ANNEX E.

4
(Pursuant to Circular No. 794 dated 18 April 2013)

LOAN DISBURSEMENT AND AMORTIZATION SCHEDULES*

(In Original Currency)

Borrower : Interest : Floating Rate

Creditor : (in %) Spread :
Loan Amount : Base Rate :
Currency : Fixed Rate :
Maturity (in years) : Basis for Computation :
Grace Period (in years) : (number of days)

Date** (ddmmyy) Disbursement Principal Repayment Interest Payment Principal Balance

: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
: : : :
TOTALS

* To be accomplished for each loan/tranche where terms are different

** For disbursements and payments already effected as of application with BSP, indicate transaction date
If more space is needed, use a separate sheet of paper following the same format

Certified Correct:

__________________________________________
(Name of Company)

__________________________________________
(Signature of Authorized Officer over Printed Name)

__________________________________________
(Designation)
IOD Form 01-001-01C * Version 6 * Updated 27 Nov 2013
IOD Form 01-001-01C * Version 6 * Updated 27 Nov 2013