Republic of the Philippines

SOCIAL SECURITY SYSTEM

MANDAUE BRANCH

3F, J. CENTRE MALL, A.S. FORTUNA ST. BAKILID

MANDAUE CITY CEBU 6014

09173128065

BILLING LETTER
Contributions
As of 25 February 2022

LPN MANNA ADVERTISING CO

06-1747411-3-000

#781 ML QUEZON ST., CABANCALAN MANDAUE CITY, CEBU

SOA No:   061747411300002252022001

6014 Generation Date:  February 25, 2022

Dear Sir/Madam:

Our records show that you have delinquency/ies, as follows:

Period/s Social Employees'

Particulars Total
Covered
Security
Compensation

Principal 199,485.00 1,890.00 201,375.00

04/2021 - 12/2021

(INCLUSIVE)
Gap Months
Penalty 18,834.88 178.45 19,013.33

04/2009 - 03/2021
Penalties on Late

Penalty 22,565.81 317.13 22,882.94
(NOT INCLUSIVE) Contributions Payments

Total 240,885.69 2,385.58 243,271.27

Less Penalties Paid 21,327.35 0.00 21,327.35

Total Amount Due ₱ 219,558.34 ₱ 2,385.58 ₱ 221,943.92

Please settle the total amount due within fifteen (15) days from receipt of this letter to avoid any legal action or
subjected to our Warrant of Distraint, Levy and/or Garnishment (WDLG) process.

If you are unable to settle your delinquency/ies in FULL, you may submit an application for INSTALLMENT
payment or proposal to pay by way of DACION EN PAGO, or both, together with all the required documents to your
assigned Account Officer LADY MAE GAQUING BATION, either personally or through electronic mail at
bationlg@sss.gov.ph.

If paid, please submit the payment transaction receipt and the corresponding Contribution Collection List (CCL),
if applicable, for reconciliation and updating purposes.

The SSS reserves the right to determine and collect the true and correct contributions due, if it finds other
unremitted/underpaid contributions during or before the period above stated. Likewise, the SSS may conduct further
verification and assessment, and collect additional amount due, if any. Please acknowledge receipt of this letter.

Very truly yours,

Received by:
JANICE L. CABALLES
________________________________________ Branch Head
Signature over Printed Name / Position

________________________________________
Date Received