)
Mode
0 0
SWORN STATEMENT OF ASSETS, LIABILITIES, AND NET WORTH
DISCLOSURE OF BUSINESS INTERESTS AND FINANCIAL CONNECTIONS
AND IDENTIFICATION OF RELATIVES IN THE GOVERNMENT SERVICE (Required by R.A. No. 6713)
* Annual Gross Family Income refers to income of declarant, spouse, and declarant's children below 18 years of age living in declarant's household
Name of Agency/Office Office Address
1. Real Properties and Vehicles of Declarant/Spouse/Declarant's Children Below 18 Years of Age Living in the
Household of Declarant, regardless of amount
Kind of Real Property/
Type of Vehicle and
Plate No.
Estimated
Fair Market
Value (Php)
Date of Birth Date of Birth
Instructions for all assets : Declare assets whether the declarant/spouse/child is the legal owner (name appearing on the instrument of title) or the beneficial
owner (property is in the name of another person but ownership pertains to declarant/spouse/child, under a trust arrangement ).
Name Name
Spouse Information:
Annual Gross Family Income
Children of Declarant Below 18 Years of Age Living in Household of Declarant
Position Declarant's Annual Gross Salary
2. Investments, Other Personal Properties, and Liabilities of Declarant/Spouse/Declarant's Children Below 18
Years of Age Living in the Household of Declarant
A. DECLARANT'S PERSONAL INFORMATION AND EMPLOYMENT
B. ASSETS, LIABILITIES, AND NET WORTH
Last Name First Name Middle Name
Home Address
I have no vehicles to declare owned by me / my spouse / my children below 18 years of age living in my household
I have no real properties to declare owned by me / my spouse / my children below 18 years of age living in my household
I have no children below 18 years of age living in my household I am married I am not married
I have no investments to declare owned by me / my spouse / my children below 18 years of age living in my household
I have no personal properties to declare owned by me / my spouse / my children below 18 years of age living in my household
I have no liabilities to declare owned by me / my spouse / my children below 18 years of age living in my household
Joint Filing
Total (Php)
Total (Php) Total (Php)
B1 Total Real Properties and Motor Vehicles
B2.1 add: Total Investments
B2.2 Total Other Personal Properties
B2.3 deduct: Total Liabilities
Total (Php)
1
Acquisition costs of Real Properties and Vehicles, and Investments and Other Personal Properties; less outstanding balance of Liabilities
N/A
Trust funds
Mutual funds
N/A
Instructions : Declare each Asset Item (Investment and Other Personal Property) with a fair market value of Php 50,000 or more as of the date of declaration,
even if the same was acquired at no cost or at less cost. Declare each Liability Item with an outstanding balance of Php 50,000 or more as of the date of
declaration. Items with less value may be declared in lump sum as "Others." However, if "Others" amounts to more than Php 100,000, each item must be listed.
Put a check mark on the items to be declared, and make the corresponding entry for the actual Acquisition Cost or Outstanding Balance, as applicable.
Equity in partnerships
N/A
N/A N/A
Bonds
N/A
Instructions : Up to the 4th civil degree of relationship, either of consanguinity or affinity, including bilas, inso, and balae.
N/A
0
N/A
N/A
0
Loans from other institutions
N/A
N/A
N/A
Others
Furniture, antiques
B.2.2. Other Personal Property Acquisition Cost Outstanding Balance
N/A
N/A Judgment debts
Surety liabilities
N/A
Educational plans (premiums paid) Others N/A
Others
N/A
N/A
B.2.3. Liability
Intellectual properties
Equity in installment purchases
N/A
N/A
B.2.1. Investment Item
Stocks (equity paid)
Acquisition Cost
N/A Pre-need plans (premiums paid)
Acquisition Cost
0
Money market placements
Time deposits
N/A
Options N/A
B.2.1. Investment Item
Instructions : Declare each item which generates gross annual receipts of Php 50,000 or more . Items with less value may be declared in lump sum as "Others."
However, if "Others" amounts to more than Php 100,000, each item must be listed.
Reference Section
0
0
0
Net Worth At Historical Value
1
(Php)
0
N/A
N/A
Name of Entity
Relationship Position
Address
Name of Relative
N/A
Office/Address
C. BUSINESS INTERESTS AND FINANCIAL CONNECTIONS OF DECLARANT/ SPOUSE/
DECLARANT'S CHILDREN BELOW 18 YEARS OF AGE LIVING IN THE HOUSEHOLD OF
DECLARANT
0
Date of Declarant, Spouse, or
Private insurance (premiums paid)
Personal loans
Bank loans
Accounts payables
GSIS, PAGIBIG loans
Cash on Hand/Bank accounts
Receivables
Deposits/advanced payments on
leases/rentals
N/A
N/A
N/A
Jewelry
Nature of Business
Connection
Child (Put Name)
N/A
Mortgage payables
Guaranty liabilities
Interest/Financial
Connection
Acquisition/
3. Net Worth: Declarant/Spouse/Declarant's Children Below 18 Years of Age Living in Declarant's Household
D. DECLARANT'S RELATIVES IN THE GOVERNMENT
I have no liabilities to declare owned by me / my spouse / my children below 18 years of age living in my household
I have no business interests and financial connections to declare pertaining to me / my spouse / my children below 18 years of age living in my household
I don't know of any relatives in Government
Declarant's Signature: Date: TIN:
Community Tax Cert No: Issued In: Issued On:
Notes to Sworn Statement of Assets, Liabilities, and Net Worth, Disclosure of Business Interests and Financial Connections,
I hereby certify to the best of my knowledge and information that these are complete and true statements of my assets, liabilities, net worth,
business interests, and financial connections, including those of my spouse and my children below 18 years of age living in my household, and the
names of my relatives in the Government, as of ________________, as required by and in accordance with Republic Act No. 6713. I further certify
that no assets, liabilities, business interests, financial connections, and relatives in the Government other than those declared herein are known to
me, my spouse, and my children below 18 years of age living in my household.
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 such assets, liabilities, net worth, business interests, and financial
connections, including those of my spouse and my children below 18 years of age living in my household, covering previous years, including the
year I first assumed office in Government.
(Person Administering Oath)
E. STATEMENT
I further undertake to produce all supporting documents for each of the entries herein made when required.
SUBSCRIBED AND SWORN TO before me on this _______ day of ________________________, 20_____, affiant(s) exhibiting his/her/their
Community Tax Certificate(s) as indicated above.
and Identification of Relatives in the Government Service:
B.2.1. INVESTMENT ITEM
Option to Declare: Investments (If total of all items with FMV less than Php 50,000 is Php 100,000 or less)
B.2.2. OTHER PERSONAL PROPERTY
Option to Declare: Other Personal Properties (If total of all items with FMV less than Php 50,000 is Php 100,000 or less)
B.2.3. LIABILITIES
Option to Declare: Liabilities (If total of all items with OB less than Php 50,000 is Php 100,000 or less)
ANNUAL GROSS FAMILY INCOME
Income Source Annual
Income
Annual Gross Salary
Declarant 0
Income from Real Properties and Vehicles
Income from Investment Items
Bonds
Mutual funds
Trust funds
Private Insurance
SALN BASELINE DECLARATION DETAILS
for
as of
Instructions : This BD Details worksheet will assist you in calculating the totals that you would need in the main BD form. It has four (4) main
sections:
1) B.2.1. Investment Item
2) B.2.2. Other Personal Property
3) B.2.3. Liability
4) Annual Gross Family Income
Some sections have a Help button that will show/hide the associated procedure in coming up with the calculations.
If you would like to put a comment or justification for an item, write down a number at the Reference Note and write down a corresponding
description at the Notes section at the bottom of the main BD form.
Type of Income
Do not declare these items in the SALN at all
Declare in lump sum as Others (Items reclassified to Others will be marked with an asterisk *)
Declare in the respective kind of asset
Do not declare these items in the SALN at all
Declare in lump sum as Others (Items reclassified to Others will be marked with an asterisk *)
Declare in the respective kind of liability
Do not declare these items in the SALN at all
Declare in lump sum as Others (Items reclassified to Others will be marked with an asterisk *)
Declare in the respective kind of asset
Educational plans
Pre-need plans
Time deposits
Money market placements
Equity in partnerships
Options
Income from Other Personal Properties
Cash on hand/Bank accounts
Receivables
Deposits/advanced payments on leases/rentals
Furniture/antiques
Jewelry
Equity in installment purchases
Intellectual properties
Income from Liability
Personal loans
Bank loans
Accounts payables
GSIS, PAGIBIG loans
Mortgage payables
Surety liabilities
Guaranty liabilities
Judgment debts
Income from Business Interests and Financial Connections
Income from Other Sources
TOTAL 0