Legazpi Savings Bank, Inc.

(130)
National Road,, Basud, Polangui, Albay, Bicol

DISCLOSURE STATEMENT ON LOAN/CREDIT TRANSACTION

(As Required under R.A. 3765, Truth in Lending Act)

NAME OF
: RELUCIO, GLAIZA SECILLANO
BORROWER
ADDRESS : Zone 3, Linao, Libon, Albay, 4507

1. LOAN AMOUNT (Amount to be financed) ₱ 215000.00 (A)

2. FINANCE CHARGES

Not Deducted from Proceeds Deducted from Proceeds

Interest7.5% p.a from
(a)
11/01/2023 to 10/01/2028
Payment frequency:
Monthly
(b) Non-Interest Charges
(c) Commitment Fee
(d) Guarantee Fee
Other charges incidental to
(e) the extension or credit
(Specify)

Total Finance Charges (B)

3. NON-FINANCE CHARGES

Previous PN Principal ₱ 56344.29

Processing Fee ₱ 12900.00
Total Non-Finance Charges (C)
4. OUTSTANDING LOAN BALANCE OF PREVIOUS LOAN (If loan renewal) ₱ (D)
5. TOTAL DEDUCTIONS FROM PROCEEDS OF LOAN (B + C + D) ₱ 69244.29 (E)
6. NET PROCEEDS OF LOAN (A less E) ₱ 145755.71 (F)

7. PERCENTAGE OF FINANCE CHARGES TO THE TOTAL AMOUNT FINANCED

(Computed In accordance with Subsec. X301.1)
8. EFFECTIVE INTEREST RATE
10.63
(Method of computation attached)
9. SCHEDULE OF PAYMENT

a. Single payment due on

b. Total Installment Payment ₱ 258489.54
Payable in 1800 days
60 no. of payments
at 4308.16 each installment
10. COLLATERAL:
The Loan is wholly/partly secured by: Clean / Unsecured

11. ADDITIONAL CHARGES IN CASE CERTAIN STIPULATIONS ARE NOT MET BY THE BORROWER
***NOT TO BE COLLECTED THROUGH THE APDS***

NATURE
AMOUNT/RATE
Penalty charged on missed payments due to non-
disclosure of obligations
1% per month based on Outstanding Balance
CERTIFIED CORRECT:

MARY GRACE RANESES

(Signature of Creditor/Authorized Representative over Printed Name)
Head – Loans and Discounts
Position

I ACKNOWLEDGE RECEIPT OF A COPY OF THIS STATEMENT PRIOR TO THE CONSUMMATION OF THE CREDIT
TRANSACTION
AND CERTIFY THAT I UNDERSTAND AND FULLY AGREE TO THE TERMS AND CONDITIONS THEREOF.

502856
8/3/2023 RELUCIO, GLAIZA SECILLANO
Date (Signed via Acceptance Key)

Notice to borrower:
1. You are entitled to a copy of this paper which you shall sign.
2. Disclosure on loan is computed using the “diminishing method” while
charges are deducted in advance (upfront) from loan proceeds.
3. Items marked “X” are not allowed under DepEd’s Automatic Payroll
Deduction System.