Form No. OP 04, Revised 092816 APPLICATION FOR LOAN PRESENT LATEST PAY SLIP (Gupersedes Form No, OP-004, Revised 092013) EVERY LOAN APPLICATION MANILA TEACHERS’ Date: 918 United Nations Avenue, Ermita, Manila (Please fill up all spaces with check / No erasures) Gentlemen: ‘The undersigned member of this Association desires to avail of its loan facilities for a loan of ¥. Se Pesos (P ) which shall be paid in equal monthly installments for a period of ......... months. PURPOSE: Creation iMedia Tasca! Come Biking & Development eronal Finance others, Pls. SpeCifY? non ‘TERMS AND CONDITIONS: 1, The interest on this loan and other charges shall be added on/deducted upfront fo the loan granted subject to the provisions of existing laws and regulations. 2. The payment of this loan shall be through salary deduction and the undersigned member-borrower agrees and hereby authorizes the Payroll Service Division of the DepEd or Paymaster to deduct said amount from the borrower's salary and other compensation. 3. The member-borrower certifies that he/she has not taken the commuted value of his/her vacation and sick leave credits forthe period covered for the payment of this loan and that the net salary due hinn/her duting the said period is enough to cover the installment payments on their respective due dates. In case of default, the member-borrower agrees that hisIher deposits and capital contributions with the Association shall be debited to the extent of the amount due, and that no withdrawal from these shall be made until such loan is fully paid 4. In ease of non-payment for three (3) consecutive installments, the Association reserves the right to consider the entre balance ‘of the loan due and demandable, notwithstanding the imposition of applicable penalties, in accordance with existing policies of the Association on delinquent accounts, ‘The co-makers shall, in ease of inability of the member-borrower to satisfy this obligation, be jointly and severally liable for the same, The co-makers further agree that their deposits and capital contributions with the Association or in any ofits affiliate ‘companics shall be pledged and/or assigned tothe balance ofthe loan and shall be debited to the extent of this obligation. 6. Borrower agrees to allow the Association to assign or transfer the loan in whole or in part to any person or entity and for this purpose authorizes said assignee/transferee to collect payment through deductions from borrower's salary and other ‘compensation, Helshe authorizes the Association to apply any residual fund for the payment of his/her other obligation in favor of the Association or any ofits affiliate company. 7. Additional fees and penalties may be applied in accordance with the existing policies of the Association. Further, borrower agrees to abide with the Association’s rules, policies and arrangements made at the Principal Office as deemed necessary in ‘order to collect the loan and other obligations. MAKER OR BORROWER: ¥ sone . . Voce esi BEY ore (Print Name) (Signature) Employment Status: 7. Monthly Salary: 7B School: ¥ Diva sii Emp v. [1 Check box and sign below for Bank Credit of loan proceeds “Thereby authorize the Association to credit the loan proceeds from this application to my Land Bank of the Philippines (LBP) Account No v ‘Member Borrower's Signature Approved by “Approving Authority DISCLOSURE STATEMENT ONLOAN (As Required Under R.A. 3765, Truth in Lending Act) LOAN GRANTED 2 (Principal Amount) ‘Add Charges: Finance Charges 2 Percentage of Finance Charges to Interest eshte Loan Granted % Service and Collection Fee Non-Finance Charges Total Loan Less: Old Loan Balance/PDL Interest ‘Add Others. NET PROCEEDS OF LOAN Pp Effective Interest Rat % 1 ACKNOWLEDGE RECEIPT of a copy of this statement prior to the consummation of the credit transaction and that I UNDERSTAND AND FULLY AGREE to the terms and conditions thereof. v ocr MEMBER/BORROWER Date Signed (Print Name and Sign Above) (RECEIPT) RECEIVED this day of 1520. Cheek NO. ..eessrnnene Representing the proceeds of my Joan with the above named Association as evidenced by Promissory Note No. dated sooty esse FOF Bevcocecee Toan Of ..seseeene Pesos (P ) CONTROL NO. ssyoceseeesses DIV. NO. STA,NO. ssessse. EMP. NO, MEMBER/ BORROWER. (Print Name & Sign Above)MANILA TEACHERS’ 918 United Nations Avenue, Ermita, 1000 Manila Tel, Nos, 404-2790 to 95; Fax No. 525-3833, Please fill up all spaces with check NO ERASURES PROMISSORY NOTE AMOUNT OF PROMISSORY NOTE: DUE DATE OF LOAN: DATE: FOR THE VALUE RECEIVED, UWE jointly and severally promise to pay Manila Teachers’ or order the SUM OF .. at the rate of 20 . PESOS @ ), with interest (\%) PERCENT PER ANNUM/ ( %) PERCENT PER MONTH, payable on or before I, as Maker/Borrower, further pledge my capital contributions and deposits against the loan and shall not withdraw any amount until this is fully pad. We, as Co-Makers, further agree that our capital contributions and deposits maintained with the Association or on any ofits affiliate companies shall be pledged to the balance of the loan and shall be debited to the extent of the unpaid obligation as required by the terms and. conditions ofthis loan. In case of non-payment for three (3) consecutive installments, the Association reserves the right to consider the entire balance of the Joan due and demandable, notwithstanding the imposition of applicable penalties, in accordance with existing pol delinquent accounts ‘of the Association on In the event this notice is placed in the hands of an attorney for collection, VWe , as the Maker and the Co-Makers shall pay the TEN PERCENT (10%) of the amount due on the note as Attorney's fee and expenses for litigation, which in no case shall be less than one thousand pesos (81,000.00). MAKER OR BORROWER: ¥ . (Print Name) Home Address (COMPLETE) ¥ Government/School ID & No: 7 v. a (Print Name and Sign Above) Government/School ID & No. ¥. Valid Thru (with vat, pl indicate): Home Address (COMPLETE) ¥. Div. v. Sta, Vossen Emp, No. ¥. DATE SIGNED V. v. . - ‘CO-MAKER (Print Name and Siga Above) Government/School ID & No. ¥. Valid Thru (with vay, pl indicate): Home Address (COMPLETE) ¥. Div. Vases Sta Emp. No. Vs. DATE SIGNED V.. ¥. (Signature) Valid Thru ff wih vay, pl nda): v CO-MAKER (Print Name and Sign Above) GovernmentSchool ID & No. ¥ Valid Thru with atid pl nda): Home Address (COMPLETE) ¥... Div.v. Sta. Yocseeseee Emp. No. ¥ DATE SIGNED V. v oo ‘CO-MAKER (Print Name and Sign Above) Government/School ID & No. ¥ Valid Thru fipwih valid, pl indicate): Vo. Home Address (COMPLETE) ¥. Div.v. stv. Emp. No. ¥. DATE SIGNED V, SIGN BOX. 1, (Maker/Borrower) agrees to execute CONTINUING CROSS-GUARANTY AGREEMENT (CCGA) with other members, IN LIEU of CO-MAKER's signature above CCGA Form No. v. VERIFICATION OF NET SALARY (To be filled up by Paymaster / Payroll Clerk) Division Nov. Station No, v. [Net Salary for the month of ¥. 1 Quincena BV. 2" Quincena BY. v. Date v. . PAYMASTER/PAYROLL CLERK