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DECLARATION FORM

MONTHLY AMORTIZATION vs MONTHLY INCOME


MONTHLY INCOME -
TOTAL EXPENSES - #DIV/0!
CCPL Monthly Amortization -
Household/ Personal Expenses -
Other Cards & Loans -
VARIANCE - #DIV/0!
SOURCE PROOF AMOUNT

COMPUTATION OF MONTHLY INCOME

TOTAL -

CCPL MONTHLY AMORTIZATION


CARD/ PL NUMBER STATUS MONTHLY

TOTAL -

HOUSEHOLD/ PERSONAL EXPENSES


PARTICULARS EXPENSE SHOULDERED BY MONTHLY
Basic Expenses:
Food
Electricity
Water
Rent
Transportation
Others (please enumerate):

TOTAL -
REMARKS

OTHER CARDS & LOANS


BANK/ FINANCIAL INSTITUTION EXPENSE SHOULDERED BY OUTSTANDING BALANCE MONTHLY REMARKS

TOTAL - -

Attachment/s

Arrangement Negotiated by:

Signature Over Printed Name

Checked by:

Signature Over Printed Name

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