REPUBLIC OF THE PHILIPPINES

SOCIAL SECURITY SYSTEM

DISCLOSURE STATEMENT ON LOAN/CREDIT TRANSACTION
(As Required under R.A 3765 Truth in Lending Act)

SS Number: 04-2408988-5 Name of Borrower: LITO AMBON DAWAY

ER ID Number: 04-0996989-4 ER Name: CANLUBANG TECHNO INDUSTRIAL CO
ER Address: 530 LE VILLAGE BRGY SIRANG LUPA CALAMBA CITY

1. LOAN AMOUNT P19,000.00

2. OTHER CHARGE(S)/DEDUCTION(S) P461.42
A. Service Fee (1% of loan amount) P190.00
B. Advance Interest P187.40
C. Balance of previous loan as of 01/24/2020 15:32:43, if any P84.02
3. NET PROCEEDS OF LOAN(item 1 less item 2) P18,538.58
4. SCHEDULE OF PAYMENTS based on SOA as of 01/24/2020

Applicable Month Due Date Amortization Interest Principal Outstanding Principal

Balance
P19,000.00
Mar-20 30-Apr-20 876.75 158.33 718.42 18,281.58
Apr-20 31-May-20 876.75 152.35 724.40 17,557.18
May-20 30-Jun-20 876.75 146.31 730.44 16,826.74
Jun-20 31-Jul-20 876.75 140.22 736.53 16,090.21
Jul-20 31-Aug-20 876.75 134.09 742.66 15,347.55
Aug-20 30-Sep-20 876.75 127.90 748.85 14,598.70
Sep-20 31-Oct-20 876.75 121.66 755.09 13,843.61
Oct-20 30-Nov-20 876.75 115.36 761.39 13,082.22
Nov-20 31-Dec-20 876.75 109.02 767.73 12,314.49
Dec-20 31-Jan-21 876.75 102.62 774.13 11,540.36
Jan-21 28-Feb-21 876.75 96.17 780.58 10,759.78
Feb-21 31-Mar-21 876.75 89.66 787.09 9,972.69
Mar-21 30-Apr-21 876.75 83.11 793.64 9,179.05
Apr-21 31-May-21 876.75 76.49 800.26 8,378.79
May-21 30-Jun-21 876.75 69.82 806.93 7,571.86
Jun-21 31-Jul-21 876.75 63.10 813.65 6,758.21
Jul-21 31-Aug-21 876.75 56.32 820.43 5,937.78
Aug-21 30-Sep-21 876.75 49.48 827.27 5,110.51
Sep-21 31-Oct-21 876.75 42.59 834.16 4,276.35
Oct-21 30-Nov-21 876.75 35.64 841.11 3,435.24
Nov-21 31-Dec-21 876.75 28.63 848.12 2,587.12
Dec-21 31-Jan-22 876.75 21.56 855.19 1,731.93
Jan-22 28-Feb-22 876.75 14.43 862.32 869.61
Feb-22 31-Mar-22 876.75 7.14 869.61 .00
Total P 21,042.00 P 2,042.00 P 19,000.00

5. EFFECTIVE INTEREST RATE 10.47%

6. CONDITIONAL CHARGES MAYBE IMPOSED
a. Continuing Interest of 10% per annum against Outstanding Balance after the loan term.
b. Late charge of 1% per month against unpaid loan amortization.

Net proceeds may change. Final Disclosure Statement will be generated once loan application is approved by your employer
within the prescribed period.
This is a system-generated Disclosure Statement and does not require a signature from SSS.