AUTHORITY TO DEBIT/CREDIT ACCOUNT

April 27 2022

THE BRANCH HEAD

San Pedro Laguna Branch

This is to authorize Land bank of the

Philippines to debit Account # XXXXXXXXX
under Account Name MELCHOR U.LATINA in
the amountof 30% of total release amount
(Php .00) andcredit Savings
Account No. _____________________£under
account name NOLASACO FERNANDEZ

This is also to authorize debit from

my/our account, the corresponding
service charge, if any. For joint
account: I/We declare under penalty of
perjury that my/our co-depositors is/are
still
living.
CONFORME:
MELCHOR LATINA NOLASCO FERNANDEZ
Authorized
Signatory

Verified Checked Approved Sight

by by Verified