BILLING

ANDM.
COLLECTION
DEPT. I
DENNIS
MEJIA
2nd Floor JELP Business Solutions Center 409 Shaw Boulevard Mandaluyong City

720 MA CRISTINA STREET SAMPALOC MANILA 1015

315019411371
01/17/2016
Php 2,311.88
15315019411371160171
rence No. 315019411371160174
12/29/2015

Unpaid Installments/Amortizations
Penalties/Additional Interest
Total amount past due

Php 0.00
0.00
0.00 Current Installment /

Amortization
2,311.88

DETAILS OF LAST PAYMENT CONSIDERED

Payment Date
12/09/2015
Amount

PFR/Transaction No.
M5426224
Applicable Month

Php
2,311.88
OUTSTANDING BALANCE

12/17/2015
Php 118,032.13

REMINDERS:
REMINDERS:
1. Please present this Billing Statement when paying on
or before due date at any HDMF Branch/Accredited
Collection Agents.
2. For payments to be made after the due date, please
pay directly to BILLING AND COLLECTION DEPT. I.
3. Please notify us immediately of any changes in your billing
address or other personal data by filling in the portions at
the back. Send it through fax or telefax number/s 6546559/6547241or mail it
to the above address where you maintain your account.
4. For further inquiries, please visit our office or call us at no/s. stated above

DENNIS M. MEJIA
720 MA CRISTINA STREET SAMPALOC MANILA 1015
ARN: 315019411371160174
PRN: 15315019411371160171

HL Account No.
Total Amount Due

3150194113
71 2,311.88
Php

TO BE FILLED UP BY BORROWER
Cash Payment
Check Payment
Check No.
Bank/Branch
(Rev. 01, 11/2014)

IMPORTANT INFORMATION ABOUT YOUR HOUSING LOAN APPLICA

Please
1. provide us with a copy of the receipt/s, if there are payments not considered in this

Statem

In
case
of change
in 2.
your personal
please
submit
the following
or mail to monthly
the address
where you maintain your and/o
You
shall
be considered
in defaultdata,
if you
fail to
pay three
(3) consecutive
installments/amortizations
account
:
monthly membership savings and other obligations under the loan. Default will lead to cancellation of your CTS or F

1. For change of name and/or marital status because of marriage, photocopy of Marriage Contract with registry
number
A penalty of 1/20 of3.once percent of your monthly installment/amortization shall be charged for every day of delay
payment.
If the loan is covered
byand/or
the two-tiered
interest
structure,
a lower
interestcertified
rate shall
be copy
charged
if paym
2.
For correction/change
of name
marital status
forrate
reason
other than
marriage,
true
of the
following documents:
* Single/Unmarried - Birth Certificate issued by the National Statistics Office (NSO)
* Widow/er - Death Certificate of the deceased spouse
In case
4. you have various payables (or debts) with the Fund and failed to indicate for which transacti
* Legally Separated/Annulled - Court Order
shall be applied, said payment shall be allocated according to the following order by priority:
3. In case there are other changes in your personal data not mentioned in this form, please visit
Monthly Membership Savings
www.pagibigfund.gov.ph and accomplish the Member's Change of Information Form (MCIF, HQPMulti-Purpose Loan (MPL)
PFF-049).
Calamity Loan
Housing Loan
Modified Pag-IBIG II (MP2) Monthly Savings (Minimum Savings of P 500.00)
Name of Member-Borrower
Home Address
Unit/Room No.,

5.

HL Account No.

You may visit our On-line Housing Loan Verification at to verify payments made to the Fun
Employer Address
Home
view, and print this billing statement.
Address

Building Name Lot, Block No., Phase No. House No.

Street Name
Municipality/City
Province/State/Country (if
abroad)
Employer/Business Name
Floor
Barangay

Email Address
Change in Marital
Status :

Pag-IBIG MID No.

Signature/Date

Subdivisio
n
ZIP Code

Employer
Address
Fax No.
Cellphone No.

Single/Unmarr
ied

THANK YOU
FOR YOURLegally
PROMPT
PAYMENT
Widow/er
Separated
Annulled

Married

Married Name

Name of Spouse