HQP-TMF-191

(V04, 12/2020)
Pag-IBIG Fund

PAYMENT INSTRUCTION FORM (PIF)

______________________
MAKATI - JUPITER

Employer ID Number : 209129840001

Payment Instruction Date : December 27, 2022
7223 61EC EC46
Payment Instruction Number (PIN)

EMPLOYER/BUSINESS NAME : H-MARIO GUANZON TINIO

ADDRESS AND CONTACT DETAILS

Unit/Room No., Floor Building Name Lot No., Block No. AREA CODE TELEPHONE NUMBER
Business (Direct Line)
Phase No. House No. Street Name 02 8213954
38 AMSTERDAM ST Business (Trunk Line) Local
Subdivision Barangay Municipality
Cell Phone Number
MERVILLE PARK MERVILLE PARA?AQUE CITY
Province Region Zip Code
Business Email Address
NCR, FOURTH DISTRICT NATIONAL CAPITAL REGION 1709 miggytm@yahoo.com
(NCR)
PERIOD COVERED
TYPE OF PAYMENT AMOUNT DUE CLIENT PRINT VALIDATION
From To
MEMBER SAVINGS 11 - 2022 11 - 2022 400.00

TOTAL AMOUNT 400.00

Prepared by: Date:
MIGUEL LORENZO TINIO MALABANAN
GRANDSON
______________________________ 12/27/2022
____________

REMINDERS:
12/27/2022
1. This form is valid from ______________ 01/25/2023
to ______________. If payment to be made is beyond the reflected validity period, this form will not be accepted
by any accredited collecting partner/s.
2. Please remit MS/pay loan obligation on or before the due date to avoid incurring penalties.

Employer ID Number 209129840001

Total Amount Due Php 400.00

PIN: 722361ECEC46 TO BE FILLED OUT BY THE PAYOR

H-MARIO GUANZON TINIO Cash Payment

38, AMSTERDAM ST, MERVILLE PARK, MERVILLE, PARA?AQUE CITY, Check Payment
NCR, FOURTH DISTRICT, 1709 Check No.
Bank/Branch