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    Annex G Sample

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    Jessica Crisostomo
    This document is an Annex G form authorizing the Land Bank of the Philippines (LBP) to debit and credit a school's checking account. It allows LBP to [1] automatically transfer the account's quarterly net interest income and [2] transfer any remaining account balance at the end of each year. Any outstanding amounts like unliquidated cash advances or lost checks from January to December 2023 would be indicated in the form. Accompanying documentation should include an outstanding checks report and bank statements from before December 20, 2023.

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    Annex G Sample

    Uploaded by

    Jessica Crisostomo
    429 views2 pages
    This document is an Annex G form authorizing the Land Bank of the Philippines (LBP) to debit and credit a school's checking account. It allows LBP to [1] automatically transfer the account's quarterly net interest income and [2] transfer any remaining account balance at the end of each year. Any outstanding amounts like unliquidated cash advances or lost checks from January to December 2023 would be indicated in the form. Accompanying documentation should include an outstanding checks report and bank statements from before December 20, 2023.

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    Annex g Sample

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    This document is an Annex G form authorizing the Land Bank of the Philippines (LBP) to debit and credit a school's checking account. It allows LBP to [1] automatically transfer the account's quarterly net interest income and [2] transfer any remaining account balance at the end of each year. Any outstanding amounts like unliquidated cash advances or lost checks from January to December 2023 would be indicated in the form. Accompanying documentation should include an outstanding checks report and bank statements from before December 20, 2023.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    429 views2 pages

    Annex G Sample

    Uploaded by

    Jessica Crisostomo
    This document is an Annex G form authorizing the Land Bank of the Philippines (LBP) to debit and credit a school's checking account. It allows LBP to [1] automatically transfer the account's quarterly net interest income and [2] transfer any remaining account balance at the end of each year. Any outstanding amounts like unliquidated cash advances or lost checks from January to December 2023 would be indicated in the form. Accompanying documentation should include an outstanding checks report and bank statements from before December 20, 2023.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    ANNEX G

    LAND BANK OF THE PHILIPPINES


    Authority to Debit/Credit Account

    Date : ________________________________________

    To : THE BRANCH HEAD


    LBP-CONCEPCION BRANCH

    Subject : AUTHORITY TO DEBIT/CREDIT ACCOUNT

    This authorizes LANDBANK to:

    Debit __ STA. ROSA INTEGRATED ELEMENTARY SCHOOL_____


    (Account Name)

    / Checking Account Number ___1612-1032-12______


    Credit the BTr Account Number _____________________________________, representing the following:

    Automatic Transfer of Quarterly Net Interest Income

    Automatic transfer of the Account Balance every end of the year


    (Net of Maintaining Balance)

    (To be filled up at the end of each reference year)

    / Transfer of the Account balance at the end of the year


    (Net of Maintaining balance and outstanding balance)

    Amount in Figures P 0.00


    Amount in Words ZERO
    ______________________________________________________________
    ______________________________________________________________

    ___MIGUELA H. JOHANSSON___
    Name and Signature of Authorized Signatory

    FOR BANK’S USE ONLY


    Signature Verified By: Checked by: Approved by: Sight Verified by:

    Validation Print
    NOTE:

    1. PLS. PAKILEAVE PO MUNA NG BLANK YUN PO DATE


    2. ONLY THE UNLIQUIDATED CASH ADVANCE, LOST CHECK OR
    HINDI NA MAHANAP NA CHECK FROM JANUARY 2023 TO
    DECEMBER 2023 ANG ILALAGAY PO S ANNEX G NA (TRANSFER OF
    THE ACCOUNT BALANCE AT THE END OF THE YEAR) KUNG WLA
    PO IBABALIK NA UNLIQUIDATED AMOUNT P 0.00 IN FIGURES AND
    ZERO IN WORD PO ANG ILAGAY.

    3. UN PO MGA INTEREST NA NAKIKITA PO NINYO SA MGA LBP


    STATEMENT OF ACCOUNT MULA PO 3RD TO 4TH QUARTER AY HINDI PO
    KASAMA SA ANNEX G . PLEASE HUWAG PO NINYO ILAGAY DAHIL PO
    IAAUTO DEBIT PO NG HEAD OFFICE NG LAND BANK PO ITO.KASI PO
    KUNG ILALAGAY PO NINYO PUEDI PO MABAWASAN YUN
    MAINTAINING BALANCE PO NINYO NA P500 AT PUEDI RIN PO
    MACHARGE PO KYO KAPAG PO BELOW MAINTAINING BALANCE
    NAPO.

    4. ANG ATTACHMENT PO NG ANNEX G AY UN PO OUTSTANDING


    CHECK AT LBP SOA DATED BEFORE DECEMBER 20, 2023 AND CASH IN
    BANK REGISTER FOR DECEMBER 2023 (OUTSTANDING CHECK ITO PO
    UN MGA NACHEKE NA PERO HINDI PA PO NAEENCASH NI SUPPLIER
    AT NI JO)PLEASE PAKISABI PO SA MGA SUPPLIER PO NINYO NA AGAD
    PO NILANG IENCASH PARA HINDI NAPO SILA GAGAWAN PA NG
    OUTSTANDING CHECKS REPORT.

    Salamat po and God bless us all po.

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