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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:
PN number:
Name of Borrower:
Name of Co-Borrower:

Address of Borrower:
Address of Co-Borrower:
_________________________________________________________________________________________________________________________________________________________

I) APPROVED AMOUNT
PHP 100,000.00
II) FINANCED AMOUNT
Service and agent Fees
Total financed amount
+PHP 9,500.00
PHP 109,500.00
III) INTEREST AND CHARGES
Interest at 1.5% per month for 7 months from Tue Feb 15 2022 to Thu Sep 15 2022
(IRR equivalent of 2.2601%)

Total interest payable
Total promissory note
+PHP 11,497.50
PHP 120,997.50

IV) SCHEDULE OF PAYMENT
Total Installment payment payable in SIX (6) installments
With monthly payment of Php 20,166.25 each installment

Months
1
2
3
4
5
6
7
Due Date
March 15, 2022
April 15, 2022
May 15, 2022
June 15, 2022
July 15, 2022
August 15, 2022
September 15, 2022
Amortization
-
Php20,166.25
Php20,166.25
Php20,166.25
Php20,166.25
Php20,166.25
Php20,166.25

V) PENALTY
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


_______________________
Borrower
_______________________
Coborrower


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._____;