Annual Statement of Indebtedness, Payments and Balances (SIPB)

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Annex "F" Simplified Statement of Indetebtedness, Payments and Balances(SIPB) Annual Statement of Indebtedness, Payments and Balances ( SIPB ) Name of LGU : BACARRA Instruction: Please prepare a Statement for each kinfd of loan. ITEM NO. PARTICULARS 1 LGU Income Classification 2 Date of Report 3

Lending Institution (Bank or Creditor )

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Certificate Number - NDSC/BC Date of Certification - NDSC/BC Monetary Board (MB) Resolution Number Date of MB Opinion Date of Approval Loan Amount Approved Maturity Date Type of Indebtedness Instrument (Loan, Bond or other form of Indebtedness)

Purpose of Indebtedness Terms and conditions: Fixed or Variable Terms and conditions: No. of Years of Indebtedness Terms and conditions: Interest Rate Terms and conditions: Grace Period (Number of Months or Years) Frequency of Payment Annual Amortization: Principal Annual Amortization: Interest Annual Amortization: Gross Receipt Tax (GRT) Starting Date of Payment

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Cumulative Payment from Starting Date: Principal

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Cumulative Payment from Starting Date: Interest

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Cumulative Payment from Starting Date: GRT Total Amount Released (Availment as of date) Remaining Balance to Date/Undrawn amount (Line 9-25=26) Outstanding Loan Balance After Principal Payment (Line 9-22=27) Arrears: Principal (If Any) Arrears: Interest (If Any) Collateral Security Deposit to bond sinking fund for the year Sinking fund balance to date, if any Breakdown of fees and other related costs (of loan) Other relevant terms and conditions (of loan)

Details 3rd Class January 27, 2020 Land Bank of the Philippines

2011-60 October 3, 2011 November 22, 2012 ₱ 25,000,000.00 November 23, 2022 Loan

10 Years 6.5 % per Annum 1 Year Quaterly Payment ₱ 2,777,777.76 ₱ 1,620,547.96

Start at the end of the 25th of the Quarter from the date of initial release Start at the end of the 1st Quarter from the date of initial release

8,333,333.44 None None N/A N/A N/A N/A


Certified Correct by:

Date Issued:

JOSELITO A. LONG-GAT Acting Municipal Treasurer

January 27, 2020


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