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FLS010

Pag-IBIG MULTI-PURPOSE LOAN APPLICATION FORM (MPLAF)
(TO BE FILLED OUT BY APPLICANT)
LAST NAME FIRST NAME

APPLICATION No.

Type or print entries MIDDLE NAME MAIDEN NAME (For married women) DESIRED LOAN AMOUNT MAX OF 60% (24-59 MOS.) MAX OF 80% (AT LEAST 120 MOS.) MAX OF 70% (60-119 MOS.) OTHER AMOUNT, PLS. SPECIFY _______________ HOME ADDRESS (Pls. indicate complete address) GENDER CIVIL STATUS EMPLOYEE No. MALE SINGLE WIDOW/ER ANNULLED FEMALE MARRIED LEGALLY SEPARATED MOTHER 'S MAIDEN NAME MOBILE PHONE No. HOME TEL. No. TIN

BIRTHDATE mm dd

BIRTHPLACE yyyy

Pag-IBIG ID No.

SSS/GSIS ID No.

COMPANY/EMPLOYER NAME

COMPANY/EMPLOYER ADDRESS (Pls. indicate complete address)

FOR AFP EMP-SERIAL/ACCOUNT No. FOR …show more content…

However, should we deduct the monthly amortization due from the applicant 's salary but failed to remit it on due date, this office agrees to pay the corresponding penalties equivalent to 1/2% of any unpaid amount for every month of delay.

__________________________________
Signature of Applicant over Printed Name COM. TAX CERT. NO. _______________________ ISSUED ON _____________ AT _______________

________________________________________________ DESIGNATION

LEFT THUMBMARK OF APPLICANT

RIGHT THUMBMARK OF APPLICANT

______________ EMPLOYER SSS/ GSIS NO.

_______________ AGENCY CODE

______________ BRANCH CODE

PROMISSORY NOTE
For value received, I promise to pay on due date without need of demand to the order of Pag-IBIG Fund with principal office at the Atrium of Makati, Makati Ave., City of Makati the sum of Pesos: (P_______________) Philippine Currency, with the interest rate of 10.75% p. a. for the duration of the loan. I hereby waive notice of demand for payment and agree that any legal action, which may arise in relation to this note, may be instituted in the proper court of Makati City. Finally, this note shall likewise be subject to the following terms and conditions: 1. The borrower shall pay the amount of Pesos: _______________________________ (P_______________) through payroll deduction over a period of 24 months. In case of resignation/separation

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