Public Official Asset Disclosure
Personal Information
Full Name
Position/Title
Office/Institution
Declaration Period
Period Covered
Date of Declaration
Assets
Real Estate
Vehicles
Securities (stocks, bonds, etc.)
Bank Accounts
Other Assets
Liabilities
Outstanding Debts/Loans
Interests
Business/Financial Interests
Outside Employment/Professional Activities
Other Interests/Connections
Additional Information
Additional Information or Comments
Signature
Signature