Filing of Sworn Statement of Assets and Liabilities Under R.A. No. 3019

January 10, 1974 REVENUE MEMORANDUM CIRCULAR NO. 03-74 TO: All Internal Revenue Officers, Employees and others concerned For the information and guidance of all officials and employees of this Bureau, there is quoted hereinbelow Department Memorandum Circular No. 33-73 of the Honorable, the Acting Secretary of Finance dated December 3, 1973, which is self-explanatory: "DEPARTMENT MEMORANDUM CIRCULAR NO. 33-73 "TO : All Heads of Bureaus and Offices under the Department of Finance and Provincial and City Treasurers and Assessors and Municipal Treasurers "SUBJECT : Filing of sworn statement of assets and liabilities under Republic Act No. 3019 "Under Section 7 of Republic Act No. 3019, otherwise known as the Anti-Graft Law, every public officer is required to file with the office of the Department Head concerned his statement of assets and liabilities 'within thirty days after the approval of this act or after assuming office, and within the month of January of every other year thereafter, as well as upon the expiration of his term of office, or upon his resignation or separation from office.' In the case of a Department Head or chief of an independent office, the statement shall be filed with the Office of the President. "For the proper guidance of all concerned, it is hereby informed that public officers who filed their statements in January, 1972 are scheduled to file their new Sworn Statements of Assets and Liabilities within the month of January, 1974. Those who entered the service and assumed office sometime during the period since January 1, 1972, who are presumed to have filed their sworn statements of assets and liabilities within thirty days after assuming office, are also scheduled to file such statements in January, 1974. The statement shall cover the period from the day immediately following the date included in the employee's previous statements up to December 31, 1973. "For this purpose, there is hereby prescribed the attached form of 'Sworn Statement of Assets and Liabilities.' Sufficient number of copies of this form should be prepared by all offices concerned for the use of their respective officials and employees. "All concerned are hereby reminded that failure to file the required statements within the prescribed period is punishable by a fine of not less than P100 nor more than P1,000 or by imprisonment not exceeding one year, or by both such fine and imprisonment, at the discretion of the Court, or by dismissal from the service in proper administrative proceedings even if no criminal prosecution is instituted against the official or employee concerned, as provided in Section 9(b) of the law. "All heads of offices are enjoined to disseminate the contents hereof to the personnel under their respective jurisdiction for their strict compliance. "Provincial Treasurers shall transmit the contents of this circular to the municipal treasurers in their respective provinces for strict compliance. "The duly accomplished forms should be submitted in bunch to the Department during the month of January, 1974. "Strict compliance herewith is hereby enjoined. "(SGD.) PEDRO M. ALMANZOR "Acting Secretary" MISAEL P. VERA Commissioner of Internal Revenue TAN-1601-593-5 ANNEX Republic of the Philippines _______________________________ (Office) STATEMENT OF ASSETS AND LIABILITIES From _________________197__ to _________________197__ I, _____________________________________________, of the abovenamed office, (Surname)(Given Name)(Middle Name) Filipino, of legal age, married/single, residing at ________________________, born on _____________________________ at _________________________, after having been fully sworn, depose and state: I.That my assets and liabilities are as follows: A.ASSETS (Ex. Lot & house, book, furniture, appliances, jewelry, car, investments, cash on hand, bank deposits, receivables, etc.): KIND VALUE _____________________ P___________________ _____________________ ____________________ _____________________ ____________________ _____________________ ____________________ TOTAL P ================ B.LIABILITIES (Ex. Mortgage in favor of GSIS, PNB, DBP, other banks; loans being paid to creditors; other accounts payable, etc.): NATURE AMOUNT ______________________ P __________________ ______________________ ____________________ ______________________ ____________________ ______________________ ____________________ TOTAL P================ II.That my family income in the preceding two (2) years were as follows: NATURE SOURCE AMOUNT (Ex. Salary) (From where taken) ___________ _______________________ ____________ ___________ _______________________ ____________ ___________ _______________________ ____________ ___________ _______________________ ____________ TOTAL P========== III.That my family and personal expenses during the preceding two calendar years amounted P_______________ and P______________, respectively. IV.That the income taxes I paid for the two preceding calendar years amounted to: P____________ and _________________, respectively. V.That I am making this statement in compliance with section 7 of Republic Act No. 3019 as required of: (Check the number of the appropriate statement. _________1.a newly appointed or elected official or employee _________2.one already in the government service; or _________3.an official or employee resigning or otherwise leaving the government service. IN WITNESS WHEREOF, I have hereunto set my hand, this _______ day of _________________, 19___, in the City/Municipality of _____________________________________. _______________________ (Signature of Affiant) SUBSCRIBED AND SWORN to before me this _______ day of __________ 19____, affiant exhibiting to me his/her Residence Certificate No. A-____________, issued at _______________________ on ____________ 19____. _____________________ (Administering Officer) _____________________ (Position) _____________________ NOTES: 1.This form shall be submitted in TRIPLICATE. 2.For newly appointed or elected officials and employees, the statements re-income and expenses may cover only the calendar year next preceding his appointment or election, as the case may be. 3.For those leaving the service, the statement shall cover the period from the last statement submitted up to the date of separation. 4.If more spaces are required, the whole form may be reproduced in more sheets of legal-sized paper, provided the style of this form is followed. cdta