[ ADMINISTRATIVE ORDER NO. 104, February 26, 1955 ]
AMENDING ADMINISTRATIVE ORDER NO. 1, DATED JANUARY 5, 1954, BY MODIFYING THE FORM OF THE STATEMENT OF FINANCIAL ASSETS AND LIABILITIES REQUIRED TO BE SUBMITTED.
Sworn declaration of financial condition, assets and liabilities for the year ending _____, 195___, as required by Administrative Order No. 1, dated January 5, 1954.
I, __________, appointed to the position of _______ in the _______, declare under oath that, as of January 1, 195___, the following real and personal properties, bank deposits, interests (direct or indirect) in business, and other assets, as well as the liabilities and other obligations hereunder stated, appear in my name and/or in that of my wife (or husband):
Name Kind & Description Last Declaration This Declaration Increase (Decrease) ASSETS I Real Property ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ II Personal Property ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ III Investments ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ IV Bank Deposits and Other Savings ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ Total Assets ============ ============ ============ LIABILITIES I Accounts Payable ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ II Loans Payable ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ III Mortgage Payable ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ IV Other Obligations ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ ______________ Total Liabilities ============ ============ ============ Excess of Assets Over Liabilities ============ ============ ============SUBSCRIBED AND SWORN to before me this _____ day of _____, 195___, affiant exhibiting to me his/her residence certificate No. _____, issued at _______, on _______.
_____________________ (Officer administering oath)
Done in the City of Manila, this 26th day of February, in the year of Our Lord, nineteen hundred and fifty-five, and of the Independence of the Philippines, the ninth.
(Sgd.) RAMON MAGSAYSAY
President of the Philippines
By the President:
(Sgd.) FRED RUIZ CASTRO
Executive Secretary