Form No.
5
In receiving items on deposit, this company Philippine Trust Company
obligates itself only as the depositor’s agent, assuming _________________Branch
no responsibility beyond carefulness in selecting
correspondents and until such time as actual
payments shall have come into its possession reserves (NAME) _____________________________
the right to charge back to the depositor’s account any THIS IS A RECEIPT FOR YOU WHEN VALIDATED
amounts previously credited. The provision of Article This DEPOSIT is made and accepted subject to
Rec.
1250 of the Civil Code is not applicable to this deposit. By conditions set forth on the back hereof
MACHINE Print
The depositor understands that the Bank may
make mistakes in good faith in the handling of the (TELLER)
depositor’s account. Except in cases of bad faith the (DATE) (Tele Number) (Receipt Number) (Philippine Currency)
depositor will not hold the bank liable for mistakes
due to negligence. (BELOW IS BANK COPY)
Philippine Trust Company
DEPOSITED FOR CREDIT OF _________________Branch
CHECKING ACCOUNT DEPOSITS
Philippine Trust Company
SAVINGS ACCOUNT
(NAME) _______________________________
Bank No. ____________ 19 ____ FOR CHECKS ONLY (PLEASE LIST CHECKS SEPERATELY)
CHECKS OF OTHER BANKS IN METRO MANILA
PESOS CENTAVOS
BANK CHECK NUMBER AMOUNT
TOTAL ₱
OUT OF TOWN CHECKS AMOUNT ₱
PESOS BANK CHECK NUMBER
Old Balance ₱________ ₱
Deposit ₱________ PTC CHECKS MANILA AND
BANK CHECK NUMBER AMOUNT
New Balance ₱_______
___________________
Signature of Depositor ₱
TOTAL DEPOSITS ₱
For your own record, please keep a duplicate copy of this deposit slip.
___________________
Please indicate change of address
_______________________________________
SIGNATURE OF DEPOSITOR OR REPRESENTATIVE