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Republic of the Philippines
SOCIAL SECURITY SYSTEM

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STATEMENT OF ACCOUNT WITH

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PAYMENT REFERENCE NUMBER

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MEL-01525 (04-2021)

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LEONARD HESITA PADUA

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717 CLUSTER 7 FLEXI HOMES 1609

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THIS IS YOUR OFFICIAL RECEIPT WHEN VALIDATED
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     PAYMENT REFERENCE NUMBER (PRN)

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STATEMENT OF ACCOUNT FOR JANUARY 2023
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Loan Type/Loan Date: SALARY - 10/19/2021
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Due Date: 02/28/2023

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Total Amount Due: P 500.00 Generation Date: 02/14/2023 IA230028539058
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Please pay on or before the due date at any SSS accredited collecting partner or SSS Branch Office with Tellering Facility. A

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penalty of 1% per month, pursuant to Annex A of Circular No. 2019-014, shall be imposed on loan amortization not paid within

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the prescribed schedule.

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The SSS reserves the right to determine and collect the true and correct loan amortization due to the SSS if it finds other

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unremitted/underpaid loan remittances during or before the period billed. Also, SSS shall conduct further verification and

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assessment on the details of the submitted Loan Collection List, if applicable, and shall collect any amount due, if any.

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For inquiries, e-mail us at prnhelpline@sss.gov.ph and member_relations@sss.gov.ph. You may call the SSS Hotline at 1455.

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Reminder:
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Please print this form in two (2)copies (1 - Payor's copy and 1 – SSS' copy) or present your PRN and accomplish Payment Slip if

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payment will be made at an SSS Branch Office with Tellering Facility.

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This is a system-generated Statement of Account with Payment Reference Number.
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