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MPL_Form

MPL_Form

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Published by: sumadero on Jan 04, 2011
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01/04/2011

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FAMILY NAME FIRST NAME MIDDLE NAME MAIDEN NAME
(IF MARRIED)
LOAN PURPOSEHOUSINGRELATEDNON-HOUSINGRELATEDHOME ADDRESS (
ls. indicate complete address)
OMPANY/EMPLOYER NAME
 
FOR AFP EMP-SERIAL/ACCOUNT No.FOR DECS EMP - DIV. CODE/STATION CODE/EMPLOYEE No.OFFICE TEL. NO.COMPANY/EMPLOYER ADDRESS
(Pls. indicate complete address)
TYPE OF LOANNEW RENEWAL 
Pag-IBIG MULTI-PURPOSELOAN APPLICATION
TO BE FILLED-IN BY APPLICANT)
Type or print entriesHEAD OF OFFICE OR AUTHORIZED
(Signature over printed name)
EMPLOYMENT HISTORY FROM DATE OF Pag-IBIG MEMBERSHIP
(Use another sheet if necessary)
DATE OF Pag-IBIG MEMBERSHIP
In consideration of the loan that may be granted by virtue of this application subject to the pertinent provisions of the ImplementingRules and Regulations of the Home Development Mutual Fund (Pag-IBIG Fund), I hereby authorize my present employer _______  ______________________________ or any employer with whom I may get employed in the future, to deduct the monthly Pag-IBIGcontribution and amortization due from my salary and remit the same to Pag-IBIG Fund. If my employer fails to deduct the monthlyamortization due from my salary or if deducted, fails to remit the same on due date, I under stand that I shall pay a penalty of one-half ercent (1/2%) of any unpaid amount for every month of delay.I further authorize said employer to deduct the outstanding balance of my multi-purpose loan from my retirement and/or separationay and remit the same to Pag-IBIG Fund. This authorization is irrevocable until such time that the said loan is fully paid.
This ofce agrees to collect the corresponding monthlyamortizations on this loan and the monthly Pag-IBIGcontributions of herein applicant through payroll deductiontogether with the Pag-IBIG employer counterpartcontributions and remit said amounts (if applicable) toPag-IBIG Fund on or before the ___________ day of everymonth for loan amortizations and ________________ of the month for contributions, for the duration that the loan remains outstanding.
In the event my retirement and/or separation pay is not sufcient to settle the outstanding balance of my multi-purpose loan or myemployer fails, for whatever reason, to deduct the same from said retirement and/or separation pay in settlement of the outstandingbalance of my multi-purpose loan, I hereby authorize Pag-IBIG Fund to apply whatever benets are due me from the Fund to settlesaid obligation.I certify that the information given and any or all statements made herein are true and correct to the best of my knowledge and belief.I hereby certify under pain of perjury that my signature and thumbmarks appearing herein are genuine and authentic.
Signature of Applicant over Printed Name
EMPLOYER SSS/ AGENCY CODE BRANCH CODEDESIGNATIONOM. TAX CERT. NO.ISSUED ON AT
ROMISSORY NOTE
1.The borrower shall pay the amount of Pesos: _________________________________ (P_______________) through payroll deduction over a period of twenty-four (24) months.In case of resignation/separation from the employer by the borrower prior to full paymentof this loan, monthly/full payments should be made directly to the Pag-IBIG Fund ofcewhere the loan was released.2.Payments are due on or before the _______________________ of the month starting on _________________________ and twenty-three (23) succeeding months there af ter.3.Payments made by the borrower after due date shall be applied in the following order of riorities: Interest, rst; principal, second.4.A penalty of one-half percent (1/2%) of any unpaid amount shall be collected from theorrower for every month of delay. Penalties shall be computed upon occur rence of the delay but shall be charged only upon renewal/full payment.
Signed in the presence of:
Witness
Signaure of Applican over Prined Name
For value received, I promise to pay on due date without need of demand to the order of Pag-IBIG Fund with principal ofce at the Atrium of Makati, Makati Ave., City of Makati the sumof Pesos:(P_______________) Philippine Currency, with the interest at the rate of 10.75% per annumuntil fully paid.I hereby waive notice of demand for payment and agree that any legal action which may arisein 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:(
ignature over Printed Name
LAIMS
PARTICULARS
CLAIM/HOUSING LOAN/STL VERIFICATION
DETAILS VERIFIED DATE
HIS PORTION IS FOR Pag-IBIG FUND USE ONLY
(
ignature over Printed Name
HDMF
P2-1
APPLICATION No.
BIRTHPLACEBIRTHDATE
 
Pag-IBIG ID No.HOME TEL. No.EMPLOYEE No.SS/GSIS ID No.EX
o
MALE
o
FEMALETATUS
o
SINGLE
o
MARRIED
o
WIDOWED
o
LEGALLY SEPARATEDMOTHER'S MAIDEN NAME
(For female married members only)
 .The borrower shall be considered in default in case one or more of the following eventsoccur:a.Failure on the part of the borrower to pay any three (3) consecutive monthly amortizations.b.Any misrepresentation made by the borrower in any of the documents executed in connection herewith.c.Failure of the borrower to pay any three (3) consecutive Pag-IBIG member shipcontributions.d.Any violation made by the borrower on existing policies, rules or guidelines onmembership promulgated by Pag-IBIG Fund..In the event of default, the outstanding loan balance, all accrued inter ests, fees, penaltiesand charges shall immediately become due and demandable and shall be deducted from the total accumulated value credited to the borrower..In case of termination of membership prior to complete payment of the loan, no claimfor provident benet shall be paid to the borrower or his beneciar ies until after the full satisfaction of any amount arising from this note which remains unpaid as of the date of such termination..In case of falsication, misrepresentation or any similar acts committed by the borrower,Pag-IBIG Fund shall automatically suspend his loan privileges indenitely. The borrower shall abide with all the applicable rules and regulations governing this lending program
DV/CHECK No.DATE FILED
 
NONE WITH
 
APPLICATION AGREEMENT
SIS ID NO.RIGHT THUMBMARK OFAPPLICANTLEFT THUMBMARK OFAPPLICANT
 
TIN No.
IN THE EVENT OF THE APPROVAL OF MY APPLICATION FOR MULTI-PURPOSELOAN, I HEREBY AUTHORIZE Pag-IBIG FUND TO CREDIT MY PROCEEDSTHROUGH MY PAYROLL BANK ACCOUNT THAT I HAVE INDICATED ON THISRIGHT PORTION.
SIGNATURE OF APPLICANT
EMBER'S PAYROLL BANK ACCOUNT NO.NAME OF BANK/BRANCH
(Where member maintains payroll account)
BANK ADDRESS
REVIEWED BY DATE
HIS FORM CAN BE REPRODUCED. NOT FOR SALE
DISAPPROVED BY DATE
APPROVAL
APPROVED BY DATE
 
VERIFIED DATEPag-IBIG SHORT TERM LOANS AVAILED
KASIPAGAN/EMERGENCY/PROVIDENTMPL
APPLICATION No.DV No.
(Revised 7/2002)
 
NAME OF EMPLOYER ADDRESS FROM
(Mo.Yr.)
 

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