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ANNEX A AUTHORITY TO DEDUCT

In view of my housing loan with the HOME DEVELOPMENT MUTUAL FUND, otherwise known as the Pag-IBIG-Fund, in the amount of in PESOS__________________________________(P_______________), I hereby authorize my employer, ________________________________, to deduct from my monthly salaries/wages/allowances the amount of PESOS ________________________________ (P_________________), representing the monthly amortization beginning and remit the same to Pag-IBIG Fund. It is understood that this Authority shall continue to be in effect as long as I am employed with the corporation or until said load is fully paid. In the meantime that my authorization is not remitted yet to Pag-IBIG Fund, I will be paying first my monthly amortization directly to Pag-IBIG fund to avoid penalty charge. _________________________ Borrower (Signature over printed name) _________________________ Address of Employee _________________________ Telephone No. _________________________ _________________________ Provincial Address/Tel No. CONFORME:

______________________ Employer By:

Character References/Tel No/ Address

Authorized Representative

(Address of Employer)

Employer Telephone No. RECEIVED BY:

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