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Income, Assets and Liabilities Declarations Summary

MDA: District: Province:
Status: Year:
Action MDA District Declarant Year Cash in Hand (Le)
A
Cash in Bank (Le)
B
Movable Assets (Le)
C
Immovable Assets (Le)
D
Other Assets (Le)
E
Securities (Le)
F
Total Assets (Le)
G=A+B+C+D+E+F
Outstanding Liability (Le)
H
Net Worth (Le)
G-H
Status Verifier V-Date Remark
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