DISCLOSURE
STATEMENT OF LOAN / CREDIT TRANSACTION
(As required under R.A. 3765, Truth in Lending Act)
PN number:
Name of Borrower:
Name of Co-Borrower:
Address of Borrower:
Address of Co-Borrower:
Service and agent Fees
Total financed amount
III) INTEREST AND CHARGES
Interest at 0% per month for 0 months from Fri, 06/13/2025 to Fri, 06/13/2025
Total interest payable
Total promissory note
Total Installment payment payable in 0 installments
With monthly payment of Php NaN each installment
Months
Due Date
Amortization
Continuing Interest on overdue installment
Added penalty on overdue installment
Continuing Interest on overdue installment
1.5% per month
3.5% per month
5.0% per month compounding per day
I/We, acknowledge receipt of a copy of this statement prior to the consummation of the loan transaction and I/We fully understand and accept the terms and conditions stated herein
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Borrower (Signature over printed name)
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Co-Borrower (Signature over printed name)
SUBSCRIBED AND SWORN TO before me this ___________________, at ___________________, affiant having exhibited her Community Tax Certificate No. _______________ issued on _____________ at ______________ and her Govt.-issued I.D. _______________ issued on ________________ at _________________, as competent evidence of her identity.
Doc. No. _____;
Page No._____;
Book No._____;
Series No._____;
