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HQP-SLF-136

(V02, 03/2021)

DECLARATION OF INCOME

I, __________________________, of legal age, Filipino, single/married/widow/er


and with residence and postal address at _________________________________,
hereby depose and state that:

1. I regularly receive professional/ talent/ service fee or earn an income as


_________________;

2. As such, I have a gross income of P_____________________ for the last


six (6) months and to prove that I have the capacity to pay a Short-Term Loan
(STL) which I intend to avail from the Fund;

3. I am executing this Declaration of Income in support of my Short-Term Loan


application from the Pag-IBIG Fund, and for whatever legal purpose it may
serve.

_______________________
Signature over Printed Name

HQP-SLF-136
(V02, 03/2021)

DECLARATION OF INCOME

I, __________________________, of legal age, Filipino, single/married/widow/er


and with residence and postal address at _________________________________,
hereby depose and state that:

1. I regularly receive professional/ talent/ service fee or earn an income as


_________________;

2. As such, I have a gross income of P_____________________ for the last


six (6) months and to prove that I have the capacity to pay a Short-Term Loan
(STL) which I intend to avail from the Fund;

3. I am executing this Declaration of Income in support of my Short-Term Loan


application from the Pag-IBIG Fund, and for whatever legal purpose it may
serve.

_______________________
Signature over Printed Name

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