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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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RODANTE BINAY CONDICION

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TALON TUY BATANGAS 4214

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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 OCTOBER 2023
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Loan Type/Loan Date: SALARY - 07/29/2021
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Due Date: 11/30/2023

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Total Amount Due: P 3,000.00 Generation Date: 11/15/2023 IJ230013832142
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Please pay on or before the due date at any SSS accredited collecting partner or SSS Branch Office with Tellering

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Facility. A penalty of 1% per month, pursuant to Annex A of Circular No. 2019-014, shall be imposed on loan

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amortization not paid within 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

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

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

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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
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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
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Payment Slip if 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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