Salary/Calamity/Educational/ Emergency/Stock Investment Loan
Salary/Calamity/Educational/ Emergency/Stock Investment Loan
Salary/Calamity/Educational/ Emergency/Stock Investment Loan
03/98)
(This is your official receipt when validated)
Republic of the Philippines
SOCIAL SECURITY SYSTEM
MONTHLY -SALARY/CALAMITY/EDUCATIONAL/
MONTHLY SBR NO. Postmark/S & R Date Teller’s Initials
EMERGENCY/STOCK INVESTMENT LOAN
P A Y M E N T R E T U R N AMOUNT
(To be submitted in 3 copies)
DATE
03-9009746-4
ENTER TYPE OF P AYMENT BEL
PA BELOOW (Salary/Calamity/
EMPLOYER’S REGISTERED NAME & ADDRESS
Educational/Emergency/Stock Investment Loan):
SAN FELIPE NERI SAVINGS ANG CREDIT COOPERATIVE
268 REV. AGLIPAY ST. BRGY. POBLACION PAYMENT TYPE APPLICABLE MONTH
MANDALUYONG CITY
SALARY SEPTEMBER 30, 2019
LOAN
(FOR SSS USE ONLY- Do not alter or change amount printed
in this box) Enter total amount collected
per collection list
P
Amount due per collection list P
Add: Penalty
Prior periods P
Penalty
1. Pay your monthly amortization on the following schedule: PAYMENT MADE IN: (All checks & postal money orders must be
Employer - on or before the 5th calendar day
following the applicable month.
made payable to Social Security System)
Self-Employed/Voluntary Member - on or before the last working day of the
applicable month. X CHINABANK Check No.________ Date ___________ 9/30/2019
Check/PMO: Bank _____________
2. Always indicate your ID or SS number along with your name and address.
3. Use this form exclusively for your SALARY/CALAMITY/EDUCATIONAL/ Cash: P ____________________________
EMERGENCY/STOCK INVESTMENT LOAN payments.