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D-TYCOON-CASH-OUT-FORMAFP

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‘D TYCOON
Lending Corporation
Poblacion Kapatagan, Lanao del Norte
Tel: (063) 227 9639 / 09228495243 / 09177223907
AFFIDAVIT OF UNDERTAKING
I,______________________________of legal age,Filipino, married/single/widow and a resident
_____________________________________________after having been duly sworn to in accordance
with law do hereby depose and say;
1.
2.
3.
4.
5.
That I am_____________________ ___by profession with work/unit assignment
at______________________________.
That I have an existing salary loan of _________________________________(₱__________) with
‘D TYCOON Lending Corporation, duly represented by its President, LTC NEIL B IMPERIAL (RET),
with office address at Poblacion, Kapatagan, Lanao del Norte, granted on ____________ and to
mature on________________.
That the payment of my loan shall be effected thru my ATM withdrawal from my current/ savings
account maintained at_____________ Bank with card number______________ and account
number_____________.
That while my loan is still outstanding, I submit to the following undertaking under pain of breach,
falsification, other forms of swindling, other deceits and perjury if violated to wit;
4.1 That I shall not declare my ATM card lost nor request for a replacement ATM card
from the issuing bank without the written conformity of ‘D TYCOON Lending
Corporation.
4.2 That I shall not withdraw from the aforesaid bank account through over the counter
withdrawals unless with a written conformity of aforesaid Corporation.
4.3 That I will not apply for any loan from any lending institution to service my financial
needs as long as the credit facility of ‘D TYCOON Lending Corporationl is still available
for my disposal in order to avoid any prejudicial act that I might commit using my
guaranteed aforementioned Bank account and ATM card.
4.4 That I am aware that any act I shall perform in violation of this undertaking shall
subject my person to administrative and Criminal Cases which the aforesaid
corporation may file against me.
That I executed this affidavit to attest the veracity of the foregoing undertaking.
IN WITNESS WHEREOF, I hereunto affixed my signature this__________ 20____ in
__________________________ .
__________________________________
Affiant
ID No. ____________
Employee No./ Serial No .___________________________________
Unit assignment/ station: ___________________________________
Rank/ Position : ___________________________________________
SUBSCRIBED AND SWORN to this _____________20__ in _________________ ____________________.
Doc. No:______
Page No:______
Booked No:_____
Series of 20_____
‘D TYCOON
Lending Corporation
Poblacion Kapatagan, Lanao del Norte
Tel: (063) 227 9639 / 09228495243 / 09177223907
SPECIAL POWER OF ATTORNEY
KNOW ALL MEN BY THESE PRESENT;
I,
of legal age, Filipino, and a resident of _____________
do hereby NAME, APPOINT, and CONSTITUTE ____________________________to be my true and lawful
attorney for me and to my name, place,stead, perform the following acts;
1.
2.
3.
4.
5.
To follow-up, withdraw, and received the check or cash and whatever receivable/s from the
DEPARTMENT OF EDUCATION (DEPED)/AFP my retirement or allowances payable to me as a
bonafide public school teacher or employee of____________________________ and to deliver the
remaining cash after deducting my monthly instalment effective to date up
to__________________________ or until the total amount of ₱_______________ as stated in my
Promissory Note is fully paid;
To make, execute, sign, and/or en-cash for me and in my behalf the said cheque to any bank and
institution in Lanao Del Norte, Iligan City, and Cagayan de Oro City;
To deduct thereof any liability inclusive of interest due to the herein attorney-in-fact including
processing expenses;
To sue and file action in proper forum against any institution or any person to affect such
authorization under any circumstance warranting the same or when cause of action arises;
To execute, receive and sign documents relative the foregoing authority.
AND HEREBY GIVING AND GRANTING unto my said attorney-in-fact full powers and authority me and
perform all and every act requisite or necessary to carry into effect the foregoing authority, as fully to all
intents and purposes as I might or could lawfully do if personally present and hereby ratifying and
corfirming all that my said attorney shall lawfully do or cause to be done by virtue hereof.
IN WITNESS WHEREOF, I have
__________________City,Philippines
hereunto
affix
my
hand
this_____________,20___,in
_____________________________________________
Borrower signature over printed name
Signed in the presence of:
1.________________________________
2.________________________________
ACKNOWLEDGEMENT
REPUBLIC OF THE PHILIPPINES
CITY OF___________________________)AC,
BEFORE ME, a Notary Public, on this____ day of _________,20____ in
____________________ City, Philippines personally appeared the PRINCIPAL with the former exhibited
his Community Tax Certificate Number, date and place of issuance indicated below his/her name, known
to me to be the same person who executed the foregoing instrument, consisting of one(1) page on which
the acknowledgement is written, signed by the principal and his instrumental witnesses in each and every
page thereof and they acknowledged to me that the same ere their free and voluntary act and deed.
WITNESS MY HAND AND SEAL, the day ,year, and place above-written.
Doc. No._____________
Page No._____________
Book No._____________
Series of 20__________
‘D TYCOON
Lending Corporation
Poblacion Kapatagan, Lanao del Norte
Tel: (063) 227 9639 / 09228495243 / 09177223907
APPLICATION FOR CASH
ADVANCE OF________________ LOAN
Name of Borrower (Family name/First Name/MI.
Date of Birth:
Age
Division No.
Place of birth
Station No.
Net Take home Pay
Employee No.
Amount Applied
Complete Permanent Address
Tel. No./ Cellphone No.
Name & Address of School/ Unit Assignment
Tel. No.
Requirements:
1.Photocopy latest payslip
3.Photocopy valid I.D
4.Photocopy CTC( cedula)
I hereby declare that the above information are true and correct
___________________________
Signature of Borrower
_______________
Date
CO- BORROWER
Name of Co- borrower(Family name/first name/ M.I)
Date
of Birth
Complete
Age
Division No.
Place of Birth
Net take home pay
Permanent address
Name and Address of
Employee No.
Relation to borrower
Tel. No./ Cellphone No.
School/ Unit Assignment
Requirements:
1.Photocopy valid I.D
2.Photocopy CTC( cedula)
Station No.
Tel. no.
I hereby declare that the above information are true and correct
_____________________________
Signature of Co-Borrower
__________________
Date
ACKNOWLEDGMENT RECEIPT
_______20______
I,________________________________ of __________________________________received the amount
of ______________________________________Pesos(Php.___________) from ‘D TYCOON Lending
Corporation representing Cash Advance payable upon the release of my ___________________________.
_______________________________________
Borrower’s signature over printed name
Signed in the presence of:
____________________________
__________________________
‘D TYCOON
Lending Corporation
Poblacion Kapatagan, Lanao del Norte
Tel: (063) 227 9639 / 09228495243 / 09177223907
Promissory Note
FOR VALUE RECEIVED, I____________________________---of legal age, Filipino, single/ married to
__________________ and a resident of______________________________________ promise to pay
‘D TYCOON Lending Corporation, or order the sum ________________ pesos (₱________) together with
the agreed interest at the rate of ________percent (___%) per month, payable within ______(____)
months by way of installments and without need for notice or demand from my savings/current ATM
account.
However if no payment will be made or fail to pay this note within_______ (_______) from this
date, I promise to return or pay the money with the agreed surcharge of ___% to ‘D TYCOON Lending
Corporation.
In case for the enforcement of the payment thereof, ‘D TYCOON Lending Corporation is
constrained to entrust the case to its Attorney, I/we bind myself/ ourselves to pay for the attorney”s fees
equivalent to TWENTY FIVE (25%) PERCENT of the total unpaid obligation, in addition to legal fees and
other incidental expenses.
Provided further that in case of failure to pay any of the instalments , I/we bind
myself/ourselves to pay an additional amount equivalent to THREE (3%) PERCENT per month of the total
obligation as form of penalty.
That as co-maker, I/we am are fully aware that I/we shall be jointly and severally liable with the
above principal maker of this note.
That failure to pay any of the installment shall make the entire obligation due and demandable.
IN WITNESS WHEREOF, I/we have hereunto affixed my/our signature/s this ________, 20____ .in
__________________________.
____________________________
OBLIGOR
FOR CO- MAKERS & WITNESSES:
1.
2.
______________________________
______________________________
SUBSCRIBED AND SWORN to this _________________20______ in______________________________ .
Doc. No:_______
Page No:_______
Booked No:_____
Series of 20_____
‘D TYCOON
Lending Corporation
Poblacion Kapatagan, Lanao del Norte
Tel: (063) 227 9639 / 09228495243 / 09177223907
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